Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid scams in Minot, North Dakota

Medicare and Medicaid fraud cost North Dakota taxpayers billions of dollars each year. Although the majority of medical providers and drug companies are honest and work within the legal channels, there are those who do not. When scams are perpetrated, everyone can lose. Medicaid and Medicare whistleblower attorneys assist healthcare professionals to submit claims on behalf of the government to report these kinds of scams.

The state and federal government put a lot of trust in pharmaceutical and medical providers. When that trust is ill-placed, the government counts on every day people in North Dakota to come forward and to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing healthcare employees in Minot, North Dakota

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your brave choice to come forward to report abuse and scams in the market. 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 .

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

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Whistleblower Laws in Minot, North Dakota

In North Dakota, while there are laws prohibiting fraudulent activity against the state’s Medicaid program, there are no state laws providing a whistleblower the capability to file a qui tam lawsuit or get rewarded for their efforts.

 

However, a private citizen with information regarding deceptive Medicaid activity may still file a civil lawsuit against the transgressing entity on behalf of the federal government under the federal False Claims Act.

 

Under the federal False Claims Act, a private citizen might file a qui tam lawsuit against the perpetrator of Medicaid fraud to recover those losses to the federal government. The whistleblower may be rewarded for these efforts in effective claims. If the federal government chooses to get in into the suit, the whistleblower may be awarded in between 15 and 25 percent of the recuperation. If the government opts out of taking part in the litigation, the whistleblower may be awarded between 25 and 30 percent of the recovery for an effective claim.

 

The False Claims Act also protects whistleblowers against any company retaliation as a result of submitting a claim or assisting the federal government.

Liability of the Defendant in Minot, North Dakota

Under the federal False Claims Act, an offender may be required to pay damages of approximately 3 times the harm to the federal government in addition to substantial fines for each violation.

Statute of Limitations in Minot, North Dakota

Under the federal False Claims Act, the whistleblower needs to file their complaint within 10 years of the date of the violation.

Working With an Experienced Whistleblower Attorney

State and federal governments may often depend on private citizens to step forward with knowledge of healthcare fraud. For these heroic efforts, they are entitled to significant benefits. If you have become aware of fraudulent activity against the state Medicaid program in Minot, North Dakota, you need to seek the advice of a skilled whistleblower lawyer to understand how a qui tam lawsuit works and your rights under the laws. At Khurana Law Firm, we provide a completely confidential, no-cost consultation in order to discuss your case and your rights under the federal False Claims Act. Contact us today to schedule an appointment.

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 Minot, North Dakota, 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 Minot, North Dakota,  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 An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Minot, North Dakota

When you become aware of potential fraud that may concern Medicare or Medicaid in Minot, North Dakota, you require the guidance of an experienced whistleblower lawyer, someone who can make sure that your claim is completely examined and submitted accurately and promptly. By working with a knowledgeable lawyer you are increasing the chance that the federal or state government will intervene, therefore increasing the possibility for a financial reward. Reporting Medicare and Medicaid scams is a complicated matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam attorneys to assist in your fight against Medicaid and Medicare scams. We will examine your case on a confidential, no-obligation basis. If we believe you may have a legitimate claim, we can represent you in a qui tam suit to help report the scams and allow you to collect a financial benefit. All whistleblower cases are on contingency, you pay absolutely nothing until there is a settlement. Contact us today to learn how we can be of help.

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