Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicare and Medicaid fraud cost Connecticut taxpayers billions of dollars every year. Although most medical service providers and drug companies are honest and work within the legal channels, some do not. When fraud occurs, everyone can lose. Medicare and Medicaid whistleblower lawyers help healthcare workers to file lawsuits on behalf of the government to help report these kinds of scams.

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

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

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower legal representatives, we support your heroic choice to come forward to report abuse and scams in the market. 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 .

With our substantial experience representing whistleblowers nationwide, we completely investigate your claim, diligently and carefully prepare your case, for court, and work relentlessly with both you and the federal or state government to help bring deceitful 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 aware of deceitful Medicare activity can file a qui tam claim on behalf of the government. Under this act Act, parties who defraud the state government may be held responsible for their deceitful claims or deceptive practices. Whistleblowers might likewise be able to recover a financial reward for their information and involvement in bringing those parties or entities to justice.

What Does the Connecticut False Claims Act Say?

Sec. 4-275 of the Connecticut False Claims Act defines the kinds of deceptive activity that are prohibited under the Act. 

 

Sec. 4-277 provides that anybody with knowledge of the prohibited deceitful 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 receive a benefit 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 as much as 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 upon something that was originated from the media or any public hearing, that award might be minimized.

Whistleblower Awards Under the Connecticut False Claims Act

A healthcare worker or another individual who steps forward as a whistleblower with valuable information about Medicare fraud and who submits a successful claim may be able to collect a benefit of in between 15% to 25%  of the recovered funds if the government selects to participate in the claim, and in between 25 to 30 percent of the financial recovery if the government declines .

Whistleblower Protections in Hartford, Connecticut

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

 

If you have knowledge of Medicare or Medicaid scams in Hartford, Connecticut, get the legal help of an experienced whistleblower legal representatives at Khurana Law Firm, P.C. For a completely 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 needs to file a claim within 10 years of the date of the violation.  If you are a healthcare worker who has learned of medical fraud in Hartford, Connecticut call 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 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 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 LAWYER; We are proud to represent healthcare workers in Hartford, Connecticut

If you’ve become aware of potential fraud that may concern Medicare or Medicaid in Hartford, Connecticut, you need the advice of a knowledgeable whistleblower attorney, someone who can guarantee that your claim is totally investigated and filed accurately and promptly. By dealing with a knowledgeable attorney you are increasing the chance that the government will intervene, thus increasing your chances 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 have years of experience as national qui tam attorneys to help in your battle against Medicare and Medicaid scams. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we believe you may have a valid claim, we can represent you in a qui tam lawsuit to report the scams and enable you to gather a financial benefit. All whistleblower cases are on contingency, you pay nothing until there is a settlement. Contact us today to learn how we can help.

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