Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid fraud in Newark, New Jersey

Medicare and Medicaid fraud cost New Jersey taxpayers billions of dollars annually. Although the majority of medical providers and drug companies are honest and work within the system, there are those who don’t. When scams are perpetrated, everybody loses. Medicaid and Medicare whistleblower lawyers can assist healthcare workers to submit suits on behalf of the government to report this type of fraud.

The state and federal governments put 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 Medicaid and Medicare whistleblower lawyers; representing health care workers in Newark, New Jersey

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower lawyers, we support your heroic choice to come forward to report abuse and fraud in the market. 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 thoroughly investigate your claim, carefully prepare your case, for court, and work relentlessly 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 Newark, New Jersey

Under the New NJ False Claims Act, individuals who have become aware of deceptive Medicare activity can file a qui tam claim on behalf of the New Jersey state government. Under this act Act, parties who defraud the state government can be held responsible for their deceitful claims or fraudulent practices. Whistleblowers might likewise have the ability to recover a benefit for the information and for the involvement in bringing those parties or entities to justice.

What Does the New Jersey False Claim Act Say?

The NJ State False Claims Act enforces civil penalties on any person who sends a claim to the State for {money, property| or services that he knows or must know is fraudulent.” In these cases, anybody who is a party to defrauding the state government as it relates to Medicare claims may be held liable for their activity. A defendant may be ordered to pay up to three times the amount by which the New Jersey government was damaged in addition to additional fines in between $5,500 and $11,000 for each offense.

What Is A Whistleblower Entitled To?

A successful qui tam claim might entitle a whistleblower to receive a benefit between 15 and 25 percent of the recovery if the state government ends up being party to the claim. If the state government selects 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 planning or initiation of the fraudulent action, or if their information was based upon something that was obtained from the media or any public hearing, that award might be lowered.

Is a Whistleblower Protected in Newark, 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 violation.

 

If you are aware of Medicare or Medicaid fraud in Newark, New Jersey, get the legal help of an knowledgeable whistleblower legal representatives at Khurana Law Firm, P.C. For a completely 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 Newark, 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 Newark, 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 A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Newark, New Jersey

If you’ve become aware of potential fraud that may concern Medicare or Medicaid in Newark, New Jersey, you need the guidance of a knowledgeable whistleblower lawyer, someone who can make sure that your claim is fully examined and filed accurately and quickly. By dealing with a knowledgeable lawyer you are increasing the chance that the government will intervene, therefore increasing the chance for a financial reward. Reporting Medicare and Medicaid fraud is a complex matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of prior experience as national qui tam attorneys to help in your fight against Medicare and Medicaid scams. Our attorneys will review your case on a confidential, no-obligation basis. If we feel that you may have a legitimate claim, we can represent you in a qui tam claim to report the scams and enable you to collect a reward. Because all whistleblower work is on contingency, you pay nothing up until there is a recovery. Get in touch with us today to learn how we can help.

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