Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid scams in East Hartford, Connecticut

Medicare and Medicaid fraud cost Connecticut taxpayers billions of dollars each year. While most medical providers and drug companies are ethical and work within the legal channels, there are those who do not. When fraud takes place, everyone can lose. Medicare and Medicaid whistleblower lawyers help healthcare workers to file suits on behalf of the federal or state government to help report this sort of fraud.

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

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Experienced Medicare and Medicaid whistleblower attorneys; representing health care workers in East Hartford, Connecticut

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower lawyers, we support your heroic decision to come forward to report abuse and fraud in the market. understand that coming forward is challenging and numerous things might be at stake. When you come to us, your case is kept in the strictest confidence .

With our comprehensive experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently prepare your case, for court, and work tirelessly 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 Connecticut

Under the New Jersey False Claims Act, people who may have become aware of deceptive Medicare activity can file a qui tam claim on behalf of the government. Under this act Act, parties who defraud the government of New Jersey can be held responsible for their deceitful claims or fraudulent practices. Whistleblowers can also be able to recuperate a financial benefit for the information and participation 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 types of deceptive activity that are restricted under the Act. 

 

Sec. 4-277 says that anybody with awareness of the prohibited deceptive activity can file a civil action in the Supreme court in the name of the State of Connecticut.

Charges in a Whistleblower Claim in Connecticut

An effective 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 might then be entitled to a financial reward of between 25 percent and 30 percent of the recovery amount.

 

If a whistleblower was involved in the preparation or initiation of the fraudulent action, or if their information was based upon something that was derived from the media or any public hearing, that award may be minimized.

Whistleblower Awards Under the Connecticut False Claims Act

An individual who steps forward as a whistleblower with valuable information about Medicare fraud and who submits a successful claim might be able to collect a reward of in between 15% to 25%  of the recovered funds if the government selects to get in the claim, and in between 25 to 30 percent of the financial recovery if the government declines to step in.

Whistleblower Protections in East Hartford, 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 know of Medicare or Medicaid fraud in East Hartford, Connecticut, get the legal support of an skilled whistleblower lawyers 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 submit a claim within ten years of the date of the offense.  If you are a healthcare worker become aware of medical scams in East Hartford, Connecticut contact us 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 East Hartford, 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 East Hartford, 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 East Hartford, Connecticut

If you’ve become aware of fraud as it concerns Medicaid or Medicare in East Hartford, Connecticut, you require the advice of an experienced whistleblower lawyer, someone who can make sure that your claim is completely examined and submitted accurately and quickly. By dealing with a knowledgeable attorney you are increasing the chance that the federal or state government will step in, therefore increasing your chances for a 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 legal representatives to assist in your battle against Medicare and Medicaid fraud. We will evaluate your case on a confidential, no-obligation basis. If we believe that you have a legitimate claim, we can represent you in a qui tam suit to report the fraud and enable you to gather a reward. All whistleblower work is on contingency, you pay absolutely nothing up until there is a settlement. Contact us today to learn how we can be of help.

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