Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid scams in Danbury, Connecticut

Medicaid and Medicare fraud cost Connecticut taxpayers billions of dollars annually. While many medical providers and drug companies are ethical and work within the system, some do not. When scams are perpetrated, everyone can lose. Medicaid and Medicare whistleblower attorneys can assist people who work in the healthcare system to submit claims on behalf of the federal or state government to help report these kinds of scams.

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

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care workers in Danbury, Connecticut

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your brave choice to come forward to report abuse and fraud in the industry. understand that coming forward is hard and lots of things may be at stake. When you come to us, your case is kept in the strictest confidence at all times.

With our substantial experience representing whistleblowers nationwide, we completely investigate your claim, carefully prepare your case, for court, and work tirelessly with both you and the federal or state government to help bring deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Connecticut

Following the New Jersey False Claims Act, individuals who may have become cognizant of deceptive Medicare activity can file a qui tam claim on behalf of the state government. Under this act Act, parties who defraud the government of New Jersey may be held accountable for their deceitful claims or deceptive practices. Whistleblowers can also be able to recover a financial reward for the information and for the involvement in bringing those entities or parties to justice.

What Does the Connecticut False Claims Act Say?

Sec. 4-275 of the Connecticut False Claims Act defines the kinds of deceitful activity that are prohibited under the Act. 

 

Sec. 4-277 says that anyone with knowledge of the restricted deceptive activity may 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 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 government selects not to become party to the claim, the whistleblower might then be entitled to a reward of between 25 percent and 30 percent of the recovery amount.

 

If a whistleblower was associated with the planning or initiation of the scams, or if their information was based upon something that was derived from the media or any public hearing, that award might be reduced.

Whistleblower Awards Under the Connecticut False Claims Act

An individual who steps forward as a whistleblower with valuable information about Medicare scams and who submits a successful claim may have the ability to collect a financial reward of between 15% to 25%  of the recovery if the state government selects to participate in the claim, and in between 25 to 30 percent of the financial recovery if the state government declines to step in.

Whistleblower Protections in Danbury, Connecticut

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

 

If you know of Medicare or Medicaid fraud in Danbury, Connecticut, get the legal support of an experienced whistleblower lawyers at Khurana Law Firm, P.C. For a completely 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 file a claim within 10 years of the date of the violation.  If you are a healthcare worker who has learned of medical fraud in Danbury, Connecticut call us 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 Danbury, 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 Danbury, 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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Report Medical fraud
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WORKING WITH An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Danbury, Connecticut

If you’ve become aware of potential fraud as it concerns Medicare or Medicaid in Danbury, Connecticut, you need the guidance of a skilled whistleblower lawyer, someone who can guarantee that your claim is fully examined and filed accurately and quickly. By working with a skilled lawyer you are increasing the chance that the government will step in, hence increasing the chance for a financial reward. Reporting Medicaid and Medicare 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 experience as national qui tam legal representatives to help in your battle against Medicaid and Medicare fraud. After you contact us, our attorneys will evaluate 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 scams and enable you to collect a reward. Because all whistleblower work is on contingency, you pay absolutely nothing until there is a recovery. Get in touch with us today to learn how we can help.

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