Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid scams in Perth Amboy, New Jersey

Medicaid and Medicare fraud cost New Jersey taxpayers billions of dollars every year. Although the majority of medical companies and drug companies are honest and work within the legal channels, some do not. When fraud occurs, everyone loses. Medicare and Medicaid whistleblower lawyers help people who work in the healthcare system to file lawsuits on behalf of the government to report these kinds of scams.

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

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare employees in Perth Amboy, New Jersey

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your heroic decision to come forward to report abuse and scams in the industry. We know that stepping forward is difficult and lots of 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 examine your claim, carefully prepare your case, and work relentlessly with both you and the state of federal government to assist in bringing deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws Under the New Jersey False Claims Act in Perth Amboy, New Jersey

Under the New Jersey False Claims Act, people who may have become conscious of deceitful Medicare activity can submit a qui tam claim on behalf of the New Jersey state government. Under the New Jersey False Claims Act, parties who defraud the government of New Jersey may be held accountable for their deceptive insurance claims or deceptive practices. Whistleblowers might likewise have the ability to recover a benefit for their information and for the involvement in helping to bring those entities or parties to justice.

What Does the New Jersey False Claim Act Say?

The New Jersey False Claims imposes civil charges on anybody who sends a claim to the State for {money, property| or services that he knows or ought to know is fraudulent.” In this case, anybody who is a party to defrauding the government with regard to 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 government was hurt in addition to additional fines of 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 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 between 25 and 30 percent of the recovery amount.

 

If a whistleblower was associated with the planning or initiation of the scams, or if their information was based upon something that was originated from the media or any public hearing, that award may be reduced.

Is a Whistleblower Protected in Perth Amboy, 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 are aware of Medicare or Medicaid fraud in Perth Amboy, New Jersey, get the legal assistance of an skilled whistleblower attorneys 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 Perth Amboy, 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 Perth Amboy, 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 Perth Amboy, New Jersey

If you’ve become aware of deceptive activity that may concern Medicare or Medicaid in Perth Amboy, New Jersey, you may need the advice of a knowledgeable whistleblower attorney, someone who can guarantee that your claim is fully examined and submitted accurately and without delay. By dealing with a knowledgeable lawyer you are increasing the chance that the government will step in, therefore increasing the possibility for a reward. Reporting Medicare and Medicaid scams is an intricate matter –  don’t attempt 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 lawyers to assist in your battle against Medicaid and Medicare scams. After you contact us, our attorneys will review your case on a confidential, no-obligation basis. If we believe that you have a valid claim, we can represent you in a qui tam lawsuit to report the fraud and enable you to gather a financial benefit. Because all whistleblower cases are on contingency, you pay absolutely nothing up until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

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