Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid scams in Lakewood, New Jersey

Medicaid and Medicare fraud cost New Jersey taxpayers billions of dollars annually. While the majority of medical providers and drug companies are ethical and work within the system, there are those who do not. When fraud happens, everybody loses. Medicaid and Medicare whistleblower attorneys can help people who work in the healthcare system to file claims on behalf of the federal or state government to report this sort of fraud.

The federal and state governments put a great deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, it 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 health care employees in Lakewood, New Jersey

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower lawyers, we support your brave decision to come forward to report abuse and fraud in the market. We know that coming forward is difficult and numerous things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

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

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

Following the New Jersey False Claims Act, private citizens who may have become cognizant of deceptive Medicare activity can file a qui tam claim on behalf of the New Jersey state government. Under the New Jersey False Claims Act, parties who defraud the government of New Jersey can be held accountable for their fraudulent insurance claims or deceptive practices. Whistleblowers can likewise have the ability to recuperate a benefit for the information and for the involvement in helping to bring those parties or entities to justice.

What Does the New Jersey False Claim Act Say?

The New Jersey False Claims enforces civil charges on anyone who sends a claim to the State for {money, property| or services that he understands or ought to understand is fraudulent.” In these cases, anyone who is a party to defrauding the state government with regard 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 New Jersey government was hurt 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 may entitle a whistleblower to receive a reward of between 15 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 reward of between 25 and 30 percent of the recovery amount.

 

If a whistleblower was associated with the planning or initiation of the fraudulent action, or if their information was based upon something that was derived from the media or any public hearing, that award might be minimized.

Is a Whistleblower Protected in Lakewood, 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 ten years after the date of the infraction.

 

If you know of Medicare or Medicaid fraud in Lakewood, New Jersey, get the legal assistance of an knowledgeable whistleblower lawyers 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 Lakewood, 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 Lakewood, 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 Lakewood, New Jersey

When you become aware of potential fraud involving Medicaid or Medicare in Lakewood, New Jersey, you require the advice of a knowledgeable whistleblower lawyer, someone who can guarantee that your claim is totally examined and filed accurately and quickly. By working with an experienced attorney you are increasing the chance that the federal or state government will intervene, hence increasing your chances for a reward. Reporting Medicaid and Medicare fraud is a complex matter –  do not attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of practical experience as national qui tam lawyers to help in your battle against Medicaid and Medicare scams. We will examine 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 help report the scams and enable you to gather a financial benefit. All whistleblower cases are on contingency, you pay absolutely nothing until there is a settlement. Get in touch with us today to learn how we can be of help.

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