Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost Minnesota taxpayers billions of dollars each year. Although many medical providers and drug companies are honest and work within the legal channels, there are those who do not. When fraud occurs, everybody loses. Medicaid and Medicare whistleblower lawyers assist people who work in the healthcare system to file suits on behalf of the government to report these kinds of scams.

The federal and state governments place a good deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, it depends on regular folks in Minnesota to come forward to report fraud. People like you.

Work with

Experienced Medicare and Medicaid whistleblower lawyers; representing health care employees in Woodbury, Minnesota

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower lawyers, we support your heroic choice to come forward to report abuse and scams in the industry. understand that coming forward is not easy and many things might be at stake. When you come to us, your case is held in the strictest confidence at all times.

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

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Whistleblower Laws in Woodbury, Minnesota

In Minnesota, the Minnesota False Claims Act makes entities or people 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 private individuals with information concerning fraud to come forward and file a whistleblower lawsuit.

 

The Minnesota False Claims Act allows private whistleblowers to bring a qui tam suit against an individual or business 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 allows the whistleblower to recover monetary rewards for their info and their action against the scam 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 picks not to enter into the suit and the whistleblower pursues it individually, the whistleblower might receive 25 to 30 percent of that recovery in financial rewards. There are instances when the state does not initially participate in the suit however 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 also protected from retaliation by a company.

Liability of the Defendant in Minnesota

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

Statute of Limitations in Woodbury, Minnesota

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

Working With an Experienced Whistleblower Attorney

If you are a Woodbury, Minnesota healthcare worker and know of deceitful activity that may have cost the state of Minnesota or a subdivision of the state money, it is crucial to get legal guidance from an experienced whistleblower lawyer. At Khurana Law Firm, P.C., we can explain your rights and choices. 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 Woodbury, 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 Woodbury, 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 An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Woodbury, Minnesota

If you’ve become aware of deceitful activity as it concerns Medicare or Medicaid in Woodbury, Minnesota, you may need the guidance of a skilled whistleblower lawyer, someone who can guarantee that your claim is totally investigated and submitted accurately and without delay. By working with an experienced attorney you are increasing the chance that the federal or state government will intervene, thus increasing your chances for a reward. Reporting Medicaid and Medicare fraud is a complex matter –  do not attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of prior experience as national qui tam lawyers to help in your fight against Medicare and Medicaid scams. We will review your case on a confidential, no-obligation basis. If we feel you have a legitimate claim, we can represent you in a qui tam suit to report the fraud and allow you to gather a reward. Because all whistleblower work is on contingency, you pay absolutely nothing up until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

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