Khurana
Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid scams in Sunrise Manor, Nevada

Medicare and Medicaid fraud cost Nevada taxpayers billions of dollars annually. Although the majority of medical companies and drug companies are honest and work within the system, there are those who do not. When scams are perpetrated, everybody loses. Medicare and Medicaid whistleblower lawyers assist people who work in the healthcare system to file claims on behalf of the government to report this type of fraud.

The state and federal government place a good deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, it depends on regular folks in Nevada to come forward and to report scams. People like you.

Work with

Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare workers in Sunrise Manor, 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. We know that coming forward is not easy and lots of things may be at stake. When you come to us, your case is held in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently and carefully prepare your case, and work relentlessly with both you and the state of federal government to assist in bringing deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in Sunrise Manor, Nevada

The Nevada False Claims Act governs the submission of false claims to state and regional government, holding a wrongdoer liable when they have been associated with deceitful activity. It is a broad-reaching statute dealing with a range of fraud, from healthcare to any other kind of government contract or service relationship that involves state or regional funds.

 

The Nevada False Claims Act enforces liability on any individual or entity who provides deceitful claims for payment or approval, utilizes false records or statements, or executes various other types of fraud. It mirrors the federal False Claims Act by permitting whistleblowers to file a qui tam lawsuit against the offending party on behalf of the state or regional government and might entitle them to a significant reward.

 

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

 

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

Liability of the Defendant in Sunrise Manor, Nevada

The defendant might be required to pay up to 3 times the harm to the state or regional government as well as fines of between $5,500 and $11,000 per infraction.

Statute of Limitations in Sunrise Manor, Nevada

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

Working With an Experienced Whistleblower Attorney

Healthcare scams cost all of us. Regrettably, state and regional governments may have limited resources to eliminate scams and count on private citizens to step forward when they learned of deceitful activity. For their efforts, they are entitled to a percentage of the recovery from an effective suit.

 

If you know of deceitful activity in Sunrise Manor, Nevada, you might choose to submit 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 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 Sunrise Manor, 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 Sunrise Manor, 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 Sunrise Manor, Nevada

When you become aware of fraud that may involve Medicare or Medicaid in Sunrise Manor, Nevada, you require the advice of an experienced 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, hence increasing the chance for a reward. Reporting Medicaid and Medicare scams is a complicated matter –  do not attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of experience as national qui tam attorneys to help in your battle against Medicaid and Medicare scams. Our attorneys will examine your case on a confidential, no-obligation basis. If we believe that you may have a legitimate claim, we can represent you in a qui tam claim to report the scams and allow you to collect a financial benefit. All whistleblower work is on contingency, you pay nothing until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

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