Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid scams in Hamden, Connecticut

Medicare and Medicaid fraud cost Connecticut taxpayers billions of dollars annually. Although most medical companies and drug companies are honest and work within the system, some don’t. When fraud occurs, everybody loses. Medicaid and Medicare whistleblower attorneys assist people who work in the healthcare system to file lawsuits on behalf of the federal or state government to report this sort of fraud.

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

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare employees in Hamden, Connecticut

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your brave decision to come forward to report abuse and fraud in the market. We know that stepping forward is challenging and many things may be at stake. When you come to us, your case is held in the strictest confidence .

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

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Whistleblower Laws in Connecticut

Under the New NJ False Claims Act, private citizens who have become cognizant of fraudulent Medicare activity may file a qui tam claim on behalf of the government. Under this act Act, parties who defraud the government can be held accountable for their deceitful claims or deceptive practices. Whistleblowers might also have the ability to recuperate 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 says that any person with knowledge of the prohibited fraudulent 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 may entitle a whistleblower to get a reward of between 15 percent and 25 percent of the recovery if the state 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 reward of between 25 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 on something that was originated from the media or any public hearing, that award might be lowered.

Whistleblower Awards Under the Connecticut False Claims Act

A person who steps forward as a whistleblower with details about Medicare fraud and who submits a successful claim may have the ability to gather a financial reward of between 15 and 25 percent  of the recovery if the government opts to participate in the claim, and between 25 to 30 percent of the financial recovery if the state government declines .

Whistleblower Protections in Hamden, Connecticut

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

 

If you know of Medicare or Medicaid fraud in Hamden, Connecticut, get the legal help of an knowledgeable 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 file a claim within 10 years of the date of the violation.  If you are a healthcare worker become aware of medical fraud in Hamden, Connecticut call us today 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 Hamden, 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 Hamden, 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 Hamden, Connecticut

If you’ve become aware of potential fraud involving Medicaid or Medicare in Hamden, Connecticut, you require the guidance of a knowledgeable whistleblower lawyer, someone who can guarantee that your claim is fully investigated and filed accurately and quickly. By dealing with a knowledgeable attorney you are increasing the chance that the federal or state government will intervene, thus increasing the opportunity for a financial reward. Reporting Medicaid and Medicare fraud is a complex matter –  do not 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 fight against Medicare and Medicaid scams. Our attorneys will evaluate 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 claim to help report the scams and allow you to gather a reward. Because all whistleblower work is on contingency, you pay absolutely nothing up until there is a settlement. Get in touch with us today to learn how we can be of help.

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