Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid scams in Bridgeport, Connecticut

Medicare and Medicaid fraud cost Connecticut taxpayers billions of dollars every year. Although most medical service providers and drug companies are honest and work within the legal channels, there are those who don’t. When fraud takes place, everyone can lose. Medicaid and Medicare whistleblower attorneys assist healthcare professionals to submit suits on behalf of the federal or state government to help report this type of fraud.

The state and federal government place a good deal of trust in pharmaceutical and medical service providers. When that trust is ill-placed, it counts on every day people in Connecticut to come forward and to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care employees in Bridgeport, Connecticut

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your heroic decision to come forward to report abuse and scams in the market. We know that coming forward is difficult and many things might be at stake. When you come to us, your case is kept in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we completely examine your claim, carefully prepare your case, for court, and work tirelessly with both you and the federal or state government to assist in bringing fraudulent Medicare or Medicaid activity to justice.

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Whistleblower Laws in Connecticut

Following the New Jersey False Claims Act, private citizens who may have become informed of deceptive Medicare activity may submit a qui tam claim on behalf of the state government. Under the New Jersey False Claims Act, parties who defraud the government of New Jersey may be held responsible for their deceitful insurance claims or deceptive practices. Whistleblowers can also have the ability to recover a financial benefit for their information and involvement in helping to bring those entities or parties to justice.

What Does the Connecticut False Claims Act Say?

Sec. 4-275 of the Connecticut False Claims Act specifies the kinds of deceptive activity that are restricted under the Act. 

 

Sec. 4-277 provides that any person with knowledge of the prohibited deceitful activity can submit a civil action in the Supreme court in the state’s name.

Penalties in a Whistleblower Claim in Connecticut

An effective qui tam claim might entitle a whistleblower to get a reward between 15 and 25 percent of the recovery if the state government becomes party to the claim. If the state government selects not to become party to the claim, the whistleblower may then be entitled to a financial reward of as much as 25 and 30 percent of the recovery amount.

 

If a whistleblower was involved in the planning or initiation of the fraud, or if their information was based upon something that was obtained from the media or any public hearing, that award may be lowered.

Whistleblower Awards Under the Connecticut False Claims Act

An individual who steps forward as a whistleblower with details about Medicare scams and who files a successful claim might have the ability to gather a reward of in between 15% to 25%  of the recovery if the government opts to get in the claim, and in between 25 to 30 percent of the recovery if the state government declines to step in.

Whistleblower Protections in Bridgeport, Connecticut

Under the New Jersey False Claims Act, a whistleblower can not sue more than 10 years after the date of the infraction.

 

If you know of Medicare or Medicaid scams in Bridgeport, Connecticut, get the legal help of an knowledgeable whistleblower lawyers at Khurana Law Firm, P.C. For a confidential, no-cost consultation, call now: (888) 335-5107.

Statute of Limitations in a Qui Tam Claim in Connecticut

Under the Connecticut False Claims Act, a whistleblower should submit a claim within 10 years of the date of the infraction.  If you are a healthcare worker become aware of medical fraud in Bridgeport, Connecticut call us today for a no-cost confidential consultation (888) 335-5107.

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 Bridgeport, Connecticut, 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 Bridgeport, Connecticut,  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 Bridgeport, Connecticut

If you’ve become aware of fraud involving Medicare or Medicaid in Bridgeport, Connecticut, you need the guidance of a skilled whistleblower attorney, someone who can ensure that your claim is completely examined and filed accurately and promptly. By dealing with an experienced attorney you are increasing the chance that the government will step in, therefore increasing your chances for a reward. Reporting Medicare and Medicaid scams 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 prior experience as national qui tam attorneys to assist in your fight against Medicare and Medicaid fraud. We will examine your case on a confidential, no-obligation basis. If we feel you may have a legitimate claim, we can represent you in a qui tam lawsuit to report the scams and allow you to collect a financial benefit. 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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