Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid fraud in Cherry Hill, New Jersey

Medicaid and Medicare fraud cost New Jersey taxpayers billions of dollars annually. Although many medical providers and drug companies are honest and work within the legal channels, there are those who don’t. When fraud occurs, everyone loses. Medicare and Medicaid whistleblower attorneys assist healthcare workers to file claims on behalf of the federal or state government to help report this type of fraud.

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

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

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower lawyers, we support your brave choice to come forward to report abuse and fraud in the industry. We know that coming forward is hard and lots of things might be at stake. When you come to us, your case is kept in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently prepare your case, and work relentlessly with you and the state of federal government to help bring deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws Under the New Jersey False Claims Act in Cherry Hill, New Jersey

Under the New State of New Jersey False Claims Act, private citizens who may have become conscious of deceptive Medicare activity may file a qui tam claim on behalf of the government. Under this act Act, parties who defraud the government of New Jersey may be held responsible for their deceitful claims or fraudulent practices. Whistleblowers might also be able to recuperate a financial benefit for the information and involvement in bringing those parties or entities to justice.

What Does the New Jersey False Claim Act Say?

The New Jersey False Claims imposes civil charges on anybody who submits a claim to the State for {money, property| or services that he understands or must understand is fraudulent.” In these cases, anyone who is a party to defrauding the government as it relates to Medicare claims can be held accountable for their activity. A defendant may be ordered to pay up to 3 times the amount by which the state government was harmed in addition to additional fines in between $5,500 and $11,000 for each violation.

What Is A Whistleblower Entitled To?

A successful qui tam claim may entitle a whistleblower to receive a benefit of between 15 percent and 25 percent of the recovery if the state government ends up being party to the claim. If the state government chooses not to become party to the claim, the whistleblower might then be entitled to a reward of between 25 percent and 30 percent of the recovery amount.

 

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

Is a Whistleblower Protected in Cherry Hill, New Jersey?

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 have knowledge of Medicare or Medicaid fraud in Cherry Hill, New Jersey, get the legal help of an knowledgeable whistleblower lawyers at Khurana Law Firm, P.C. For a completely confidential, no-cost assessment, 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 Cherry Hill, 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. 

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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 Cherry Hill, 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 A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Cherry Hill, New Jersey

If you’ve become aware of fraud as it concerns Medicaid or Medicare in Cherry Hill, New Jersey, you may need the advice of a knowledgeable whistleblower lawyer, someone who can ensure that your claim is totally examined and filed accurately and without delay. By dealing with an experienced lawyer you are increasing the chance that the federal or state government will intervene, therefore increasing the chance 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 have years of prior experience as national qui tam legal representatives to help in your battle against Medicaid and Medicare scams. Our attorneys will evaluate your case on a confidential, no-obligation basis. If we feel that you may have a legitimate claim, we can represent you in a qui tam suit to help report the fraud and allow you to collect a financial benefit. All whistleblower cases are 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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