Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid fraud in Parsippany-Troy Hills, New Jersey

Medicare and Medicaid fraud cost New Jersey taxpayers billions of dollars each year. While many medical service providers and drug companies are ethical and work within the system, some don’t. When scams are perpetrated, everybody can lose. Medicare and Medicaid whistleblower attorneys assist healthcare workers to submit claims on behalf of the government to report this type of fraud.

The federal and state governments put a great deal of trust in pharmaceutical and medical service providers. When that trust is ill-placed, the government counts on every day people in New Jersey to come forward to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care workers in Parsippany-Troy Hills, New Jersey

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower legal representatives, we support your brave choice to come forward to report abuse and scams in the market. We know that coming forward is challenging 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, diligently and carefully prepare your case, and work tirelessly with both 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 Parsippany-Troy Hills, New Jersey

Under the New State of New Jersey False Claims Act, people who may have become cognizant of deceptive Medicare activity may submit a qui tam claim on behalf of the government. Under this act Act, parties who defraud the government of New Jersey may be held accountable for their fraudulent insurance claims or deceptive practices. Whistleblowers may also be able to recuperate a benefit for their information and involvement in bringing those entities or parties to justice.

What Does the New Jersey False Claim Act Say?

The New Jersey False Claims enforces civil penalties on anyone who sends a claim to the State for {money, property| or services that he understands or should understand is fraudulent.” In these cases, anybody who is a party to defrauding the government where it concerns Medicare claims can be held accountable for this activity. A defendant can be ordered to pay up to three times the amount by which the 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 get a benefit of between 15 percent 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 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 associated with the planning 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 may be minimized.

Is a Whistleblower Protected in Parsippany-Troy Hills, 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 submit a claim more than 10 years after the date of the offense.

 

If you are aware of Medicare or Medicaid fraud in Parsippany-Troy Hills, New Jersey, get the legal assistance of an experienced whistleblower legal representatives at Khurana Law Firm, P.C. For a 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 Parsippany-Troy Hills, 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 Parsippany-Troy Hills, 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 Parsippany-Troy Hills, New Jersey

When you become aware of fraud that may concern Medicare or Medicaid in Parsippany-Troy Hills, New Jersey, you may need the guidance of a skilled whistleblower attorney, someone who can ensure that your claim is completely examined and filed accurately and promptly. By working with a skilled attorney you are increasing the chance that the federal or state government will intervene, thus increasing the possibility for a financial reward. Reporting Medicare and Medicaid fraud is a complex matter –  don’t try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of practical 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 you have a legitimate claim, we may represent you in a qui tam claim to report the scams and enable you to gather a reward. All whistleblower work is on contingency, you pay nothing up until there is a settlement. Contact us today to to schedule a confidential consultation.

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