Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid fraud in New Britain, Connecticut

Medicaid and Medicare fraud cost Connecticut taxpayers billions of dollars annually. While many medical service providers and drug companies are honest and work within the system, there are those who don’t. When fraud occurs, everybody can lose. Medicaid and Medicare whistleblower attorneys can help healthcare workers to file suits on behalf of the federal or state government to report these kinds of scams.

The state and federal government place a lot of trust in pharmaceutical and medical 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.

Work with

Experienced Medicare and Medicaid whistleblower lawyers; representing health care workers in New Britain, Connecticut

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower legal representatives, we support your brave choice to come forward to report abuse and fraud in the industry. understand that stepping forward is difficult and lots of things may be at stake. When you come to us, your case is held in the strictest confidence .

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

schedule a
confidential consultation

Whistleblower Laws in the State of Connecticut

Following the New State of New Jersey False Claims Act, individuals who may have become cognizant of fraudulent Medicare activity may submit a qui tam claim on behalf of the New Jersey state government. Under the New Jersey False Claims Act, parties who defraud the government of New Jersey can be held accountable for their deceptive insurance claims or fraudulent practices. Whistleblowers might also be able to recover a benefit for the information and participation 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 kinds of fraudulent activity that are restricted under the Act. 

 

Sec. 4-277 provides that any person with knowledge of the forbidden deceitful activity may submit a civil action in the Supreme court in the state’s name.

Charges in a Whistleblower Claim in Connecticut

An effective qui tam claim may entitle a whistleblower to get a financial reward 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 financial reward of between 25 percent 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 on something that was obtained from the media or any public hearing, that award may be minimized.

Whistleblower Awards Under the Connecticut False Claims Act

A healthcare worker or another individual who steps forward as a whistleblower with details about Medicare scams and who files an effective claim might be able to gather a benefit of between 15% to 25%  of the recovered funds if the government opts to participate in the claim, and between 25 to 30 percent of the financial recovery if the government declines to step in.

Whistleblower Protections in New Britain, Connecticut

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

 

If you know of Medicare or Medicaid fraud in New Britain, Connecticut, get the legal assistance of an skilled whistleblower legal representatives 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 needs to file a claim within 10 years of the date of the violation.  If you are a healthcare worker who has learned of medical scams in New Britain, 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 New Britain, 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 New Britain, Connecticut,  you can report Medicare fraud when you contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

Call now to
Report Medical fraud
We are here to help
WORKING WITH An Experienced WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in New Britain, Connecticut

When you become aware of potential fraud involving Medicare or Medicaid in New Britain, Connecticut, you require the advice of a skilled whistleblower attorney, someone who can guarantee that your claim is totally examined and filed accurately and promptly. By dealing with a skilled lawyer you are increasing the chance that the government will step in, hence increasing your chances for a financial reward. Reporting Medicaid and Medicare fraud is a complicated matter –  don’t try 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 Medicare and Medicaid scams. Our attorneys will examine your case on a confidential, no-obligation basis. If we feel that you may have a legitimate claim, we may represent you in a qui tam claim to help report the fraud and allow you to collect a reward. Because all whistleblower work is on contingency, you pay nothing until there is a recovery. Contact us today to to schedule a confidential consultation.

Service areas