Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid scams in St. Louis Park, Minnesota

Medicaid and Medicare fraud cost Minnesota taxpayers billions of dollars every year. Although the majority of medical service providers and drug companies are honest and work within the legal channels, there are those who don’t. When scams are perpetrated, everybody loses. Medicaid and Medicare whistleblower lawyers assist healthcare workers to file claims on behalf of the federal or state government to help report this sort of fraud.

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

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Experienced Medicaid and Medicare whistleblower lawyers; representing healthcare employees in St. Louis Park, Minnesota

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower lawyers, we support your brave decision to come forward to report abuse and scams in the industry. We know that stepping forward is hard and many things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

With our extensive experience representing whistleblowers nationwide, we thoroughly investigate your claim, carefully prepare your case, and work relentlessly with both you and the state of federal government to assist in bringing deceitful Medicare or Medicaid activity to justice.

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Whistleblower Laws in St. Louis Park, Minnesota

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

 

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

 

The Act allows the whistleblower to recuperate financial benefits for their info and their action against the fraud perpetrator. If the state enters into the suit with the whistleblower, that whistleblower might get 15 to 25 percent of the state’s recovery in a monetary reward. If the state elects not to enter into the suit and the whistleblower pursues it individually, the whistleblower may get 25 to 30 percent of that recovery in reward. There are circumstances when the state does not at first get in into the lawsuit but does so subsequently. In this case, the range of whistleblower rewards is between 15 and 30 percent of the recovery.

 

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

Liability of the Defendant in Minnesota

In the state of Minnesota, a defendant might be responsible for approximately 3 times the harm to the state, in addition to fines of between $5,500 and $11,000 for each of their violations.

Statute of Limitations in St. Louis Park, Minnesota

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

Dealing with an Experienced Whistleblower Attorney

If you are a St. Louis Park, Minnesota healthcare worker and know of fraudulent activity that has cost the state of Minnesota or a subdivision of the state money, it is critical to get legal guidance from a skilled whistleblower lawyer. At Khurana Law Firm, P.C., we can explain your rights and alternatives. Contact us for a completely 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. Louis Park, 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. Louis Park, 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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Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in St. Louis Park, Minnesota

If you’ve become aware of fraud that may concern Medicaid or Medicare in St. Louis Park, Minnesota, you may need the advice of a skilled whistleblower lawyer, someone who can guarantee that your claim is completely investigated and submitted accurately and immediately. By working with a knowledgeable lawyer you are increasing the chance that the federal or state government will step in, thus increasing the possibility for a reward. Reporting Medicaid and Medicare fraud is a complex matter –  don’t try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of practical experience as national qui tam legal representatives to assist in your battle against Medicaid and Medicare fraud. After you contact us, our attorneys will review your case on a confidential, no-obligation basis. If we believe that you have a legitimate claim, we may represent you in a qui tam suit to report the fraud and allow you to gather a reward. All whistleblower cases are on contingency, you pay nothing until there is a settlement. Get in touch with us today to learn how we can help.

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