Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid scams in Irvington, New Jersey

Medicare and Medicaid fraud cost New Jersey taxpayers billions of dollars every year. Although most medical companies and drug companies are ethical and work within the legal channels, there are those who don’t. When fraud takes place, everybody can lose. Medicaid and Medicare whistleblower attorneys can assist people who work in the healthcare system to file lawsuits on behalf of the federal or state government to report this type of fraud.

The state and federal governments put a great deal of trust in pharmaceutical and medical service providers. When that trust is ill-placed, the government relies on regular folks 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 Irvington, New Jersey

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your brave decision to come forward to report abuse and scams in the industry. We know that coming forward is not easy and numerous 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 prepare your case, and work tirelessly with both you and the federal or state 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 Irvington, New Jersey

Following the New State of New Jersey False Claims Act, private citizens who may have become informed of deceptive Medicare activity may file a qui tam claim on behalf of the state government. Under the New Jersey False Claims Act, parties who defraud the government may be held responsible for their fraudulent insurance claims or deceptive practices. Whistleblowers might likewise be able to recover 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 charges on anybody who submits a claim to the State for {money, property| or services that he understands or ought to know is incorrect.” In this case, anybody who is a party to defrauding the state government where it concerns Medicare claims may be held liable for this activity. A defendant can be ordered to pay up to 3 times the amount by which the government was harmed in addition to extra fines in between $5,500 and $11,000 for each violation.

What Is A Whistleblower Entitled To?

A successful qui tam claim might entitle a whistleblower to receive a reward between 15 percent and 25 percent of the recovery if the government ends up being party to the claim. If the state government selects 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 illicit activity, or if their information was based on something that was originated from the media or any public hearing, that award may be reduced.

Is a Whistleblower Protected in Irvington, 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 sue more than 10 years after the date of the infraction.

 

If you are aware of Medicare or Medicaid scams in Irvington, New Jersey, get the legal support of an knowledgeable whistleblower attorneys 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 Irvington, 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 Irvington, 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 Irvington, New Jersey

When you become aware of fraud that may involve Medicaid or Medicare in Irvington, New Jersey, you require the advice of a skilled whistleblower attorney, someone who can guarantee that your claim is fully examined and filed accurately and immediately. By working with a skilled attorney you are increasing the chance that the federal or state government will step in, therefore increasing your chances 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 experience as national qui tam attorneys to help in your fight against Medicaid and Medicare scams. We will evaluate your case on a confidential, no-obligation basis. If we feel you may have a legitimate claim, we may represent you in a qui tam claim to report the scams and enable you to collect a financial benefit. Because all whistleblower work is on contingency, you pay absolutely nothing up until there is a settlement. Get in touch with us today to learn how we can help.

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