Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid scams in Stratford, Connecticut

Medicaid and Medicare fraud cost Connecticut taxpayers billions of dollars each year. While most medical companies and drug companies are honest and work within the system, some don’t. When fraud occurs, everybody loses. Medicaid and Medicare whistleblower lawyers help healthcare professionals to file suits on behalf of the government to report these kinds of scams.

The state and federal government put a great deal of trust in pharmaceutical and medical providers. When that trust is ill-placed, the government depends on regular folks in Connecticut to come forward to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care employees in Stratford, Connecticut

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower lawyers, we support your brave 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 at all times.

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

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Whistleblower Laws in the State of Connecticut

Following the New NJ False Claims Act, people who have become conscious of fraudulent Medicare activity can submit a qui tam claim on behalf of the government. Under this act Act, parties who defraud the government may be held responsible for their deceptive claims or deceptive practices. Whistleblowers might likewise have the ability to recuperate a benefit for the information and participation 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 restricted under the Act. 

 

Sec. 4-277 provides that anyone with awareness of the restricted fraudulent activity can submit a civil action in the Supreme court in the name of the State of Connecticut.

Penalties in a Whistleblower Claim in Connecticut

A successful qui tam claim may entitle a whistleblower to receive a benefit of between 15 percent and 25 percent of the recovery if the state government ends up being party to the claim. If the government selects 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 preparation 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 may be decreased.

Whistleblower Awards Under the Connecticut False Claims Act

A person who comes forward as a whistleblower with valuable information about Medicare scams and who submits an effective claim may be able to collect a benefit of between 15 and 25 percent  of the recovered funds if the government opts to get in the claim, and between 25 to 30 percent of the financial recovery if the state government declines to step in.

Whistleblower Protections in Stratford, Connecticut

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

 

If you are aware of Medicare or Medicaid fraud in Stratford, Connecticut, get the legal assistance of an knowledgeable 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 sue within 10 years of the date of the violation.  If you are a healthcare worker become aware of medical scams in Stratford, 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 Stratford, 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 Stratford, 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 Stratford, Connecticut

When you become aware of fraud that may involve Medicare or Medicaid in Stratford, Connecticut, you require the guidance of a knowledgeable whistleblower lawyer, someone who can make sure that your claim is completely investigated and submitted accurately and immediately. By working with a skilled lawyer you are increasing the chance that the federal or state government will intervene, hence increasing the opportunity for a financial reward. Reporting Medicare and Medicaid scams is a complicated matter –  don’t try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of practical experience as national qui tam attorneys to assist in your fight against Medicaid and Medicare scams. After you get in touch our lawyers will evaluate your case on a confidential, no-obligation basis. If we believe that you have a valid claim, we may represent you in a qui tam lawsuit to help report the fraud and allow you to gather a financial benefit. Because all whistleblower work is on contingency, you pay absolutely nothing up until there is a settlement. Get in touch with us today to learn how we can help.

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