Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid fraud in Spring Valley, Nevada

Medicaid and Medicare fraud cost Nevada taxpayers billions of dollars every year. Although many medical providers and drug companies are honest and work within the system, some do not. When fraud takes place, everybody loses. Medicare and Medicaid whistleblower attorneys can assist healthcare professionals to file claims on behalf of the government to report this type of fraud.

The federal and state government place a great deal of trust in pharmaceutical and medical service providers. When that trust is ill-placed, it 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 health care employees in Spring Valley, Nevada

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your heroic choice to come forward to report abuse and scams in the market. understand that coming forward is challenging and many things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

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

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Whistleblower Laws in Spring Valley, Nevada

The Nevada False Claims Act governs the submission of incorrect claims to state and regional government, holding a transgressor liable when they have been may have perpetrated deceptive activity. It is a broad-reaching statute dealing with a range of fraud, from health care to any other kind of government agreement or service relationship that involves state or regional funds.

 

The Nevada False Claims Act enforces liability on any person or entity who provides fraudulent claims for payment or approval, uses false records or statements, or carries out a range of other types of fraud. It mirrors the federal False Claims Act by allowing whistleblowers to submit a qui tam suit against the offending party on behalf of the state or regional government and might entitle them to a substantial financial reward.

 

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

 

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

Liability of the Defendant in Spring Valley, Nevada

The defendant may be ordered to pay up to three times the damage to the government in addition to fines of between $5,500 and $11,000 per infraction.

Statute of Limitations in Spring Valley, Nevada

A whistleblower must submit their complaint within ten years of the date of the infraction.

Working With an Experienced Whistleblower Attorney

Healthcare scams cost us all. Regrettably, state and local governments may have limited resources to fight fraud and depend on private individuals to step forward when they have knowledge of deceitful activity. For their efforts, they are entitled to a portion of the recovery from a successful suit.

 

If you discovered deceptive activity in Spring Valley, Nevada, you may choose to submit a whistleblower lawsuit on behalf of the government to hold the offending parties liable. We may be able to 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 Spring Valley, 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 Spring Valley, 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 ATTORNEY; We are proud to represent healthcare workers in Spring Valley, Nevada

When you become aware of potential fraud involving Medicaid or Medicare in Spring Valley, Nevada, you need the guidance of a skilled whistleblower lawyer, someone who can make sure that your claim is fully investigated and filed accurately and without delay. By dealing with a knowledgeable lawyer you are increasing the chance that the government will step in, hence increasing the chance for a financial reward. Reporting Medicare and Medicaid fraud 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 practical experience as national qui tam legal representatives to assist in your fight against Medicaid and Medicare scams. After you contact us, our attorneys will evaluate your case on a confidential, no-obligation basis. If we feel you have a legitimate claim, we may represent you in a qui tam suit 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 settlement. Contact us today to to schedule a confidential consultation.

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