Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid fraud in Franklin township, New Jersey

Medicare and Medicaid fraud cost New Jersey taxpayers billions of dollars each year. Although the majority of medical service providers and drug companies are honest and work within the legal channels, some don’t. When scams are perpetrated, everyone can lose. Medicare and Medicaid whistleblower attorneys can assist people who work in the healthcare system to file claims on behalf of the federal or state government to help report these kinds of scams.

The federal and state government place a great deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, the government counts on every day people in New Jersey to come forward to report fraud. People like you.

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

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. We know that stepping forward is hard and lots of things might be at stake. When you come to us, your case is held in the strictest confidence at all times.

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

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Whistleblower Laws Under the New Jersey False Claims Act in Franklin township, New Jersey

Following the New State of New Jersey False Claims Act, individuals who may have become informed of deceitful 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 may be held responsible for their deceitful claims or fraudulent practices. Whistleblowers may likewise be able to recuperate a benefit for their information and participation in bringing those parties or entities to justice.

What Does the New Jersey False Claim Act Say?

The New Jersey False Claims imposes civil penalties on any person who sends a claim to the State for {money, property| or services that he understands or must know is incorrect.” In these cases, anybody who is a party to defrauding the state government where it concerns Medicare claims can be held liable for this activity. A defendant can be ordered to pay up to 3 times the amount by which the New Jersey government was harmed in addition to extra fines of 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 get a financial reward between 15 percent and 25 percent of the recovery if the government becomes party to the claim. If the government chooses not to become party to the claim, the whistleblower may then be entitled to a financial reward of as much as 25 percent and 30 percent of the recovery amount.

 

If a whistleblower was involved in the planning or initiation of the fraud, or if their information was based upon something that was stemmed from the media or any public hearing, that award may be lowered.

Is a Whistleblower Protected in Franklin township, New Jersey?

In New York State, 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 offense.

 

If you have knowledge of Medicare or Medicaid fraud in Franklin township, New Jersey, get the legal assistance of an knowledgeable whistleblower attorneys at Khurana Law Firm, P.C. For a 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 Franklin township, 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 Franklin township, 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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WORKING WITH A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Franklin township, New Jersey

If you’ve become aware of potential fraud that may concern Medicare or Medicaid in Franklin township, New Jersey, you may need the advice of a skilled whistleblower attorney, someone who can ensure that your claim is fully investigated and filed accurately and promptly. By working with a knowledgeable lawyer you are increasing the chance that the federal or state government will intervene, therefore increasing the chance for a reward. Reporting Medicaid and Medicare fraud is a complex matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of experience as national qui tam lawyers to assist in your fight against Medicare and Medicaid scams. After you contact us, our attorneys will evaluate your case on a confidential, no-obligation basis. If we feel that you may have a valid claim, we may represent you in a qui tam claim to help report the fraud and enable you to collect a financial benefit. Because all whistleblower cases are on contingency, you pay absolutely nothing until there is a recovery. Contact us today to learn how we can be of help.

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