Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid fraud in Henderson, Nevada

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

The federal and state government place a good deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, it counts on regular folks in Nevada to come forward and to report fraud. People like you.

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

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower legal representatives, we support your heroic choice to come forward to report abuse and scams in the industry. understand that coming forward is difficult and numerous 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 completely investigate your claim, diligently prepare your case, and work tirelessly with you and the state of federal government to help bring fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Henderson, Nevada

The Nevada False Claims Act governs the submission of incorrect claims to state and regional government, holding a wrongdoer liable when they have been involved in deceptive activity. It is a broad-reaching statute attending to a range of fraud, from healthcare to any other type of government agreement or service relationship that involves state or regional funds.

 

The Nevada False Claims Act imposes liability on any individual or entity who provides fraudulent claims for payment or approval, utilizes incorrect records or statements, or commits a variety of other kinds of scams. It mirrors the federal False Claims Act by allowing whistleblowers to submit a qui tam suit against the offending entity on behalf of the state or local government and might entitle them to a considerable financial reward.

 

Under the Nevada False Claims Act, a whistleblower who files an effective civil lawsuit on behalf of the state or local government might receive in between 15 and 25 percent of the recovery if the state government picks to intervene. If not, the whistleblower may receive in between 25 and 30 percent of the funds recovered as a financial reward.

 

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

Liability of the Defendant in Henderson, Nevada

The accused may be required to pay up to three times the damage to the government in addition to fines of between $5,500 and $11,000 per infraction.

Statute of Limitations in Henderson, Nevada

A whistleblower should submit their complaint within 10 years of the date of the offense.

Working With an Experienced Whistleblower Attorney

Healthcare fraud costs us all. Regrettably, state and local governments may have limited resources to fight scams and depend on private people to come forward when they learned of fraudulent activity. For their efforts, these whistleblowers are entitled to a percentage of the funds recovered from an effective claim.

 

If you know of deceptive activity in Henderson, Nevada, you may decide to submit a whistleblower lawsuit on behalf of the government to hold the offending parties responsible. We can assist 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 Henderson, 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 Henderson, 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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Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Henderson, Nevada

When you become aware of fraud that may involve Medicaid or Medicare in Henderson, Nevada, you need the guidance of a skilled whistleblower lawyer, someone who can make sure that your claim is totally examined and submitted accurately and without delay. By dealing with a skilled lawyer you are increasing the chance that the federal or state government will step in, hence increasing the opportunity for a reward. Reporting Medicare and Medicaid scams 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 practical experience as national qui tam lawyers to assist in your fight against Medicaid and Medicare scams. After you contact us, our attorneys will evaluate 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 enable you to gather a financial benefit. Because all whistleblower work is on contingency, you pay nothing until there is a settlement. Get in touch with us today to learn how we can help.

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