Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid scams in Bristol, Connecticut

Medicare and Medicaid fraud cost Connecticut taxpayers billions of dollars every year. While many medical service providers and drug companies are honest and work within the legal channels, some don’t. When scams are perpetrated, everybody can lose. Medicare and Medicaid whistleblower attorneys help people who work in the healthcare system to submit lawsuits on behalf of the government to help report this type of fraud.

The state and federal government put a great deal of trust in medical and pharmaceutical providers. When that trust is ill-placed, it depends on regular folks in Connecticut to come forward and to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower attorneys; representing health care workers in Bristol, Connecticut

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower legal representatives, we support your brave decision to come forward to report abuse and fraud in the market. We know that coming forward is difficult and lots of 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, diligently prepare your case, and work tirelessly with you and the federal or state government to assist in bringing deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in the State of Connecticut

Under the New Jersey False Claims Act, individuals who may have become cognizant of fraudulent Medicare activity can submit a qui tam claim on behalf of the government. Under the New Jersey False Claims Act, parties who defraud the government may be held responsible for their deceitful claims or fraudulent practices. Whistleblowers can also be able to recover a reward for the 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 forbidden under the Act. 

 

Sec. 4-277 provides that anyone with awareness of the prohibited deceitful activity can file a civil action in the Supreme court in the state’s name.

Charges in a Whistleblower Claim in Connecticut

A successful qui tam claim may entitle a whistleblower to get a reward between 15 percent and 25 percent of the recovery if the government ends up being party to the claim. If the government chooses not to become party to the claim, the whistleblower may then be entitled to a financial reward of between 25 percent 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 derived from the media or any public hearing, that award may be minimized.

Whistleblower Awards Under the Connecticut False Claims Act

An individual who steps forward as a whistleblower with information about Medicare scams and who submits a successful claim might be able to collect a financial reward of between 15 and 25 percent  of the recovery if the government selects to enter into the claim, and in between 25 to 30 percent of the recovery if the state government declines to do so.

Whistleblower Protections in Bristol, Connecticut

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

 

If you are aware of Medicare or Medicaid scams in Bristol, Connecticut, get the legal support of an skilled whistleblower attorneys at Khurana Law Firm, P.C. For a completely confidential, no-cost assessment, call now: (888) 335-5107.

Statute of Limitations in a Qui Tam Claim in Connecticut

Under the Connecticut False Claims Act, a whistleblower should sue within 10 years of the date of the infraction.  If you are a healthcare worker become aware of medical fraud in Bristol, 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 Bristol, 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 Bristol, 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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Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Bristol, Connecticut

When you become aware of potential fraud as it concerns Medicaid or Medicare in Bristol, Connecticut, you require the advice of an experienced whistleblower lawyer, someone who can ensure that your claim is totally investigated and filed accurately and quickly. By working with a knowledgeable attorney you are increasing the chance that the federal or state government will intervene, thus increasing your chances for a reward. Reporting Medicare and Medicaid fraud is an intricate matter –  don’t try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of practical experience as national qui tam lawyers to assist in your fight against Medicaid and Medicare fraud. Our attorneys will examine your case on a confidential, no-obligation basis. If we feel you have a legitimate claim, we may represent you in a qui tam claim to report the fraud and enable you to collect a financial benefit. Because all whistleblower cases are on contingency, you pay absolutely nothing up until there is a recovery. Contact us today to learn how we can help.

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