Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicare and Medicaid fraud cost Connecticut taxpayers billions of dollars each year. Although the majority of medical service providers and drug companies are honest and work within the legal channels, some don’t. When fraud takes place, everyone loses. Medicaid and Medicare whistleblower attorneys help healthcare workers to file suits on behalf of the government to report this type of fraud.

The federal and state government place a good deal of trust in medical and pharmaceutical companies. When that trust is ill-placed, the government relies on every day people in Connecticut to come forward and to report scams. People like you.

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

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower legal representatives, we support your heroic decision to come forward to report abuse and scams in the market. We know that stepping forward is not simple and many things might be at stake. When you come to us, your case is kept in the strictest confidence .

With our extensive experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently 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 informed of deceptive Medicare activity may file a qui tam claim on behalf of the state government. Under this act Act, parties who defraud the state government can be held accountable for their deceptive insurance claims or deceptive practices. Whistleblowers might likewise have the ability to recover a financial reward 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 kinds of deceptive activity that are prohibited under the Act. 

 

Sec. 4-277 provides that anybody with knowledge of the forbidden deceptive activity can submit a civil action in the Supreme court in the state’s name.

Charges in a Whistleblower Claim in Connecticut

A successful qui tam claim might entitle a whistleblower to get a benefit of between 15 percent and 25 percent of the recovery if the 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 financial reward of as much as 25 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 upon something that was stemmed 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 details about Medicare fraud and who submits an effective claim may be able to collect a benefit of in between 15% to 25%  of the recovered funds if the state government selects to get in the claim, and between 25 to 30 percent of the recovery if the state government declines to step in.

Whistleblower Protections in Waterbury, Connecticut

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

 

If you have knowledge of Medicare or Medicaid fraud in Waterbury, Connecticut, get the legal assistance of an experienced whistleblower legal representatives 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 file a claim within 10 years of the date of the offense.  If you are a healthcare worker who has learned of medical fraud in Waterbury, 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 Waterbury, 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 Waterbury, 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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We are here to help
WORKING WITH A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Waterbury, Connecticut

If you’ve become aware of fraud that may concern Medicare or Medicaid in Waterbury, Connecticut, you may need the advice of an experienced whistleblower attorney, someone who can ensure that your claim is totally investigated and submitted accurately and promptly. By dealing with an experienced attorney you are increasing the chance that the federal or state government will step in, thus increasing the opportunity for a financial reward. Reporting Medicaid and Medicare fraud is an intricate matter –  don’t try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of prior experience as national qui tam lawyers to assist in your battle against Medicare and Medicaid fraud. After you contact us, our attorneys will examine your case on a confidential, no-obligation basis. If we feel that you have a valid claim, we can represent you in a qui tam claim to help report the scams and allow you to collect a financial benefit. Because all whistleblower cases are on contingency, you pay absolutely nothing up until there is a settlement. Contact us today to learn how we can help.

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