Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid fraud in St. Paul, Minnesota

Medicaid and Medicare fraud cost Minnesota taxpayers billions of dollars every year. While most medical companies and drug companies are ethical and work within the system, there are those who do not. When scams are perpetrated, everybody loses. Medicare and Medicaid whistleblower lawyers can assist healthcare workers to submit lawsuits on behalf of the government to help report this type of fraud.

The state and federal governments put a great deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, it counts on every day people in Minnesota to come forward and to report scams. People like you.

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care workers in St. Paul, Minnesota

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower lawyers, we support your heroic decision to come forward to report abuse and scams in the market. understand that coming forward is not simple and numerous things might be at stake. When you come to us, your case is held 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 you and the state of federal government to assist in bringing deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in St. Paul, 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. But, because of limited resources, the state depends on private individuals with information about scams to come forward and file a whistleblower claim.

 

The Minnesota False Claims Act enables private individual whistleblowers to bring a qui tam suit against a a person or business 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 recuperate monetary benefits for their info and their action against the fraud perpetrator. If the state participates in 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 chooses not to enter into the suit and the whistleblower pursues it separately, the whistleblower might get 25 to 30 percent of that recovery in financial rewards. There are circumstances when the state does not initially get in into the lawsuit however does so at a later date. In this case, the sum of whistleblower benefits is between 15 and 30 percent of the recovered funds.

 

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

Liability of the Defendant in Minnesota

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

Statute of Limitations in St. Paul, Minnesota

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

Working With an Experienced Whistleblower Attorney

If you are a St. Paul, Minnesota healthcare worker and know of deceitful activity that may have cost the state of Minnesota or a political entity of the state money, it is important to get legal guidance from a knowledgeable whistleblower attorney. At Khurana Law Firm, P.C., we can help you understand your rights and alternatives. Contact us for a completely 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 St. Paul, 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. Paul, 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 LAWYER; We are proud to represent healthcare workers in St. Paul, Minnesota

When you become aware of fraud involving Medicaid or Medicare in St. Paul, Minnesota, you require the advice of a skilled whistleblower lawyer, someone who can ensure that your claim is totally examined and filed accurately and without delay. By dealing with a skilled lawyer you are increasing the chance that the federal or state government will step in, therefore increasing the possibility for a financial reward. Reporting Medicare and Medicaid fraud is a complicated 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 help in your fight against Medicaid and Medicare fraud. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we believe that you have a valid claim, we can represent you in a qui tam claim to help report the fraud and enable you to gather a reward. All whistleblower work is on contingency, you pay nothing until there is a settlement. Contact us today to learn how we can help.

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