Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicare and Medicaid fraud cost New Jersey taxpayers billions of dollars every year. Although the majority of medical companies and drug companies are honest and work within the system, there are those who don’t. When fraud takes place, everybody loses. Medicare and Medicaid whistleblower attorneys can help healthcare workers to submit claims on behalf of the federal or state government to help report this sort of fraud.

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

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare workers in Gloucester, 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 fraud in the industry. We know that coming forward is not simple and many 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, diligently prepare your case, and work tirelessly with both you and the federal or state government to help bring deceptive Medicaid or Medicare activity to justice.

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

Following the New State of New Jersey False Claims Act, individuals who have become cognizant of fraudulent Medicare activity may file a qui tam claim on behalf of the New Jersey state government. Under this act Act, parties who defraud the government of New Jersey may be held responsible for their deceitful claims or deceptive practices. Whistleblowers can likewise have the ability to recover a financial benefit for their information and participation in bringing those parties or entities to justice.

What Does the New Jersey False Claim Act Say?

The NJ State False Claims Act enforces civil charges on anyone who submits a claim to the State for {money, property| or services that he understands or ought to understand is false.” In these cases, anyone who is a party to defrauding the state government as it relates to Medicare claims may be held liable for their activity. A defendant can be ordered to pay up to three times the amount by which the state government was hurt in addition to additional fines of 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 financial reward of between 15 percent and 25 percent of the recovery if the government ends up being party to the claim. If the government chooses not to become party to the claim, the whistleblower might then be entitled to a financial reward of between 25 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 on something that was obtained from the media or any public hearing, that award might be minimized.

Is a Whistleblower Protected in Gloucester, 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 submit a claim more than 10 years after the date of the infraction.

 

If you are aware of Medicare or Medicaid scams in Gloucester, New Jersey, get the legal support of an knowledgeable whistleblower legal representatives at Khurana Law Firm, P.C. For a 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 Gloucester, 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 Gloucester, 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 Gloucester, New Jersey

If you’ve become aware of fraud that may involve Medicaid or Medicare in Gloucester, New Jersey, you may need the guidance of a skilled whistleblower lawyer, someone who can make sure that your claim is fully examined and filed accurately and without delay. By dealing with an experienced lawyer you are increasing the chance that the government will intervene, thus increasing the opportunity for a financial reward. Reporting Medicaid and Medicare scams is a complicated matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of practical experience as national qui tam legal representatives to assist in your battle against Medicare and Medicaid fraud. We will review your case on a confidential, no-obligation basis. If we believe you have a valid claim, we can represent you in a qui tam lawsuit to help report the fraud and enable you to collect a reward. Because all whistleblower work is on contingency, you pay absolutely nothing until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

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