Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid fraud in North Las Vegas, Nevada

Medicaid and Medicare fraud cost Nevada taxpayers billions of dollars each year. Although the majority of medical service providers and drug companies are ethical and work within the legal channels, there are those who don’t. When fraud takes place, everyone loses. Medicare and Medicaid whistleblower attorneys can help healthcare workers to file suits on behalf of the government to report these kinds of scams.

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

Work with

Experienced Medicaid and Medicare whistleblower attorneys; representing healthcare workers in North Las Vegas, Nevada

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower lawyers, we support your heroic decision to come forward to report abuse and fraud in the industry. understand that coming forward is challenging 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 completely investigate your claim, diligently prepare your case, for court, and work tirelessly with both you and the state of federal government to help bring deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in North Las Vegas, Nevada

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

 

The Nevada False Claims Act imposes liability on any person or entity who provides deceptive claims for payment or approval, uses incorrect records or statements, or executes a range of other kinds of scams. It mirrors the federal False Claims Act by permitting whistleblowers to submit a qui tam claim against the offending party 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 submits an effective civil lawsuit on behalf of the state or local government might get in between 15 and 25 percent of the funds recovered if the state government selects to intervene. If not, the whistleblower may receive between 25 and 30 percent of the recovery as a financial reward.

 

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

Liability of the Defendant in North Las Vegas, Nevada

The accused might be ordered to pay up to 3 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 North Las Vegas, Nevada

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

Working With an Experienced Whistleblower Attorney

Healthcare fraud costs all of us. Regrettably, state and local governments may have limited resources to combat scams and depend on private individuals to come forward when they learned of deceitful activity. For their efforts, they are entitled to a portion of the recovery from an effective claim.

 

If you know of deceitful activity in North Las Vegas, Nevada, you might decide 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 completely 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 North 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 North 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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WORKING WITH A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in North Las Vegas, Nevada

If you’ve become aware of fraudulent activity that may concern Medicaid or Medicare in North Las Vegas, Nevada, you need the guidance of an experienced whistleblower attorney, someone who can ensure that your claim is totally investigated and submitted accurately and quickly. By dealing with an experienced attorney you are increasing the chance that the federal or state government will intervene, therefore increasing the possibility for a reward. Reporting Medicare and Medicaid fraud is an intricate 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 assist in your fight against Medicaid and Medicare scams. We will review your case on a confidential, no-obligation basis. If we feel you have a legitimate claim, we may represent you in a qui tam lawsuit to report the fraud and allow you to collect a financial benefit. All whistleblower cases are on contingency, you pay nothing until there is a recovery. Get in touch with us today to learn how we can help.

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