Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid scams in Milford, Connecticut

Medicare and Medicaid fraud cost Connecticut taxpayers billions of dollars annually. Although the majority of medical providers and drug companies are honest and work within the system, some do not. When fraud takes place, everybody loses. Medicaid and Medicare whistleblower attorneys can assist healthcare workers to file claims on behalf of the federal or state government to help report these kinds of scams.

The state and federal governments put a good deal of trust in pharmaceutical and medical service providers. When that trust is ill-placed, the government relies on private citizens in Connecticut to come forward and to report scams. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing healthcare workers in Milford, Connecticut

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower attorneys, we support your heroic choice to come forward to report abuse and fraud in the market. understand that coming forward is difficult and numerous things might be at stake. When you come to us, your case is kept in the strictest confidence .

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

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Whistleblower Laws in the State of Connecticut

Under the New State of New Jersey False Claims Act, people who may have become aware of fraudulent Medicare activity may file a qui tam claim on behalf of the New Jersey state government. Under this act Act, parties who defraud the government of New Jersey may be held responsible for their deceitful insurance claims or fraudulent practices. Whistleblowers might also have the ability to recover a financial benefit for the information and for the 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 specifies the types of deceptive activity that are prohibited under the Act. 

 

Sec. 4-277 provides that anyone with knowledge of the forbidden fraudulent activity can file 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 might entitle a whistleblower to get a financial reward of between 15 and 25 percent of the recovery if the government becomes party to the claim. If the government chooses not to become party to the claim, the whistleblower might then be entitled to a benefit of as much as 25 percent and 30 percent of the recovery amount.

 

If a whistleblower was involved in the planning or initiation of the illicit activity, or if their information was based upon something that was originated from the media or any public hearing, that award may be decreased.

Whistleblower Awards Under the Connecticut False Claims Act

An individual who comes forward as a whistleblower with information about Medicare scams and who files a successful claim may be able to gather a reward of in between 15 and 25 percent  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 .

Whistleblower Protections in Milford, Connecticut

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

 

If you are aware of Medicare or Medicaid fraud in Milford, Connecticut, get the legal assistance of an skilled whistleblower lawyers 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 ten years of the date of the violation.  If you are a healthcare worker become aware of medical scams in Milford, Connecticut contact 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 Milford, 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 Milford, 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 ATTORNEY; We are proud to represent healthcare workers in Milford, Connecticut

If you’ve become aware of deceptive activity involving Medicare or Medicaid in Milford, Connecticut, you need the advice of a knowledgeable whistleblower attorney, someone who can guarantee that your claim is totally investigated and filed accurately and promptly. By working with a knowledgeable lawyer you are increasing the chance that the government will step in, hence increasing the chance for a reward. Reporting Medicare and Medicaid fraud is a complicated matter –  do not attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam lawyers to help in your fight against Medicare and Medicaid fraud. Our attorneys will evaluate your case on a confidential, no-obligation basis. If we believe you may have a legitimate claim, we can represent you in a qui tam lawsuit to report the scams and enable you to gather a financial benefit. Because all whistleblower work is on contingency, you pay nothing up until there is a settlement. Contact us today to to schedule a confidential consultation.

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