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Medicare whistleblower lawyer

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

Medicare and Medicaid fraud cost New Jersey taxpayers billions of dollars every year. While the majority of medical companies and drug companies are ethical and work within the legal channels, some don’t. When fraud occurs, everyone can lose. Medicaid and Medicare whistleblower attorneys assist healthcare professionals to submit lawsuits on behalf of the government to help report this sort of fraud.

The state and federal government put a good deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, the government 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 Vineland, New Jersey

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower lawyers, we support your brave choice to come forward to report abuse and scams in the industry. understand that stepping forward is not easy and many things might 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 thoroughly examine your claim, carefully prepare your case, and work tirelessly with both you and the federal or state 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 Vineland, New Jersey

Following the New Jersey False Claims Act, individuals who have become aware of deceptive Medicare activity can file a qui tam claim on behalf of the government. Under the New Jersey False Claims Act, parties who defraud the government can be held accountable for their fraudulent insurance claims or fraudulent practices. Whistleblowers might likewise have the ability to recover a reward for their information and participation in bringing those parties or entities to justice.

What Does the New Jersey False Claim Act Say?

The New Jersey False Claims imposes civil charges on any person who submits a claim to the State for {money, property| or services that he understands or ought to know is incorrect.” In these cases, anybody who is a party to defrauding the government as it relates to Medicare claims may be held accountable for this 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 in between $5,500 and $11,000 for each infraction.

What Is A Whistleblower Entitled To?

An effective qui tam claim might entitle a whistleblower to get a financial reward between 15 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 financial reward of between 25 percent and 30 percent of the recovery amount.


If a whistleblower was associated with the preparation or initiation of the fraud, or if their information was based on something that was stemmed from the media or any public hearing, that award may be decreased.

Is a Whistleblower Protected in Vineland, New Jersey?

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 know of Medicare or Medicaid scams in Vineland, New Jersey, get the legal support of an experienced whistleblower legal representatives 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:


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 Vineland, 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 Vineland, 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 ATTORNEY; We are proud to represent healthcare workers in Vineland, New Jersey

When you become aware of fraudulent activity that may involve Medicaid or Medicare in Vineland, New Jersey, you require the advice of an experienced whistleblower attorney, someone who can guarantee that your claim is completely investigated and filed accurately and without delay. By working with a knowledgeable attorney you are increasing the chance that the government will intervene, hence 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 bring years of experience as national qui tam attorneys to help in your fight against Medicare and Medicaid fraud. We will review your case on a confidential, no-obligation basis. If we feel that you have a valid claim, we can represent you in a qui tam suit to help report the fraud and enable you to gather a reward. Because all whistleblower work is on contingency, you pay absolutely nothing until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

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