Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid scams in Carson City, Nevada

Medicare and Medicaid fraud cost Nevada taxpayers billions of dollars annually. While the majority of medical providers and drug companies are ethical and work within the system, there are those who do not. When fraud takes place, everyone loses. Medicare and Medicaid whistleblower attorneys can assist healthcare professionals to file suits on behalf of the government to help report this type of fraud.

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

Work with

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

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

With our comprehensive experience representing whistleblowers nationwide, we thoroughly examine your claim, carefully prepare your case, and work tirelessly with both 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 Carson City, Nevada

The Nevada False Claims Act governs the submission of false claims to state and local government, holding a perpetrator accountable when they have been involved in deceitful activity. It is a broad-reaching law dealing with an array of scams, from healthcare to any other kind of government agreement or business relationship that involves state or local funds.

 

The Nevada False Claims Act enforces liability on any individual or entity who provides fraudulent claims for payment or approval, uses false records or declarations, or carries out various other kinds of fraud. It mirrors the federal False Claims Act by enabling whistleblowers to submit a qui tam suit against the offending party on behalf of the state or regional government and might entitle them to a considerable reward.

 

Under the Nevada False Claims Act, a whistleblower who submits a successful civil suit on behalf of the state or regional government may get in between 15 and 25 percent of the recovery if the government picks to intervene. If not, the whistleblower might get in between 25 and 30 percent of the funds recovered as a reward.

 

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

Liability of the Defendant in Carson City, Nevada

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

Statute of Limitations in Carson City, Nevada

A whistleblower must file their complaint within 10 years of the date of the violation.

Working With an Experienced Whistleblower Lawyer

Health care scams cost all of us. Unfortunately, state and regional governments may have limited resources to fight scams and count on private citizens to come forward when they learned of deceitful activity. For their efforts, they are entitled to a percentage of the funds recovered from an effective suit.

 

If you learned of deceptive activity in Carson City, Nevada, you might choose to submit a whistleblower lawsuit on behalf of the government in order to hold the offending parties liable. We can help you. Contact the Khurana Law Firm for a completely confidential assessment so as 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:

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 Carson City, Nevada, 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 Carson City, Nevada,  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 LAWYER; We are proud to represent healthcare workers in Carson City, Nevada

If you’ve become aware of fraud involving Medicare or Medicaid in Carson City, Nevada, you need the advice of a knowledgeable whistleblower attorney, someone who can make sure that your claim is completely investigated and submitted accurately and without delay. By working with an experienced attorney you are increasing the chance that the federal or state government will step in, therefore increasing the opportunity for a reward. Reporting Medicaid and Medicare scams is a complex matter –  don’t 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 legal representatives to assist in your fight against Medicaid and Medicare fraud. After you get in touch our lawyers will review 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 suit to help report the fraud and allow you to gather a financial benefit. All whistleblower work is on contingency, you pay absolutely nothing up until there is a recovery. Contact us today to to schedule a confidential consultation.

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