Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid scams in Fairfield, Connecticut

Medicaid and Medicare fraud cost Connecticut taxpayers billions of dollars each year. While the majority of medical providers and drug companies are honest and work within the legal channels, there are those who don’t. When scams are perpetrated, everyone loses. Medicaid and Medicare whistleblower lawyers can help healthcare professionals to submit lawsuits on behalf of the government to help report these kinds of scams.

The federal and state governments place a lot of trust in medical and pharmaceutical providers. When that trust is ill-placed, the government relies on regular folks in Connecticut to come forward and to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing health care employees in Fairfield, Connecticut

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your heroic choice to come forward to report abuse and scams in the market. We know that coming forward is hard and lots of things may be at stake. When you come to us, your case is held in the strictest confidence .

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

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Whistleblower Laws in Connecticut

Following the New NJ False Claims Act, people who may have become cognizant of deceptive Medicare activity may file a qui tam claim on behalf of the government. Under the New Jersey False Claims Act, parties who defraud the state government may be held responsible for their fraudulent claims or deceptive practices. Whistleblowers might also have the ability to recover a benefit for the information and involvement in helping to bring those parties or entities to justice.

What Does the Connecticut False Claims Act Say?

Sec. 4-275 of the Connecticut False Claims Act defines the types of fraudulent activity that are restricted under the Act. 

 

Sec. 4-277 provides that anyone with awareness of the restricted fraudulent 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 might entitle a whistleblower to get a benefit between 15 percent and 25 percent of the recovery if the government ends up being party to the claim. If the state government selects not to become party to the claim, the whistleblower might then be entitled to a benefit of between 25 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 stemmed from the media or any public hearing, that award may be reduced.

Whistleblower Awards Under the Connecticut False Claims Act

A person who comes forward as a whistleblower with valuable information about Medicare scams and who files a successful claim might be able to gather a reward of in between 15 and 25 percent  of the recovery if the state government chooses to participate in the claim, and in between 25 to 30 percent of the recovery if the state government declines to step in.

Whistleblower Protections in Fairfield, 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 Fairfield, Connecticut, get the legal assistance of an experienced whistleblower attorneys 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 must sue within 10 years of the date of the violation.  If you are a healthcare worker become aware of medical fraud in Fairfield, Connecticut contact us for a no-cost completely 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 Fairfield, 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 Fairfield, 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 Fairfield, Connecticut

If you’ve become aware of potential fraud involving Medicare or Medicaid in Fairfield, Connecticut, you may need the advice of a skilled whistleblower lawyer, someone who can make sure that your claim is completely investigated and filed accurately and promptly. By working with a skilled attorney you are increasing the chance that the government will step in, hence increasing the chance for a reward. Reporting Medicaid and Medicare fraud is a complicated matter –  don’t 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 legal representatives to assist in your fight against Medicaid and Medicare fraud. After you contact us, our attorneys will examine your case on a confidential, no-obligation basis. If we believe that you may 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 cases are on contingency, you pay nothing up until there is a recovery. Contact us today to learn how we can be of help.

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