Khurana
Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost New Jersey taxpayers billions of dollars annually. While many medical providers and drug companies are honest and work within the system, there are those who do not. When fraud happens, everybody can lose. Medicare and Medicaid whistleblower lawyers assist healthcare workers to submit lawsuits on behalf of the government to report these kinds of scams.

The state and federal government put a lot of trust in medical and pharmaceutical 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.

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

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your brave decision to come forward to report abuse and fraud in the market. understand 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 at all times.

With our substantial experience representing whistleblowers nationwide, we thoroughly examine your claim, carefully prepare your case, and work tirelessly with both you and the federal or state government to help bring deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws Under the New Jersey False Claims Act in Union City, New Jersey

Following the New NJ False Claims Act, private citizens who have become conscious of deceitful Medicare activity can 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 deceitful claims or deceptive practices. Whistleblowers might likewise be able to recuperate a financial benefit for the information and involvement in bringing those parties or entities to justice.

What Does the New Jersey False Claim Act Say?

The NJ State False Claims Act imposes civil charges on anyone who sends a claim to the State for {money, property| or services that he understands or ought to know is incorrect.” In this case, anybody who is a party to defrauding the state government as it relates to Medicare claims may be held accountable for this activity. A defendant may be ordered to pay up to 3 times the amount by which the state government was harmed 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 receive a financial reward 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 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 involved in the preparation or initiation of the fraud, or if their information was based on something that was originated from the media or any public hearing, that award may be lowered.

Is a Whistleblower Protected in Union City, 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 violation.

 

If you have knowledge of Medicare or Medicaid fraud in Union City, New Jersey, get the legal support of an skilled whistleblower attorneys 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 Union City, 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 Union City, 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 Union City, New Jersey

If you’ve become aware of deceitful activity that may involve Medicaid or Medicare in Union City, New Jersey, you may need the advice of a knowledgeable whistleblower lawyer, someone who can make sure that your claim is totally investigated and submitted accurately and quickly. By dealing with a knowledgeable attorney you are increasing the chance that the federal or state government will step in, thus increasing the opportunity for a reward. Reporting Medicaid and Medicare fraud is an intricate 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 Medicaid and Medicare scams. Our attorneys will evaluate 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 fraud and allow you to collect a financial benefit. All whistleblower work is on contingency, you pay nothing up until there is a settlement. Get in touch with us today to learn how we can be of help.

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