Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid fraud in New Brunswick, New Jersey

Medicaid and Medicare fraud cost New Jersey taxpayers billions of dollars every year. Although the majority of medical service providers and drug companies are honest and work within the legal channels, there are those who do not. When fraud happens, everyone loses. Medicaid and Medicare whistleblower lawyers can assist healthcare professionals to file claims on behalf of the federal or state government to report these kinds of scams.

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

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Experienced Medicare and Medicaid whistleblower lawyers; representing health care employees in New Brunswick, New Jersey

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower attorneys, we support your heroic choice to come forward to report abuse and fraud in the industry. We know that stepping forward is not easy and many things may be at stake. When you come to us, your case is held in the strictest confidence .

With our comprehensive experience representing whistleblowers nationwide, we completely investigate your claim, diligently prepare your case, for court, and work tirelessly with you and the federal or state government to assist in bringing fraudulent Medicare or Medicaid activity to justice.

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

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

What Does the New Jersey False Claim Act Say?

The New Jersey False Claims imposes civil penalties on anyone who submits a claim to the State for {money, property| or services that he understands or ought to understand is fraudulent.” In this case, anybody who is a party to defrauding the government where it concerns Medicare claims may be held liable for their activity. A defendant can be ordered to pay up to 3 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?

A successful qui tam claim may entitle a whistleblower to get a financial reward between 15 and 25 percent of the recovery if the government becomes 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 as much as 25 and 30 percent of the recovery amount.

 

If a whistleblower was associated with the preparation or initiation of the illicit activity, or if their information was based upon something that was originated from the media or any public hearing, that award might be decreased.

Is a Whistleblower Protected in New Brunswick, 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 ten years after the date of the violation.

 

If you know of Medicare or Medicaid fraud in New Brunswick, New Jersey, get the legal help of an skilled 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 New Brunswick, 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 New Brunswick, 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 New Brunswick, New Jersey

If you’ve become aware of deceitful activity as it concerns Medicare or Medicaid in New Brunswick, New Jersey, you require the advice of an experienced whistleblower lawyer, someone who can make sure that your claim is fully investigated and filed accurately and promptly. By dealing with a skilled attorney you are increasing the chance that the government will step in, thus increasing the chance for a reward. Reporting Medicaid and Medicare scams is an intricate matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of experience as national qui tam legal representatives to assist in your fight against Medicaid and Medicare fraud. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we feel you have a legitimate claim, we may represent you in a qui tam lawsuit to help report the fraud and enable you to gather a financial benefit. All whistleblower cases are on contingency, you pay absolutely nothing until there is a settlement. Contact us today to learn how we can be of help.

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