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Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid scams in Nevada

Medicare and Medicaid fraud cost Nevada taxpayers billions of dollars each year. Although most medical providers and drug companies are ethical and work within the system, there are those who do not. When scams are perpetrated, everyone loses. Medicaid and Medicare whistleblower attorneys assist people who work in the healthcare system to submit lawsuits on behalf of the government to help report this sort of fraud.

The federal and state governments put a a lot of trust in medical and pharmaceutical service providers. When that trust is ill-placed, the government relies on regular folks in Nevada to come forward and to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare workers in Nevada

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower attorneys, we support your brave decision to come forward to report abuse and fraud in the market. We know that stepping forward is not simple and numerous things might be at stake. When you come to us, your case is kept in the strictest confidence .

With our extensive experience representing whistleblowers nationwide, we thoroughly examine your claim, carefully prepare your case, and work relentlessly with you and the state of federal government to assist in bringing deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Nevada

The Nevada False Claims Act governs the submission of false claims to state and local government, holding a wrongdoer liable when they have been involved in fraudulent activity. It is a broad-reaching statute addressing an array of fraud, from healthcare to any other type of government contract or business relationship that involves state or local funds. 

The Nevada False Claims Act imposes liability on any person or entity who presents fraudulent claims for payment or approval, uses false records or statements, or commits various other types of fraud. It mirrors the federal False Claims Act by allowing whistleblowers to file a qui tam lawsuit against the offending party on behalf of the state or local government and may entitle them to a substantial reward. 

Under the Nevada False Claims Act, a whistleblower who files a successful civil lawsuit on behalf of the state or local government may receive between 15 and 25 percent of the recovery if the government chooses to intervene. If not, the whistleblower may receive between 25 and 30 percent of the recovery as a reward.

The whistleblower is also protected against any employer retaliation for filing a claim or assisting the state or local government.

If you are an Arizona healthcare worker, get in touch with Arizona Medicare Whistleblower attorney.

Liability of the Defendant in Nevada

The defendant may be ordered to pay up to three times the harm to the government in addition to fines of between $5,500 and $11,000 per violation.

Statute of Limitations in Nevada

A whistleblower must file their complaint within ten years of the date of the violation.

Working With an Experienced Whistleblower Attorney

Healthcare fraud costs us all. Unfortunately, state and local governments have limited resources to fight fraud and rely on private individuals to come forward when they have knowledge of fraudulent activity. For their efforts, they are entitled to a percentage of the recovery from a successful lawsuit.  

If you have become aware of fraudulent activity, you may choose to file a whistleblower lawsuit on behalf of the government to hold the offending parties accountable. We can assist you. Contact the Khurana Law Firm for a confidential consultation to discuss your case and your rights under the Nevada False Claims Act.

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 can report it 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. To report Medicare fraud, contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

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Report Medical fraud
We are here to help

If you’ve become aware of fraud that may concern Medicare or Medicaid, you need the advice of an experienced whistleblower lawyer, someone who can make sure that your claim is fully examined and filed accurately and quickly. By working with a knowledgeable lawyer you are increasing the chance that the government will intervene, thus increasing the opportunity for a financial reward. Reporting Medicaid and Medicare fraud is a complicated matter –  don’t try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of prior experience as national qui tam legal representatives to help in your battle against Medicaid and Medicare scams. After you get in touch our lawyers will examine your case on a confidential, no-obligation basis. If we feel you have a valid claim, we may represent you in a qui tam lawsuit to help report the scams and allow you to collect a reward. Because all whistleblower work is on contingency, you pay nothing up until there is a recovery. Contact us today to learn how we can be of help.

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