Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid fraud in Paradise, Nevada

Medicaid and Medicare fraud cost Nevada taxpayers billions of dollars annually. While most medical providers and drug companies are honest and work within the system, some don’t. When fraud happens, everybody loses. Medicare and Medicaid whistleblower lawyers assist people who work in the healthcare system to submit lawsuits on behalf of the federal or state government to report this sort of fraud.

The state and federal governments place a great deal 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 fraud. People like you.

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Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare workers in Paradise, Nevada

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your heroic decision to come forward to report abuse and scams in the market. We know that stepping forward is difficult and many things may be at stake. When you come to us, your case is held in the strictest confidence at all times.

With our extensive experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently and carefully prepare your case, for court, and work tirelessly with you and the state of federal government to assist in bringing fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Paradise, Nevada

The Nevada False Claims Act governs the submission of false claims to state and local government, holding an offender liable when they have been involved in deceitful activity. It is a broad-reaching statute dealing with a range of scams, from health care to any other type of government contract or business relationship that involves state or regional funds.

 

The Nevada False Claims Act enforces liability on any individual or entity who presents fraudulent claims for payment or approval, utilizes incorrect records or statements, or commits a variety of other types of scams. It mirrors the federal False Claims Act by enabling whistleblowers to submit a qui tam lawsuit 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 an effective civil suit on behalf of the state or regional government may receive between 15 and 25 percent of the recovery if the state government chooses to step in. If not, the whistleblower may get between 25 and 30 percent of the funds recovered as a reward.

 

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

Liability of the Defendant in Paradise, Nevada

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

Statute of Limitations in Paradise, Nevada

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

Working With an Experienced Whistleblower Lawyer

Health care scams cost us all. Regrettably, state and local governments may have limited resources to combat scams and count on private citizens to come forward when they learned of fraudulent activity. For their efforts, they are entitled to a percentage of the recovery from a successful suit.

 

If you discovered deceitful activity in Paradise, Nevada, you may choose to submit a whistleblower lawsuit on behalf of the government to hold the offending parties accountable. We may be able to help you. Contact the Khurana Law Firm for a completely confidential consultation 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 Paradise, 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 Paradise, 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 LAWYER; We are proud to represent healthcare workers in Paradise, Nevada

When you become aware of fraud as it concerns Medicare or Medicaid in Paradise, Nevada, you need the guidance of a skilled whistleblower lawyer, someone who can guarantee that your claim is completely investigated and filed accurately and promptly. By working with a knowledgeable 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 try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of prior experience as national qui tam attorneys to help in your fight against Medicaid and Medicare scams. After you contact us, our attorneys will review your case on a confidential, no-obligation basis. If we believe you have a valid claim, we may represent you in a qui tam claim to report the scams and enable you to collect a reward. All whistleblower work is on contingency, you pay nothing up until there is a settlement. Get in touch with us today to learn how we can be of help.

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