Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid fraud in Union township, New Jersey

Medicare and Medicaid fraud cost New Jersey taxpayers billions of dollars each year. While many medical companies and drug companies are honest and work within the legal channels, some do not. When fraud occurs, everyone loses. Medicaid and Medicare whistleblower lawyers assist healthcare workers to file suits on behalf of the federal or state government to help report this sort of fraud.

The state and federal government place a good deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, the government depends on every day people in New Jersey to come forward to report fraud. People like you.

Work with

Experienced Medicaid and Medicare whistleblower attorneys; representing health care workers in Union township, New Jersey

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your brave decision to come forward to report abuse and fraud in the industry. understand that stepping forward is hard and many things might 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, diligently prepare your case, and work tirelessly with you and the state of federal government to assist in bringing fraudulent Medicare or Medicaid activity to justice.

schedule a
confidential consultation

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

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

What Does the New Jersey False Claim Act Say?

The NJ State False Claims Act enforces civil charges on anybody who sends a claim to the State for {money, property| or services that he knows or need to know is fraudulent.” In these cases, anyone who is a party to defrauding the state government where it concerns Medicare claims may be held liable for their activity. A defendant can be ordered to pay up to 3 times the amount by which the government was harmed in addition to extra fines of between $5,500 and $11,000 for each infraction.

What Is A Whistleblower Entitled To?

A successful qui tam claim might entitle a whistleblower to receive a financial reward of between 15 and 25 percent of the recovery if the 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 between 25 and 30 percent of the recovery amount.

 

If a whistleblower was associated with the preparation or initiation of the scams, or if their information was based on something that was originated from the media or any public hearing, that award might be lowered.

Is a Whistleblower Protected in Union township, New Jersey?

In New York State, 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 scams in Union township, New Jersey, get the legal support of an knowledgeable whistleblower lawyers 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 Union township, 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 township, New Jersey,  you can report Medicare fraud when you contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

Call now to
Report Medical fraud
We are here to help
Work With An Experienced WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Union township, New Jersey

If you’ve become aware of potential fraud as it concerns Medicaid or Medicare in Union township, New Jersey, you may need the guidance of a knowledgeable whistleblower lawyer, someone who can ensure that your claim is fully investigated and submitted accurately and immediately. By dealing with a knowledgeable lawyer you are increasing the chance that the federal or state government will intervene, therefore increasing the chance for a financial reward. Reporting Medicare and Medicaid 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 experience as national qui tam lawyers to assist in your battle against Medicare and Medicaid scams. Our attorneys will examine your case on a confidential, no-obligation basis. If we feel that you have a valid claim, we may represent you in a qui tam claim to report the fraud and allow you to gather a reward. Because all whistleblower cases are on contingency, you pay nothing up until there is a settlement. Contact us today to learn how we can help.

Service areas