reglab/housing_qa huggingface dataset:
NV Rev Stat § 616D.320 (2021)
2021 Nevada Revised Statutes|Chapter 616D - Industrial Insurance: Prohibited Acts; Penalties; Prosecution|NRS 616D.320 - Employment of person who is receiving unlawful payments for temporary total disability prohibited; penalty.

  1. An employer shall not knowingly offer employment or continue to employ a person who is receiving payments for a temporary total disability in violation of the provisions of chapters 616A to 616D, inclusive, or chapter 617 of NRS or NRS 281.390.  2. An employer who is convicted of violating the provisions of subsection 1 is guilty of a gross misdemeanor.  (Added to NRS by 1995, 1872; A 1999, 230)
NV Rev Stat § 616D.330 (2021)
2021 Nevada Revised Statutes|Chapter 616D - Industrial Insurance: Prohibited Acts; Penalties; Prosecution|NRS 616D.330 - Improper oral or written communications with treating physician or chiropractor of injured employee; exceptions; penalty.

  1. An insurer, an employer, an organization for managed care, a third-party administrator or the representative of any of those persons, the Nevada Attorney for Injured Workers or an attorney or other compensated representative of an injured employee shall not initiate:  (a) Any oral communication relating to the medical disposition of the claim of an injured employee with the injured employee’s examining or treating physician or chiropractor unless the initiator of the oral communication:  (1) Maintains, in written form or in a form from which a written record may be produced, a log that includes the date, time and subject matter of the communication; and  (2) Makes the log available, upon request, to each insurer, organization for managed care and third-party administrator interested in the claim or the representative of each of those persons, the Administrator and the injured employee, the injured employee’s representative and the injured employee’s employer; or  (b) Any written communication relating to the medical disposition of the claim with the injured employee’s examining or treating physician or chiropractor unless a copy of the communication is submitted to the injured employee or the injured employee’s representative in a timely manner.  2. If the Administrator determines that a person has violated the provisions of this section, the Administrator shall:  (a) For an initial violation, issue a notice of correction.  (b) For a second violation, impose an administrative fine of not more than $250.  (c) For a third or subsequent violation, impose an administrative fine of not more than $1,000.  (Added to NRS by 1997, 1789)
NV Rev Stat § 616D.350 (2021)
2021 Nevada Revised Statutes|Chapter 616D - Industrial Insurance: Prohibited Acts; Penalties; Prosecution|NRS 616D.350 - Definitions.

As used in NRS 616D.350 to 616D.440, inclusive, unless the context otherwise requires:  1. "Charge" means any communication, whether oral, written, electronic or magnetic, which is used to identify specific accident benefits as reimbursable pursuant to chapters 616A to 616D, inclusive, or chapter 617 of NRS, or which may be used to determine a rate of payment pursuant to those chapters.  2. "Provider of health care" means a person who receives or attempts to receive payment from:  (a) An insurer;  (b) A third-party administrator; or  (c) An organization for managed care which has contracted with an insurer or third-party administrator,  for accident benefits provided or alleged to have been provided to an injured employee pursuant to the provisions of chapters 616A to 616D, inclusive, or chapter 617 of NRS.  3. "Record" means any medical, professional or business record relating to:  (a) The treatment or care of an injured employee;  (b) Accident benefits provided to an injured employee; or  (c) Rates paid for such accident benefits.  (Added to NRS by 1993, 680; A 1995, 531, 1875) — (Substituted in revision for NRS 616.676)
NV Rev Stat § 616D.360 (2021)
2021 Nevada Revised Statutes|Chapter 616D - Industrial Insurance: Prohibited Acts; Penalties; Prosecution|NRS 616D.360 - Circumstances under which person is deemed to have knowledge of falsity or deemed to have made or caused certain action.

For the purposes of NRS 616D.370 and 616D.380:  1. A person shall be deemed to know that a charge, statement or representation is false if the person knows, or by virtue of the person’s position, authority or responsibility has reason to know, of the falsity of the charge, statement or representation.  2. A person shall be deemed to have made or caused to be made a charge, statement or representation if the person:  (a) Had the authority or responsibility to:  (1) Make the charge, statement or representation;  (2) Supervise another person who made the charge, statement or representation; or  (3) Authorize the making of the charge, statement or representation,  whether by operation of law, business or professional practice or office procedure; and  (b) Exercised that authority or responsibility or failed to exercise that authority or responsibility and, as a direct or indirect result, the charge, statement or representation was made.  (Added to NRS by 1993, 681) — (Substituted in revision for NRS 616.677)
NV Rev Stat § 616D.370 (2021)
2021 Nevada Revised Statutes|Chapter 616D - Industrial Insurance: Prohibited Acts; Penalties; Prosecution|NRS 616D.370 - False charges, representations and statements; penalty.

