Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid fraud in Minneapolis, Minnesota

Medicare and Medicaid fraud cost Minnesota taxpayers billions of dollars each year. Although most medical companies and drug companies are ethical and work within the legal channels, there are those who do not. When fraud takes place, everyone loses. Medicare and Medicaid whistleblower attorneys help people who work in the healthcare system to submit suits on behalf of the federal or state government to help report this sort of fraud.

The state and federal governments place a good deal of trust in pharmaceutical and medical service providers. When that trust is ill-placed, it relies on private citizens in Minnesota to come forward and to report scams. People like you.

Work with

Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare workers in Minneapolis, Minnesota

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your heroic decision to come forward to report abuse and scams in the market. understand that stepping forward is hard and numerous things may be at stake. When you come to us, your case is kept in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently prepare your case, and work relentlessly with you and the federal or state government to help bring deceitful Medicaid or Medicare activity to justice.

schedule a
confidential consultation

Whistleblower Laws in Minneapolis, Minnesota

In Minnesota, the Minnesota False Claims Act makes business entities or private citizens who defraud the Minnesota Medicaid program accountable for their actions. Each year, fraud costs the state millions of dollars. However, because of limited resources, the state depends on people with information about scams to come forward and file a whistleblower claim.

 

The Minnesota False Claims Act allows private whistleblowers to bring a qui tam suit against a a person or company that has fraudulently cost money to the state or any political subdivision of that state, such as a county, city, or school district.

 

The Act enables the whistleblower to recover financial benefits for their details and their action against the scam perpetrator. If the state enters into the suit with the whistleblower, that whistleblower may receive 15 to 25 percent of the state’s recovered funds in a reward. If the state chooses not to enter into the suit and the whistleblower pursues it independently, the whistleblower may receive 25 to 30 percent of that recovery in financial rewards. There are instances when the state does not initially participate in the lawsuit but does so later. In this case, the sum of whistleblower rewards is in between 15 and 30 percent of the recovered funds.

 

Under the Minnesota False Claims Act, the whistleblower is likewise safeguarded from retaliation by an employer.

Liability of the Defendant in Minnesota

In the state of Minnesota, an offender might be responsible for as much as 3 times the damage to the state, in addition to fines of between $5,500 and $11,000 for each of their infractions.

Statute of Limitations in Minneapolis, Minnesota

Under the Minnesota False Claims Act, claims must be brought within 10 years of the date of the offense.

Dealing with an Experienced Whistleblower Attorney

If you are a Minneapolis, Minnesota healthcare worker and know of fraudulent activity that may have cost the state of Minnesota or a political entity of the state money, it is vital to get legal advice from an experienced whistleblower lawyer. At Khurana Law Firm, P.C., we can explain your rights and options. Contact us for a confidential, no-cost consultation to discuss your case.

What is

Medicare Advantage Fraud

Medicare Advantage (MA) plans are privately run healthcare options offering Medicare-eligible individuals additional services that are not included in traditional Medicare. These organizations receive payment from Medicare for each of their members that vary according to their risk adjustment. Some Medicare Advantage organizations overestimate and exaggerate a member’s risk or a patient’s diagnoses to get higher payments from Medicare. They do this by:

Upcoding

The MA provider increases the severity of the patient’s condition, submitting a more serious diagnosis code to get paid by Medicare at a higher rate.

Chart reviews

The MA provider reviews charts to add additional diagnosis codes.

Chart mining

The MA provider mines patient’s charts to look for conditions that are not current but can put as current to increase their payments from Medicare.

Adding unsupported diagnosis

Coders are directed to add codes based on other information in the chart.

Not removing old diagnosis codes

The MA provider increases the severity of the patient’s condition, submitting a more serious diagnosis code to get paid by Medicare at a higher rate.

Sham RADV audits

The MA provider reviews charts to add additional diagnosis codes.

Incentivizing doctors

The MA provider mines patient’s charts to look for conditions that are not current but can put as current to increase their payments from Medicare.

Pre-filling charts

Coders are directed to add codes based on other information in the chart.

If you suspect Medicare Advantage Fraud, you are a healthcare worker in Minneapolis, Minnesota, get in touch with us here.

Khurana Law Firm, P.C.
Medicare Fraud
Medicare Fraud is a Serious Problem

While there are no exact figures concerning Medicare fraud, we do know it is a huge problem. In the fiscal year 2020, the government recovered over $1.8 billion in civil and fraud claims relating to the healthcare industry. 

$ 0
Recovered only in 2020
YOU, the healthcare worker, provide the most vital role in combating Medicare abuse and fraud.

Watching for fraud and abuse within your organization, practice, or provider’s office helps protect everyone from this taxpayer drain and holds abusers accountable.

So what is Medicare Fraud?

Fraud, as it relates to Medicare, is when individuals or entities make false statements or representations to benefit themselves at the expense of the Medicare program. 

Who defrauds Medicare?

Medicare fraud can involve numerous individuals, organizations, and entities, including physicians and nurses, physician-owned groups, drug companies, home health providers, medical device providers, nursing homes, and others.

How do people and companies commit Medicare fraud?

Fraud and abuse come in many different forms from coding abuses, to kickbacks, to altering records, to organized crime infiltration. Each method benefits the abuser while costing taxpayers billions. 

What laws protect Medicare from fraudulent activity?

The False Claims Act, Anti-kickback Statute, Stark Law, and Federal Criminal Healthcare Fraud Statute hold abusers accountable for their fraudulent activity. 

What government agencies protect against Medicare fraud?

Many government agencies strive to protect and promote the integrity of Medicare. These include the Centers for Medicare and Medicaid Services, Center for Program Integrity, US Department of Health and Human Services, and US Department of Justice, all attempting to keep Medicare fraud at bay. But they rely on people like YOU to be their eyes and ears.

How can I help?

If you see abuse and fraudulent activity you should report it. In some cases, you may even be entitled to a reward. If you are a healthcare worker in Minneapolis, Minnesota,  you can report Medicare fraud when you contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

Call now to
Report Medical fraud
We are here to help
Work With An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Minneapolis, Minnesota

If you’ve become aware of deceitful activity as it concerns Medicaid or Medicare in Minneapolis, Minnesota, you need the advice of a skilled whistleblower lawyer, someone who can ensure that your claim is totally investigated and submitted accurately and quickly. By dealing with a knowledgeable lawyer you are increasing the chance that the federal or state government will step in, therefore increasing the possibility for a reward. Reporting Medicaid and Medicare fraud is a complicated matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of prior experience as national qui tam lawyers to assist in your fight against Medicare and Medicaid fraud. Our attorneys will review your case on a confidential, no-obligation basis. If we believe you have a valid claim, we may represent you in a qui tam suit to report the scams and allow you to collect a financial benefit. Because all whistleblower cases are on contingency, you pay nothing until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

Service areas