Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid scams in Camden, New Jersey

Medicaid and Medicare fraud cost New Jersey taxpayers billions of dollars annually. While most medical service providers and drug companies are honest and work within the legal channels, some do not. When scams are perpetrated, everyone can lose. Medicaid and Medicare whistleblower attorneys can assist healthcare workers to file claims on behalf of the federal or state government to help report these kinds of scams.

The state and federal governments place a lot of trust in pharmaceutical and medical companies. When that trust is ill-placed, it counts on regular folks in New Jersey to come forward and to report scams. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing healthcare employees in Camden, New Jersey

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 scams in the market. We know that stepping forward is not easy and numerous things might be at stake. When you come to us, your case is held in the strictest confidence .

With our extensive experience representing whistleblowers nationwide, we completely investigate your claim, diligently and carefully prepare your case, and work relentlessly with both you and the federal or state government to help bring deceitful Medicare or Medicaid activity to justice.

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Whistleblower Laws Under the New Jersey False Claims Act in Camden, New Jersey

Following the New NJ False Claims Act, private citizens who have become aware of fraudulent 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 of New Jersey can be held responsible for their deceitful insurance claims or fraudulent practices. Whistleblowers can also have the ability to recover a reward for the information and involvement in bringing those entities or parties to justice.

What Does the New Jersey False Claim Act Say?

The NJ State False Claims Act enforces civil penalties on any person who sends a claim to the State for {money, property| or services that he understands or need to understand is false.” In this case, anybody who is a party to defrauding the state government with regard to Medicare claims may be held responsible for this activity. A defendant can be ordered to pay up to three times the amount by which the New Jersey government was harmed in addition to extra fines in between $5,500 and $11,000 for each offense.

What Is A Whistleblower Entitled To?

A successful qui tam claim may entitle a whistleblower to get a benefit between 15 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 may 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 illicit activity, or if their information was based on something that was stemmed from the media or any public hearing, that award may be decreased.

Is a Whistleblower Protected in Camden, New Jersey?

In New York, a whistleblower complaint must be filed within ten years after the date of the violation.

How Long Does A Whistleblower Have to File A Claim in New Jersey?

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

 

If you know of Medicare or Medicaid scams in Camden, New Jersey, get the legal support of an knowledgeable whistleblower attorneys at Khurana Law Firm, P.C. For a completely confidential, no-cost consultation, call now: (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 Camden, New Jersey, 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 Camden, New Jersey,  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 An Experienced WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Camden, New Jersey

If you’ve become aware of fraudulent activity that may concern Medicaid or Medicare in Camden, New Jersey, you may need the advice of a knowledgeable whistleblower attorney, someone who can make sure that your claim is fully examined and filed accurately and immediately. By dealing with an experienced lawyer you are increasing the chance that the federal or state government will intervene, hence increasing the possibility for a financial reward. Reporting Medicaid and Medicare fraud is an intricate matter –  don’t attempt 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 help in your battle against Medicaid and Medicare scams. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we believe that you may have a valid claim, we may represent you in a qui tam lawsuit to report the fraud and enable you to gather a financial benefit. All whistleblower work is on contingency, you pay absolutely nothing until there is a recovery. Get in touch with us today to learn how we can be of help.

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