  1. A person shall not, by any act or omission:  (a) Make a charge or cause it to be made knowing the charge to be false, in whole or in part;  (b) Make or cause to be made a statement or representation for use in obtaining or seeking to obtain authorization to provide specific accident benefits pursuant to chapters 616A to 616D, inclusive, or chapter 617 of NRS, knowing the statement or representation to be false, in whole or in part; or  (c) Make or cause to be made a statement or representation for use by another person to obtain accident benefits pursuant to chapters 616A to 616D, inclusive, or chapter 617 of NRS, knowing the statement or representation to be false, in whole or in part.  2. A person who violates any of the provisions of this section shall be punished:  (a) If the amount of the charge or the value of the accident benefits obtained or sought to be obtained was $650 or more, for a category D felony as provided in NRS 193.130. In addition to any other penalty, the court shall order the person to pay restitution.  (b) If the amount of the charge or the value of the accident benefits obtained or sought to be obtained was less than $650, for a misdemeanor, and must be sentenced to restore any accident benefits so obtained, if it can be done, or tender payment for rent or labor.  (Added to NRS by 1993, 681; A 1995, 1308; 2011, 178)
NV Rev Stat § 616D.380 (2021)
2021 Nevada Revised Statutes|Chapter 616D - Industrial Insurance: Prohibited Acts; Penalties; Prosecution|NRS 616D.380 - Invoices containing false information; signature required; presumption.

  1. Each invoice for payment for accident benefits provided to an injured employee must:  (a) Contain a statement that all matters stated therein are true and accurate; and  (b) Be signed by a natural person who is the provider of health care or is authorized to act for the provider of health care.  2. A person who, by any act or omission, signs or submits, or causes to be signed or submitted, the statement required by subsection 1, knowing that the invoice contains information which is false, in whole or in part, is guilty of a gross misdemeanor.  3. For the purposes of this section, a person who signs on behalf of a provider of health care is presumed to have the authorization of the provider of health care and to be acting at the direction of the provider of health care.  4. As used in this section, to "sign" means to affix a signature directly or indirectly by means of handwriting, a typewriter, a stamp, a computer impulse or other means.  (Added to NRS by 1993, 681) — (Substituted in revision for NRS 616.679)
NV Rev Stat § 616D.390 (2021)
2021 Nevada Revised Statutes|Chapter 616D - Industrial Insurance: Prohibited Acts; Penalties; Prosecution|NRS 616D.390 - Certain acts relating to offer, payment, transfer, acceptance or solicitation of additional value prohibited; improper use of referral fees; exceptions; penalty.

  1. Except as otherwise provided in subsection 2, a person shall not:  (a) While acting on behalf of a provider of health care, purchase or lease goods, services, materials or supplies for which payment may be made, in whole or in part, pursuant to chapters 616A to 616D, inclusive, or chapter 617 of NRS, and solicit or accept anything of additional value in return for or in connection with the purchase or lease;  (b) Sell or lease to or for the use of a provider of health care goods, services, materials or supplies for which payment may be made, in whole or in part, pursuant to chapters 616A to 616D, inclusive, or chapter 617 of NRS, and offer, transfer or pay anything of additional value in connection with or in return for the sale or lease; or  (c) Refer a person to a provider of health care for accident benefits for which payment may be made, in whole or in part, pursuant to chapters 616A to 616D, inclusive, or chapter 617 of NRS, and solicit or accept anything of value in connection with the referral.  2. Paragraphs (a) and (b) of subsection 1 do not apply if the additional value transferred is:  (a) A refund or discount made in the ordinary course of business;  (b) Reflected by the books and records of the person transferring or receiving it; and  (c) Reflected in the charges submitted to the insurer.  3. A provider of health care shall not offer, transfer or pay anything of value in connection with or in return for the referral to the provider of a patient for whom payment of accident benefits may be made, in whole or in part, pursuant to chapters 616A to 616D, inclusive, or chapter 617 of NRS.  4. A person shall not, while acting on behalf of a provider of health care pursuant to chapters 616A to 616D, inclusive, or chapter 617 of NRS, charge, solicit, accept or receive anything of value in addition to the amount legally payable pursuant to any of those chapters in connection with the provision of the accident benefits.  5. A person who violates any provision of this section, if the value of the thing or any combination of things unlawfully solicited, accepted, offered, transferred, paid, charged or received:  (a) Is less than $650, is guilty of a gross misdemeanor.  (b) Is $650 or more, is guilty of a category D felony and shall be punished as provided in NRS 193.130.  (Added to NRS by 1993, 682; A 1995, 1308; 1997, 3223; 2011, 178)
NV Rev Stat § 616D.400 (2021)
2021 Nevada Revised Statutes|Chapter 616D - Industrial Insurance: Prohibited Acts; Penalties; Prosecution|NRS 616D.400 - Failure to maintain and make available necessary records; penalty.

