Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid scams in St. Cloud, Minnesota

Medicaid and Medicare fraud cost Minnesota taxpayers billions of dollars every year. Although many medical service providers and drug companies are ethical and work within the system, there are those who don’t. When fraud occurs, everyone loses. Medicaid and Medicare whistleblower lawyers can assist healthcare workers to submit suits on behalf of the federal or state government to report this type of fraud.

The federal and state government put a good deal of trust in medical and pharmaceutical companies. When that trust is ill-placed, the government relies on regular folks in Minnesota to come forward to report scams. People like you.

Work with

Experienced Medicaid and Medicare whistleblower lawyers; representing health care employees in St. Cloud, Minnesota

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your heroic choice to come forward to report abuse and scams in the industry. understand that stepping forward is not simple and many things may be at stake. When you come to us, your case is kept in the strictest confidence .

With our extensive experience representing whistleblowers nationwide, we thoroughly examine your claim, carefully prepare your case, for court, and work tirelessly with you and the federal or state government to help bring deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in St. Cloud, Minnesota

In Minnesota, the Minnesota False Claims Act makes entities or private citizens who defraud the Minnesota Medicaid program accountable for their actions. Each year, scams costs the state millions of dollars. But, because of limited resources, the state relies on people with information concerning scams to come forward and submit a whistleblower lawsuit.

 

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

 

The Act enables the whistleblower to recover monetary rewards for their info and their action against the scam perpetrator. If the state gets in into the suit with the whistleblower, that whistleblower may get 15 to 25 percent of the state’s recovered funds in a reward. If the state picks not to participate in the suit and the whistleblower pursues it separately, the whistleblower may get 25 to 30 percent of that recovery in reward. There are instances when the state does not at first participate in the suit however does so later. In this case, the range of whistleblower benefits is in between 15 and 30 percent of the recovered funds.

 

Under the Minnesota False Claims Act, the whistleblower is likewise protected from retaliation by a company.

Liability of the Defendant in Minnesota

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

Statute of Limitations in St. Cloud, Minnesota

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

Dealing with an Experienced Whistleblower Attorney

If you are a St. Cloud, Minnesota healthcare worker and have knowledge of fraudulent activity that has cost the state of Minnesota or a political entity of the state money, it is crucial to get legal advice from a skilled whistleblower attorney. At Khurana Law Firm, P.C., we can explain your rights and options. Contact us for a confidential, no-cost assessment 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 St. Cloud, 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 St. Cloud, Minnesota,  you can report Medicare fraud when you contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

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WORKING WITH A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in St. Cloud, Minnesota

If you’ve become aware of fraud as it concerns Medicaid or Medicare in St. Cloud, Minnesota, you need the advice of an experienced whistleblower lawyer, someone who can ensure that your claim is totally investigated and filed accurately and immediately. By dealing with a skilled attorney you are increasing the chance that the government will intervene, thus increasing your chances for a financial reward. Reporting Medicare and Medicaid scams is a complex matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of practical experience as national qui tam lawyers to assist in your fight against Medicaid and Medicare fraud. After you get in touch our lawyers will examine your case on a confidential, no-obligation basis. If we feel you have a legitimate claim, we can represent you in a qui tam claim to help report the fraud and allow you to collect a reward. Because all whistleblower work is on contingency, you pay absolutely nothing until there is a recovery. Contact us today to learn how we can help.

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