Nevada False Claims Act , N . R . S . §§ 357.010 - 357.250
The Nevada False Claim Act ( NFCA ) provides that a person who , with or without specific intent to defraud , knowingly presents or causes to be presented a false claim for payment ; knowingly makes , uses , or causes to be made or used , a false record or statement to obtain payment or approval of a false claim ; conspires to defraud by obtaining allowance or payment of a false claim ; or after discovering the falsity of the claim fails to disclose the falsity to the state within a reasonable time is liable to the state for a civil penalty of not less than $ 5,000 or more than $ 10,000 for each act . The Attorney General is required to investigate any alleged liability pursuant to the NFCA and bring a civil action pursuant to the NFCA against the person liable .
The Anti-Kickback Statute , 42 U . S . C . §§ 1320a - 7b ( b )
The federal Anti-Kickback Law provides criminal penalties for individuals or entities that knowingly and willfully offer , pay , solicit , or receive remuneration in order to induce or reward business payable or reimbursement under Medicare or other federal health care programs . In addition to applicable criminal sanctions , such as individual or entity may be excluded from participating in Medicare and other federal health care programs and is subject to civil monetary penalties .
The Beneficiary Inducement Law , 42 U . S . C . §§ 1320a - 7a ( a ) ( 5 )
The Beneficiary Inducement Law prohibits the provision of remuneration to a beneficiary to influence his or her selection of health care providers . Specifically , the Law prohibits a person from offering or transferring remuneration to a Medicare or Medicaid beneficiary , where such person knew or should have known that the remuneration was likely to influence the beneficiary to order or receive items or services from a particular provider , practitioner , or supplier for which payment may be made under the Medicare or Medicaid programs .
Recovery Audit Contractors
The fee-for-service ( FFS ) Medicare Recovery Audit Program is authorized under Section 1893 ( h ) of the Social Security Act . The mission of the Recovery Audit Program is to identify and correct Medicare and Medicaid improper payments through the efficient detection and collection of overpayments made on claims for health care services provided to Medicare and Medicaid beneficiaries , to identify
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