  1. A person who, upon submitting a charge for or upon receiving payment for accident benefits pursuant to chapters 616A to 616D, inclusive, or chapter 617 of NRS, intentionally fails to maintain such records as are necessary to disclose fully the nature of the accident benefits for which a charge was submitted or payment was received, or such records as are necessary to disclose fully all income and expenditures upon which rates of payment were based, for at least 5 years after the date on which payment was received, is guilty of a gross misdemeanor.  2. A person who fails to make such records available to the Attorney General or the Administrator upon reasonable request is guilty of a gross misdemeanor.  3. A person who intentionally destroys such records within 5 years after the date payment was received is guilty of a category D felony and shall be punished as provided in NRS 193.130.  (Added to NRS by 1993, 682; A 1995, 1309; 1999, 1801)
NV Rev Stat § 616D.410 (2021)
2021 Nevada Revised Statutes|Chapter 616D - Industrial Insurance: Prohibited Acts; Penalties; Prosecution|NRS 616D.410 - Conspiracy to commit prohibited acts.

Any person who conspires with any other person to violate:  1. Any of the provisions of NRS 616D.200 is guilty of a misdemeanor.  2. Any of the provisions of NRS 616D.220, 616D.240, 616D.300, 616D.310 or 616D.350 to 616D.440, inclusive, is guilty of a gross misdemeanor.  (Added to NRS by 1993, 684; A 1997, 3224)
NV Rev Stat § 616D.415 (2021)
2021 Nevada Revised Statutes|Chapter 616D - Industrial Insurance: Prohibited Acts; Penalties; Prosecution|NRS 616D.415 - Fraud; conspiracy to commit fraud; penalty.

  1. An employer who knowingly makes a false statement or representation or knowingly conceals a material fact regarding the eligibility of a person claiming benefits under this chapter or chapter 616A, 616B, 616C or 617 of NRS, including, without limitation, information relating to:  (a) The identity of the person; or  (b) The classification of the person as an independent contractor,  commits fraud in the administration of this chapter or chapter 616A, 616B, 616C or 617 of NRS or in the provision of compensation required by chapters 616A to 617, inclusive, of NRS, as applicable.  2. An employer who commits fraud as described in subsection 1 shall be punished as follows:  (a) If the amount of the benefit or payment obtained or attempted to be obtained was less than $250, for a misdemeanor.  (b) If the amount of the benefit or payment obtained or attempted to be obtained was $250 or more, for a category D felony as provided in NRS 193.130.  3. Any person who conspires with any other person to commit fraud in the administration of this chapter or chapter 616A, 616B, 616C or 617 of NRS or in the provision of compensation required by chapters 616A to 617, inclusive, of NRS as described in subsection 1 shall be punished as follows:  (a) If the amount of the benefit or payment obtained or attempted to be obtained was less than $250, for a misdemeanor.  (b) If the amount of the benefit or payment obtained or attempted to be obtained was $250 or more, for a category D felony as provided in NRS 193.130.  (Added to NRS by 2011, 841)
NV Rev Stat § 616D.420 (2021)
2021 Nevada Revised Statutes|Chapter 616D - Industrial Insurance: Prohibited Acts; Penalties; Prosecution|NRS 616D.420 - Provider of health care convicted of fraudulent practice prohibited from receiving or accepting payment for accident benefits; penalty.

