Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid scams in Enterprise, Nevada

Medicare and Medicaid fraud cost Nevada taxpayers billions of dollars every year. While most medical service providers and drug companies are honest and work within the legal channels, some don’t. When fraud takes place, everyone can lose. Medicare and Medicaid whistleblower attorneys can help healthcare workers to file claims on behalf of the government to report these kinds of scams.

The state and federal government put a good deal of trust in pharmaceutical and medical service providers. When that trust is ill-placed, the government relies on private citizens in Nevada to come forward and to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing health care workers in Enterprise, Nevada

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 fraud in the market. 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 extensive experience representing whistleblowers nationwide, we thoroughly examine your claim, carefully prepare your case, for court, and work relentlessly with you and the state of federal government to help bring fraudulent Medicare or Medicaid activity to justice.

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Whistleblower Laws in Enterprise, Nevada

The Nevada False Claims Act governs the submission of false claims to state and regional government, holding a transgressor accountable when they have been may have perpetrated fraudulent activity. It is a broad-reaching law attending to a range of scams, from health care to any other kind of government agreement or business relationship that involves state or local funds.

 

The Nevada False Claims Act imposes liability on any individual or entity who provides deceitful claims for payment or approval, utilizes incorrect records or statements, or commits a range of other types of scams. It mirrors the federal False Claims Act by permitting whistleblowers to submit a qui tam claim against the offending entity on behalf of the state or local government and might entitle them to a significant reward.

 

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

 

The whistleblower is likewise protected against any employer retaliation for suing or helping the state or city government.

Liability of the Defendant in Enterprise, Nevada

The accused 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 infraction.

Statute of Limitations in Enterprise, Nevada

A whistleblower should submit their complaint within ten years of the date of the infraction.

Working With an Experienced Whistleblower Attorney

Healthcare fraud costs us all. Sadly, state and regional governments have limited resources to eliminate scams and depend on private individuals to step forward when they learned of deceptive activity. For their efforts, these whistleblowers are entitled to a portion of the funds recovered from an effective suit.

 

If you have become aware of fraudulent activity in Enterprise, Nevada, you may choose to file a whistleblower lawsuit on behalf of the government in order to hold the offending parties liable. We may be able to help you. Contact the Khurana Law Firm for a confidential assessment in order 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 Enterprise, 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 Enterprise, 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 A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Enterprise, Nevada

When you become aware of fraud that may concern Medicare or Medicaid in Enterprise, Nevada, you require the advice of a skilled whistleblower lawyer, someone who can guarantee that your claim is totally investigated and filed accurately and immediately. By dealing with an experienced attorney you are increasing the chance that the government will intervene, therefore increasing the possibility for a financial reward. Reporting Medicare and Medicaid scams is a complicated matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of experience as national qui tam legal representatives to help in your fight against Medicare and Medicaid scams. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we believe that you may have a valid claim, we can represent you in a qui tam suit to report the fraud and enable you to collect a reward. All whistleblower cases are on contingency, you pay absolutely nothing until there is a recovery. Contact us today to to schedule a confidential consultation.

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