Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost New Jersey taxpayers billions of dollars annually. While most medical providers and drug companies are honest and work within the legal channels, some don’t. When scams are perpetrated, everybody can lose. Medicaid and Medicare whistleblower attorneys help healthcare professionals to file lawsuits on behalf of the government to report this sort of fraud.

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

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

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower attorneys, we support your heroic decision to come forward to report abuse and scams in the industry. understand that coming forward is challenging and many things may be at stake. When you come to us, your case is kept in the strictest confidence at all times.

With our extensive experience representing whistleblowers nationwide, we completely investigate your claim, diligently prepare your case, and work tirelessly with you and the federal or state government to help bring deceitful Medicare or Medicaid activity to justice.

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

Under the New NJ False Claims Act, people who may have become aware of deceptive Medicare activity can 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 can be held responsible for their fraudulent claims or fraudulent practices. Whistleblowers can also be able to recuperate a financial benefit for the 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 enforces civil penalties on any person who submits a claim to the State for {money, property| or services that he understands or ought to know is false.” In this case, anybody who is a party to defrauding the government as it relates to Medicare claims can be held accountable for this activity. A defendant may be ordered to pay up to three times the amount by which the state government was harmed in addition to additional fines in between $5,500 and $11,000 for each offense.

What Is A Whistleblower Entitled To?

An effective qui tam claim may entitle a whistleblower to get a financial reward of between 15 percent and 25 percent of the recovery if the state government ends up being party to the claim. If the state government chooses not to become party to the claim, the whistleblower might then be entitled to a benefit of as much as 25 and 30 percent of the recovery amount.

 

If a whistleblower was involved in the planning or initiation of the fraud, or if their information was based on something that was derived from the media or any public hearing, that award might be decreased.

Is a Whistleblower Protected in Piscataway, 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 file a claim more than 10 years after the date of the offense.

 

If you know of Medicare or Medicaid scams in Piscataway, New Jersey, get the legal support 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 Piscataway, 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 Piscataway, 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 Piscataway, New Jersey

When you become aware of fraudulent activity as it concerns Medicaid or Medicare in Piscataway, New Jersey, you require the guidance of a skilled whistleblower lawyer, someone who can make sure 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 federal or state government will intervene, thus increasing your chances for a reward. Reporting Medicare and Medicaid scams is a complex matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam legal representatives to help in your fight against Medicaid and Medicare scams. We will examine your case on a confidential, no-obligation basis. If we feel that you have a legitimate claim, we can represent you in a qui tam lawsuit to report the fraud and allow you to gather a reward. Because all whistleblower work is on contingency, you pay absolutely nothing until there is a settlement. Contact us today to to schedule a confidential consultation.

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