Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid fraud in Hamilton township, New Jersey

Medicaid and Medicare fraud cost New Jersey taxpayers billions of dollars annually. Although the majority of medical service providers and drug companies are ethical and work within the system, there are those who don’t. When fraud happens, everyone loses. Medicaid and Medicare whistleblower lawyers can help healthcare workers to file claims on behalf of the federal or state government to help report these kinds of scams.

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

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Experienced Medicare and Medicaid whistleblower lawyers; representing health care workers in Hamilton township, New Jersey

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower attorneys, we support your brave decision to come forward to report abuse and scams in the market. We know that stepping forward is difficult and many things might be at stake. When you come to us, your case is kept in the strictest confidence .

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

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

Following the New NJ False Claims Act, private citizens who may have become conscious of deceitful Medicare activity can submit a qui tam claim on behalf of the New Jersey state government. Under the New Jersey False Claims Act, parties who defraud the government can be held responsible for their deceptive claims or deceptive practices. Whistleblowers may likewise have the ability to recuperate a benefit for their 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 penalties on any person who sends a claim to the State for {money, property| or services that he understands or should know is fraudulent.” In this case, anybody who is a party to defrauding the state government as it relates to Medicare claims can be held liable for this activity. A defendant may be ordered to pay up to three times the amount by which the government was hurt in addition to extra fines of between $5,500 and $11,000 for each violation.

What Is A Whistleblower Entitled To?

An effective qui tam claim might entitle a whistleblower to receive a benefit 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 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 planning or initiation of the fraud, or if their information was based upon something that was originated from the media or any public hearing, that award may be reduced.

Is a Whistleblower Protected in Hamilton township, 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 ten years after the date of the violation.

 

If you know of Medicare or Medicaid scams in Hamilton township, New Jersey, get the legal help of an experienced 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 Hamilton 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 Hamilton 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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Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Hamilton township, New Jersey

If you’ve become aware of fraud involving Medicaid or Medicare in Hamilton township, New Jersey, you may need the advice of an experienced whistleblower lawyer, someone who can ensure that your claim is fully investigated and filed accurately and without delay. By working with a skilled lawyer you are increasing the chance that the federal or state government will intervene, hence increasing the opportunity for a financial reward. Reporting Medicare and Medicaid fraud is a complex 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 lawyers to help in your battle against Medicare and Medicaid fraud. Our attorneys will evaluate your case on a confidential, no-obligation basis. If we believe that you may have a legitimate claim, we can represent you in a qui tam lawsuit to help report the fraud and enable you to gather a reward. Because all whistleblower work is 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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