Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid fraud in Norwalk, Connecticut

Medicaid and Medicare fraud cost Connecticut taxpayers billions of dollars annually. While the majority of medical service providers and drug companies are ethical and work within the system, there are those who do not. When fraud takes place, everyone loses. Medicare and Medicaid whistleblower lawyers can assist healthcare professionals to file suits on behalf of the federal or state government to report this type of fraud.

The state and federal governments put a good deal of trust in medical and pharmaceutical providers. When that trust is ill-placed, the government counts 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 employees in Norwalk, 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 market. We know that coming 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 extensive experience representing whistleblowers nationwide, we completely investigate your claim, carefully prepare your case, and work tirelessly with you and the federal or state government to help bring deceptive 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 conscious of deceitful Medicare activity can file a qui tam claim on behalf of the state government. Under the New Jersey False Claims Act, parties who defraud the government of New Jersey may be held responsible for their fraudulent insurance claims or fraudulent practices. Whistleblowers might also have the ability to recuperate a reward for their information and for the 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 defines the kinds of deceitful activity that are prohibited under the Act. 

 

Sec. 4-277 says that anyone with awareness of the forbidden fraudulent 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 might entitle a whistleblower to receive a reward of between 15 percent and 25 percent of the recovery if the government becomes party to the claim. If the state government chooses not to become party to the claim, the whistleblower might then be entitled to a financial reward of as much as 25 and 30 percent of the recovery amount.

 

If a whistleblower was associated with 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 may be reduced.

Whistleblower Awards Under the Connecticut False Claims Act

A healthcare worker or another individual who comes forward as a whistleblower with details about Medicare fraud and who submits a successful claim might be able to collect a benefit of between 15% to 25%  of the recovered funds if the state government selects to get in the claim, and in between 25 to 30 percent of the financial recovery if the state government declines to do so.

Whistleblower Protections in Norwalk, 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 know of Medicare or Medicaid scams in Norwalk, Connecticut, get the legal support of an knowledgeable whistleblower legal representatives 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 needs to sue within ten years of the date of the infraction.  If you are a healthcare worker who has learned of medical fraud in Norwalk, 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 Norwalk, 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 Norwalk, 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 An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Norwalk, Connecticut

If you’ve become aware of potential fraud that may concern Medicare or Medicaid in Norwalk, Connecticut, you may need the advice of a knowledgeable whistleblower lawyer, someone who can ensure that your claim is totally investigated and submitted accurately and without delay. By dealing with an experienced lawyer you are increasing the chance that the government will step in, thus increasing the chance for a reward. Reporting Medicaid and Medicare fraud is an intricate matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of experience as national qui tam legal representatives to assist in your battle against Medicare and Medicaid scams. Our attorneys 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 scams and enable you to gather a financial benefit. Because all whistleblower cases are on contingency, you pay absolutely nothing until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

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