Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid fraud in Passaic, New Jersey

Medicare and Medicaid 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 don’t. When fraud takes place, everybody loses. Medicaid and Medicare whistleblower lawyers can help healthcare professionals to submit claims on behalf of the government to help report this sort of fraud.

The state and federal government place a lot of trust in medical and pharmaceutical service providers. When that trust is ill-placed, the government counts on private citizens in New Jersey to come forward to report scams. People like you.

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

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your brave choice to come forward to report abuse and fraud in the market. understand that coming forward is hard and many things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

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

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

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

What Does the New Jersey False Claim Act Say?

The NJ State False Claims Act enforces civil charges on any person who sends a claim to the State for {money, property| or services that he knows or should understand is fraudulent.” In this case, anybody who is a party to defrauding the state government with regard to Medicare claims can be held liable for this activity. A defendant may be ordered to pay up to 3 times the amount by which the state government was hurt in addition to additional fines of 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 get a benefit of between 15 and 25 percent of the recovery if the state government ends up being 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 percent and 30 percent of the recovery amount.

 

If a whistleblower was associated with the planning or initiation of the illicit activity, or if their information was based on something that was stemmed from the media or any public hearing, that award might be reduced.

Is a Whistleblower Protected in Passaic, 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 sue more than 10 years after the date of the offense.

 

If you know of Medicare or Medicaid scams in Passaic, New Jersey, get the legal support of an skilled whistleblower legal representatives 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 Passaic, 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 Passaic, 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 An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Passaic, New Jersey

If you’ve become aware of fraud involving Medicaid or Medicare in Passaic, New Jersey, you need the guidance of a skilled whistleblower attorney, someone who can guarantee that your claim is totally examined and filed accurately and immediately. By working with a skilled attorney you are increasing the chance that the government will step in, therefore increasing the chance for a reward. Reporting Medicare and Medicaid scams 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 prior experience as national qui tam attorneys to help in your battle against Medicaid and Medicare scams. After you get in touch our lawyers will evaluate your case on a confidential, no-obligation basis. If we feel you may have a valid claim, we can represent you in a qui tam claim to report the scams and allow you to collect a reward. All whistleblower cases are on contingency, you pay nothing up until there is a settlement. Contact us today to learn how we can help.

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