Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost Connecticut taxpayers billions of dollars each year. Although the majority of medical service providers and drug companies are honest and work within the legal channels, some do not. When fraud takes place, everyone can lose. Medicaid and Medicare whistleblower lawyers can help people who work in the healthcare system to file claims on behalf of the government to report this type of fraud.

The state and federal government place a great deal of trust in medical and pharmaceutical service providers. When that trust is ill-placed, it relies on every day people in Connecticut to come forward and to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare workers in Manchester, Connecticut

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower attorneys, we support your heroic decision to come forward to report abuse and fraud in the industry. We know that stepping forward is difficult and many things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

With our comprehensive experience representing whistleblowers nationwide, we completely investigate your claim, diligently and carefully prepare your case, for court, and work relentlessly with both you and the federal or state government to assist in bringing deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in the State of Connecticut

Under the New NJ False Claims Act, individuals who may have become aware of deceitful Medicare activity may submit a qui tam claim on behalf of the state government. Under this act Act, parties who defraud the government of New Jersey can be held accountable for their deceitful insurance claims or fraudulent practices. Whistleblowers may likewise have the ability to recover a 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 types of deceptive activity that are restricted under the Act. 

 

Sec. 4-277 says that any person with awareness 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 might entitle a whistleblower to receive a reward of between 15 and 25 percent of the recovery if the state 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 as much as 25 and 30 percent of the recovery amount.

 

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

Whistleblower Awards Under the Connecticut False Claims Act

An individual who comes forward as a whistleblower with details about Medicare scams and who submits a successful claim might have the ability to collect a benefit of between 15% to 25%  of the recovery if the state government opts to get in the claim, and between 25 to 30 percent of the financial recovery if the government declines to do so.

Whistleblower Protections in Manchester, Connecticut

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

 

If you are aware of Medicare or Medicaid fraud in Manchester, Connecticut, get the legal help of an skilled whistleblower lawyers 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 must submit a claim within ten years of the date of the offense.  If you are a healthcare worker who has learned of medical fraud in Manchester, Connecticut contact 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 Manchester, 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 Manchester, 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 Manchester, Connecticut

When you become aware of potential fraud as it concerns Medicaid or Medicare in Manchester, Connecticut, you require the advice of a skilled whistleblower attorney, someone who can ensure that your claim is completely investigated and filed accurately and without delay. By dealing with a skilled lawyer you are increasing the chance that the government will intervene, therefore increasing your chances for a financial reward. Reporting Medicaid and Medicare fraud is a complicated matter –  do not try 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 battle against Medicaid and Medicare scams. After you contact us, our attorneys will evaluate your case on a confidential, no-obligation basis. If we feel that you have a valid claim, we may represent you in a qui tam lawsuit to report the fraud and enable you to gather a reward. Because all whistleblower cases are on contingency, you pay absolutely nothing until there is a settlement. Get in touch with us today to learn how we can be of help.

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