Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicare and Medicaid fraud cost Connecticut taxpayers billions of dollars annually. Although many medical companies and drug companies are honest and work within the legal channels, some don’t. When fraud happens, everyone can lose. Medicare and Medicaid whistleblower lawyers assist healthcare workers to file claims on behalf of the government to report these kinds of scams.

The state and federal government place a lot of trust in pharmaceutical and medical service providers. When that trust is ill-placed, it depends on private citizens in Connecticut to come forward to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower lawyers; representing healthcare workers in Greenwich, 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 scams in the industry. We know that stepping forward is difficult and many things may 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 completely examine your claim, diligently and carefully prepare your case, 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 Connecticut

Following the New Jersey False Claims Act, private citizens who may have become aware of fraudulent 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 accountable for their fraudulent claims or deceptive practices. Whistleblowers might likewise 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 defines the types of deceitful activity that are prohibited under the Act. 

 

Sec. 4-277 says that anybody with knowledge of the forbidden deceitful activity can submit a civil action in the Supreme court in the name of the State of Connecticut.

Penalties in a Whistleblower Claim in Connecticut

An effective qui tam claim may entitle a whistleblower to receive a benefit of between 15 percent and 25 percent of the recovery if the government ends up being party to the claim. If the state government chooses not to become party to the claim, the whistleblower may then be entitled to a benefit of between 25 percent and 30 percent of the recovery amount.

 

If a whistleblower was involved in the preparation or initiation of the scams, or if their information was based upon something that was originated from the media or any public hearing, that award may 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 files a successful claim might have the ability to collect a reward of between 15% to 25%  of the recovered funds if the state government opts 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 Greenwich, 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 are aware of Medicare or Medicaid fraud in Greenwich, Connecticut, get the legal assistance of an experienced whistleblower legal representatives 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 needs to sue within 10 years of the date of the infraction.  If you are a healthcare worker become aware of medical fraud in Greenwich, 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 Greenwich, 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 Greenwich, 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 An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Greenwich, Connecticut

When you become aware of fraudulent activity that may involve Medicare or Medicaid in Greenwich, Connecticut, you may need the guidance of a knowledgeable whistleblower lawyer, someone who can make sure that your claim is completely investigated and filed accurately and without delay. By working with a skilled attorney you are increasing the chance that the government will intervene, thus increasing your chances for a reward. Reporting Medicaid and Medicare fraud is a complex matter –  do not attempt to do this alone, we are here to help.

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

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