Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid scams in Plainfield, New Jersey

Medicaid and Medicare fraud cost New Jersey taxpayers billions of dollars each year. Although most medical providers and drug companies are ethical and work within the legal channels, some do not. When scams are perpetrated, everybody loses. Medicaid and Medicare whistleblower attorneys help healthcare workers to file suits on behalf of the federal or state government to report these kinds of scams.

The federal and state government place a lot of trust in pharmaceutical and medical companies. When that trust is ill-placed, it counts on every day people in New Jersey to come forward and to report scams. People like you.

Work with

Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare employees in Plainfield, New Jersey

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower lawyers, we support your brave decision to come forward to report abuse and fraud in the market. understand that coming forward is difficult and lots of things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

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

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

Under the New State of New Jersey False Claims Act, private citizens who may have become cognizant of deceptive Medicare activity may file a qui tam claim on behalf of the state government. Under this act Act, parties who defraud the government may be held responsible for their deceptive claims or deceptive practices. Whistleblowers might also have the ability to recuperate a financial reward for their information and for the 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 charges on any individual who submits a claim to the State for {money, property| or services that he knows or need to understand is fraudulent.” In these cases, anyone who is a party to defrauding the state government as it relates to Medicare claims may be held accountable for their activity. A defendant can be ordered to pay up to three times the amount by which the government was damaged in addition to extra fines of between $5,500 and $11,000 for each infraction.

What Is A Whistleblower Entitled To?

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

 

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

Is a Whistleblower Protected in Plainfield, 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 Plainfield, New Jersey, get the legal help 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 Plainfield, 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 Plainfield, 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 LAWYER; We are proud to represent healthcare workers in Plainfield, New Jersey

When you become aware of potential fraud that may concern Medicaid or Medicare in Plainfield, New Jersey, you may need the guidance of a skilled whistleblower attorney, someone who can ensure that your claim is totally investigated and filed accurately and without delay. By dealing with a skilled lawyer you are increasing the chance that the government will step in, thus increasing the chance for a financial reward. Reporting Medicaid and Medicare fraud is a complicated matter –  do not attempt 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 lawyers to help in your battle against Medicare and Medicaid scams. We will examine your case on a confidential, no-obligation basis. If we believe that you have a legitimate claim, we may represent you in a qui tam suit to help report the fraud and allow you to gather a reward. All whistleblower work is on contingency, you pay nothing until there is a settlement. Contact us today to to schedule a confidential consultation.

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