Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid scams in Las Vegas, Nevada

Medicare and Medicaid fraud cost Nevada taxpayers billions of dollars annually. Although the majority of medical providers and drug companies are honest and work within the legal channels, there are those who do not. When scams are perpetrated, everybody loses. Medicare and Medicaid whistleblower lawyers can assist healthcare workers to submit lawsuits on behalf of the government to report this type of fraud.

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

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Experienced Medicare and Medicaid whistleblower lawyers; representing health care employees in Las Vegas, Nevada

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your heroic decision to come forward to report abuse and scams in the industry. We know 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 comprehensive experience representing whistleblowers nationwide, we thoroughly investigate your claim, carefully prepare your case, and work tirelessly with you and the federal or state government to help bring deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in Las Vegas, Nevada

The Nevada False Claims Act governs the submission of incorrect claims to state and regional government, holding a wrongdoer accountable when they have been associated with deceptive activity. It is a broad-reaching statute dealing with a range of fraud, from healthcare to any other type of government contract or company 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 false records or statements, or executes various other types of fraud. It mirrors the federal False Claims Act by permitting whistleblowers to file a qui tam suit against the offending party on behalf of the state or regional government and might entitle them to a significant reward.

 

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

 

The whistleblower is also secured against any employer retaliation for suing or helping the state or local government.

Liability of the Defendant in Las Vegas, Nevada

The accused might be required to pay up to 3 times the damage to the government in addition to fines of between $5,500 and $11,000 per infraction.

Statute of Limitations in Las Vegas, Nevada

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

Working With an Experienced Whistleblower Attorney

Health care fraud costs us all. Unfortunately, state and regional governments have limited resources to battle fraud and count on private people to come forward when they learned of fraudulent activity. For their efforts, these whistleblowers are entitled to a percentage of the recovery from an effective claim.

 

If you know of deceitful activity in Las Vegas, Nevada, you may choose to file a whistleblower suit on behalf of the government to hold the offending parties liable. We can help you. Contact the Khurana Law Firm for a confidential consultation 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 Las Vegas, 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 Las Vegas, 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 An Experienced WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Las Vegas, Nevada

When you become aware of potential fraud involving Medicaid or Medicare in Las Vegas, Nevada, you may need the guidance of a knowledgeable whistleblower attorney, someone who can guarantee that your claim is totally investigated and submitted accurately and quickly. By working with a knowledgeable lawyer you are increasing the chance that the federal or state government will intervene, 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 prior experience as national qui tam legal representatives to help in your battle against Medicaid and Medicare scams. Our attorneys will review your case on a confidential, no-obligation basis. If we feel you may have a valid claim, we can represent you in a qui tam suit to help report the fraud and allow you to collect a reward. Because all whistleblower cases are on contingency, you pay absolutely nothing up until there is a recovery. Get in touch with us today to learn how we can help.

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