Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid scams in Old Bridge, New Jersey

Medicaid and Medicare fraud cost New Jersey taxpayers billions of dollars each year. While many medical providers and drug companies are honest and work within the legal channels, there are those who don’t. When fraud takes place, everyone can lose. Medicaid and Medicare whistleblower attorneys assist healthcare professionals to submit claims on behalf of the government to report these kinds of scams.

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

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Experienced Medicaid and Medicare whistleblower attorneys; representing health care employees in Old Bridge, New Jersey

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower attorneys, we support your brave decision to come forward to report abuse and fraud in the industry. understand that stepping forward is hard and numerous things might be at stake. When you come to us, your case is kept in the strictest confidence .

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

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Whistleblower Laws Under the New Jersey False Claims Act in Old Bridge, New Jersey

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

What Does the New Jersey False Claim Act Say?

The NJ State False Claims Act imposes civil penalties on any person who submits a claim to the State for {money, property| or services that he knows or must understand is false.” In this case, anyone who is a party to defrauding the state government where it concerns Medicare claims can be held accountable for their activity. A defendant may be ordered to pay up to 3 times the amount by which the New Jersey government was hurt in addition to additional 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 benefit of as much as 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 stemmed from the media or any public hearing, that award might be minimized.

Is a Whistleblower Protected in Old Bridge, 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 offense.

 

If you know of Medicare or Medicaid fraud in Old Bridge, New Jersey, get the legal assistance of an knowledgeable whistleblower legal representatives at Khurana Law Firm, P.C. For a completely 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 Old Bridge, 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 Old Bridge, 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 Old Bridge, New Jersey

When you become aware of potential fraud as it concerns Medicare or Medicaid in Old Bridge, New Jersey, you require the guidance of a knowledgeable whistleblower lawyer, someone who can guarantee that your claim is fully investigated and submitted accurately and without delay. By working with a knowledgeable attorney you are increasing the chance that the government will intervene, therefore increasing the possibility for a reward. Reporting Medicare and Medicaid scams is a complicated 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 Medicare and Medicaid scams. After you get in touch our lawyers will examine your case on a confidential, no-obligation basis. If we believe that you may have a legitimate claim, we may represent you in a qui tam claim to report the fraud and allow 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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