Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid scams in Sparks, Nevada

Medicaid and Medicare fraud cost Nevada taxpayers billions of dollars annually. While many medical service providers and drug companies are honest and work within the system, there are those who don’t. When fraud occurs, everybody can lose. Medicare and Medicaid whistleblower lawyers help healthcare workers to submit suits on behalf of the government to report this type of fraud.

The state and federal government put a lot of trust in medical and pharmaceutical service providers. When that trust is ill-placed, the government depends on every day people in Nevada to come forward to report fraud. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare employees in Sparks, Nevada

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower legal representatives, we support your brave decision to come forward to report abuse and scams in the industry. understand that stepping forward is difficult and numerous things might be at stake. When you come to us, your case is kept in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we completely investigate your claim, carefully prepare your case, for court, and work tirelessly with you and the state of federal government to help bring deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Sparks, Nevada

The Nevada False Claims Act governs the submission of false claims to state and local government, holding a transgressor accountable when they have been may have perpetrated deceitful activity. It is a broad-reaching statute addressing an array of fraud, from health care to any other kind of government agreement 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 incorrect records or statements, or carries out various other types of scams. It mirrors the federal False Claims Act by enabling 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 substantial financial reward.

 

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

 

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

Liability of the Defendant in Sparks, Nevada

The defendant may be required to pay up to 3 times the damage to the government as well as fines of in between $5,500 and $11,000 per offense.

Statute of Limitations in Sparks, Nevada

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

Working With an Experienced Whistleblower Lawyer

Healthcare scams cost all of us. Sadly, state and regional governments may have limited resources to fight scams and count on private people to step forward when they have knowledge of deceitful activity. For their efforts, they are entitled to a percentage of the funds recovered from a successful claim.

 

If you discovered fraudulent activity in Sparks, Nevada, you may decide to file a whistleblower suit on behalf of the government in order to hold the offending parties liable. 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 Sparks, 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 Sparks, 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 LAWYER; We are proud to represent healthcare workers in Sparks, Nevada

If you’ve become aware of potential fraud that may involve Medicare or Medicaid in Sparks, Nevada, you may need the guidance of a skilled whistleblower lawyer, someone who can make sure that your claim is completely investigated and submitted accurately and without delay. By dealing with a knowledgeable lawyer you are increasing the chance that the government will intervene, hence increasing the opportunity for a reward. Reporting Medicare and Medicaid scams is a complex matter –  do not 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 legal representatives to help in your fight against Medicaid and Medicare fraud. Our attorneys will evaluate your case on a confidential, no-obligation basis. If we feel you have a valid claim, we can represent you in a qui tam suit to report the scams and allow you to collect a reward. Because all whistleblower work is on contingency, you pay absolutely nothing up until there is a recovery. Contact us today to learn how we can be of help.

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