Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid fraud in New Haven, Connecticut

Medicaid and Medicare fraud cost Connecticut taxpayers billions of dollars annually. Although the majority of medical companies and drug companies are honest and work within the legal channels, some do not. When fraud happens, everybody loses. Medicare and Medicaid whistleblower lawyers can assist healthcare professionals to submit lawsuits on behalf of the federal or state government to report this sort of fraud.

The federal and state governments put a good 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 to report fraud. People like you.

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

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your brave decision to come forward to report abuse and fraud in the industry. understand that coming forward is difficult and lots of 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 prepare your case, for court, and work relentlessly with both 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

Following the New State of New Jersey False Claims Act, people who have become cognizant of deceitful 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 state government can be held responsible for their fraudulent insurance claims or deceptive practices. Whistleblowers may also have the ability to recuperate a benefit for their 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 specifies the types of fraudulent activity that are forbidden under the Act. 

 

Sec. 4-277 says that anyone with awareness of the forbidden 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 financial reward of between 15 percent and 25 percent of the recovery if the state government becomes party to the claim. If the government selects 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 associated with the planning or initiation of the fraud, or if their information was based on something that was originated from the media or any public hearing, that award might be minimized.

Whistleblower Awards Under the Connecticut False Claims Act

An individual who steps forward as a whistleblower with valuable information about Medicare scams and who submits an effective claim may have the ability to gather a financial reward of between 15 and 25 percent  of the recovery if the government selects to enter into the claim, and between 25 to 30 percent of the financial recovery if the government declines .

Whistleblower Protections in New Haven, Connecticut

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

 

If you know of Medicare or Medicaid fraud in New Haven, Connecticut, get the legal help of an experienced whistleblower attorneys at Khurana Law Firm, P.C. For a 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 infraction.  If you are a healthcare worker who has learned of medical scams in New Haven, 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 New Haven, 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 Haven, 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 ATTORNEY; We are proud to represent healthcare workers in New Haven, Connecticut

If you’ve become aware of potential fraud that may concern Medicare or Medicaid in New Haven, Connecticut, you need the guidance of a knowledgeable whistleblower attorney, someone who can make sure that your claim is totally investigated and submitted 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 financial reward. Reporting Medicaid and Medicare scams 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 experience as national qui tam attorneys to assist in your fight against Medicaid and Medicare fraud. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we believe that you may have a legitimate claim, we can represent you in a qui tam claim to report the fraud and allow you to gather a financial benefit. All whistleblower work is 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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