Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid scams in Reno, Nevada

Medicaid and Medicare fraud cost Nevada taxpayers billions of dollars each year. Although the majority of medical providers and drug companies are ethical and work within the system, some don’t. When fraud takes place, everybody can lose. Medicaid and Medicare whistleblower attorneys help people who work in the healthcare system to file claims on behalf of the federal or state government to report these kinds of scams.

The state and federal government put a good deal of trust in pharmaceutical and medical providers. When that trust is ill-placed, the government depends on every day people 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 workers in Reno, Nevada

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

With our substantial experience representing whistleblowers nationwide, we thoroughly investigate your claim, 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 Reno, Nevada

The Nevada False Claims Act governs the submission of incorrect claims to state and regional government, holding an offender accountable when they have been associated with fraudulent activity. It is a broad-reaching statute addressing a range of fraud, from healthcare to any other type of government contract or company relationship that involves state or regional funds.

 

The Nevada False Claims Act enforces liability on any person or entity who provides deceptive claims for payment or approval, uses false records or declarations, or carries out a range of other kinds of fraud. It mirrors the federal False Claims Act by enabling whistleblowers to submit a qui tam claim against the offending party on behalf of the state or local government and may entitle them to a substantial financial reward.

 

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

 

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

Liability of the Defendant in Reno, Nevada

The accused may be ordered to pay up to 3 times the damage to the state or regional government as well as fines of in between $5,500 and $11,000 per violation.

Statute of Limitations in Reno, Nevada

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

Working With an Experienced Whistleblower Lawyer

Healthcare scams cost us all. Sadly, state and regional governments have limited resources to eliminate scams and rely on private individuals to step forward when they learned of fraudulent activity. For their efforts, they are entitled to a percentage of the recovery from an effective claim.

 

If you have become aware of fraudulent activity in Reno, Nevada, you might decide to submit a whistleblower claim on behalf of the government in order to hold the offending parties liable. We can 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 Reno, 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 Reno, 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 Reno, Nevada

When you become aware of potential fraud involving Medicare or Medicaid in Reno, Nevada, you require the guidance of a knowledgeable whistleblower attorney, someone who can guarantee that your claim is totally investigated and submitted accurately and quickly. By dealing with a skilled lawyer you are increasing the chance that the government will step in, therefore increasing the possibility 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 have years of prior experience as national qui tam attorneys to assist in your fight against Medicaid and Medicare fraud. Our attorneys will examine your case on a confidential, no-obligation basis. If we believe that you may have a valid claim, we may represent you in a qui tam lawsuit to help report the fraud and enable you to collect a reward. All whistleblower work is on contingency, you pay nothing up until there is a recovery. Get in touch with us today to learn how we can help.

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