Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost New Jersey taxpayers billions of dollars every year. Although most medical service providers and drug companies are ethical and work within the legal channels, there are those who do not. When scams are perpetrated, everyone can lose. Medicaid and Medicare whistleblower lawyers can help healthcare workers to file lawsuits on behalf of the federal or state government to help report this sort of fraud.

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

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

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower legal representatives, we support your brave decision to come forward to report abuse and scams in the market. We know that stepping forward is not simple and many things may be at stake. When you come to us, your case is held in the strictest confidence .

With our extensive experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently and carefully prepare your case, and work tirelessly with you and the federal or state 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 Howell, New Jersey

Under the New Jersey False Claims Act, people who may have become aware of deceitful Medicare activity can submit a qui tam claim on behalf of the state government. Under this act Act, parties who defraud the state government can be held responsible for their deceptive claims or fraudulent practices. Whistleblowers may also be able to recuperate 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 charges on any person who sends a claim to the State for {money, property| or services that he understands or should know is incorrect.” In these cases, anyone who is a party to defrauding the government where it concerns Medicare claims may be held responsible for this activity. A defendant may be ordered to pay up to three times the amount by which the state government was harmed in addition to additional fines in between $5,500 and $11,000 for each infraction.

What Is A Whistleblower Entitled To?

An effective qui tam claim may entitle a whistleblower to receive a benefit 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 may then be entitled to a reward of between 25 percent and 30 percent of the recovery amount.

 

If a whistleblower was associated with the preparation or initiation of the fraudulent action, 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 Howell, 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 sue more than 10 years after the date of the offense.

 

If you know of Medicare or Medicaid scams in Howell, New Jersey, get the legal support of an skilled whistleblower legal representatives 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 Howell, 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 Howell, 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 An Experienced WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Howell, New Jersey

When you become aware of potential fraud that may involve Medicare or Medicaid in Howell, New Jersey, you require the guidance of an experienced whistleblower attorney, someone who can ensure that your claim is fully investigated and filed accurately and promptly. By working with a knowledgeable attorney you are increasing the chance that the government will intervene, therefore increasing the possibility for a reward. Reporting Medicaid and Medicare scams is a complex matter –  do not try 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 Medicaid and Medicare scams. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we believe 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 reward. All whistleblower cases are on contingency, you pay nothing until there is a settlement. Contact us today to to schedule a confidential consultation.

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