Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost Connecticut taxpayers billions of dollars every year. Although most medical service providers and drug companies are honest and work within the system, some do not. When scams are perpetrated, everybody loses. Medicare and Medicaid whistleblower attorneys can assist people who work in the healthcare system to file lawsuits on behalf of the government to help report this type of fraud.

The state and federal governments place a lot of trust in medical and pharmaceutical service providers. When that trust is ill-placed, it depends on every day people in Connecticut to come forward and to report scams. People like you.

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

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower lawyers, we support your brave decision to come forward to report abuse and fraud in the market. understand that stepping forward is difficult and lots of things might be at stake. When you come to us, your case is held in the strictest confidence .

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

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Whistleblower Laws in the State of Connecticut

Following the New State of New Jersey False Claims Act, people who may have become cognizant 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 may be held accountable for their deceitful insurance claims or deceptive practices. Whistleblowers may also be able to recuperate a benefit for the information and for the 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 specifies the kinds of deceitful activity that are forbidden under the Act. 

 

Sec. 4-277 says that anybody with knowledge of the restricted fraudulent activity may submit a civil action in the Supreme court in the name of the State of Connecticut.

Charges in a Whistleblower Claim in Connecticut

A successful qui tam claim might entitle a whistleblower to receive a benefit of between 15 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 between 25 percent and 30 percent of the recovery amount.

 

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

Whistleblower Awards Under the Connecticut False Claims Act

A person who comes forward as a whistleblower with information about Medicare fraud and who files an effective claim may be able to gather a financial reward of in between 15 and 25 percent  of the recovered funds if the state government chooses to get in the claim, and between 25 to 30 percent of the financial recovery if the government declines .

Whistleblower Protections in West 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 are aware of Medicare or Medicaid fraud in West Hartford, Connecticut, get the legal support 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 infraction.  If you are a healthcare worker become aware of medical scams in West Hartford, Connecticut call 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 West 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 West 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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Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in West Hartford, Connecticut

If you’ve become aware of potential fraud that may concern Medicare or Medicaid in West Hartford, Connecticut, you need the guidance of a skilled whistleblower attorney, someone who can ensure that your claim is totally investigated and filed accurately and promptly. By working with a skilled attorney you are increasing the chance that the federal or state government will intervene, hence increasing the opportunity for a reward. Reporting Medicaid and Medicare scams is a complex 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 assist in your battle against Medicaid and Medicare scams. We will examine your case on a confidential, no-obligation basis. If we believe you have a legitimate claim, we can represent you in a qui tam suit to report the fraud and enable you to gather a financial benefit. Because all whistleblower work is on contingency, you pay nothing until there is a settlement. Get in touch with us today to learn how we can be of help.

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