  1. No provider of health care who has been convicted of violating any provision of NRS 616D.370 to 616D.410, inclusive, may, for 5 years after the date of the first conviction or at any time after the date of a second or subsequent conviction, receive or accept a payment for accident benefits provided or alleged to have been provided to an injured employee pursuant to the provisions of chapters 616A to 616D, inclusive, or chapter 617 of NRS.  2. A person who violates any provision of this section is guilty of a gross misdemeanor.  (Added to NRS by 1995, 1872)
NV Rev Stat § 616D.430 (2021)
2021 Nevada Revised Statutes|Chapter 616D - Industrial Insurance: Prohibited Acts; Penalties; Prosecution|NRS 616D.430 - Civil penalties for person who receives payment or benefit to which person is not entitled.

  1. A person who receives a payment or benefit to which the person is not entitled by reason of a violation of any of the provisions of NRS 616D.300, 616D.370, 616D.380, 616D.390, 616D.400 or 616D.410 is liable in a civil action commenced by the Attorney General for:  (a) An amount equal to three times the amount unlawfully obtained;  (b) Not less than $5,000 for each act of deception;  (c) An amount equal to three times the total amount of the reasonable expenses incurred by the State in enforcing this section; and  (d) Payment of interest on the amount of the excess payment at the rate fixed pursuant to NRS 99.040 for the period from the date upon which payment was made to the date upon which repayment is made.  2. A criminal action need not be brought against a person who receives a payment or benefit to which the person is not entitled by reason of a violation of any of the provisions of NRS 616D.300, 616D.370, 616D.380, 616D.390, 616D.400 or 616D.410 before civil liability attaches under this section.  3. A person who unknowingly accepts a payment in excess of the amount to which the person is entitled is liable for the repayment of the excess amount. It is a defense to any action brought pursuant to this subsection that the person returned or attempted to return the amount which was in excess of that to which the person was entitled within a reasonable time after receiving it.  4. Any repayment of money collected pursuant to paragraph (a) or (d) of subsection 1 must be paid to the insurer who made the payment to the person who violated the provisions of this section. Any payment made to an insurer may not exceed the amount paid by the insurer to that person.  5. Any penalty collected pursuant to paragraph (b) or (c) of subsection 1 must be used to pay the salaries and other expenses of the Fraud Control Unit for Industrial Insurance established pursuant to NRS 228.420. Any money remaining at the end of any fiscal year does not revert to the State General Fund.  (Added to NRS by 1993, 683; A 1995, 1875; 1999, 1801)
NV Rev Stat § 616D.440 (2021)
2021 Nevada Revised Statutes|Chapter 616D - Industrial Insurance: Prohibited Acts; Penalties; Prosecution|NRS 616D.440 - False claim for payment: Withholding by insurer of payment to provider of health care; procedure for withholding; appeal.

  1. An insurer may withhold any payment due a provider of health care pursuant to the provisions of chapters 616A to 616D, inclusive, or chapter 617 of NRS, in whole or in part, upon receipt of reliable evidence that the provider of health care knowingly made a false statement or representation or knowingly concealed a material fact to obtain the payment. The insurer may withhold such a payment without first notifying the provider of health care of its intention to do so.  2. The insurer shall, within 5 days after withholding such a payment, send notice of the withholding to the provider of health care by certified mail or electronic transmission. The notice must:  (a) Set forth the factual basis for the withholding, but need not disclose specific information regarding the insurer’s investigation;  (b) Indicate that the payment is being withheld pursuant to the provisions of this section;  (c) Indicate that the payment is being withheld temporarily, as set forth in subsection 4, and describe the circumstances under which the withholding will be terminated;  (d) Specify the charge submitted by the provider of health care for which the payment is being withheld; and  (e) Notify the provider of health care of the right of the provider of health care to appeal the withholding.  3. A provider of health care may appeal the decision of the insurer to withhold payment to an appeals officer pursuant to NRS 616C.360.  4. Any payment withheld pursuant to the provisions of this section must be made to the provider of health care if:  (a) The insurer or the Attorney General determines that there is insufficient evidence to prove that the provider of health care knowingly made a false statement or representation or knowingly concealed a material fact to obtain the payment; or  (b) A final judgment or decree was rendered in favor of the provider of health care in a criminal proceeding arising out of the alleged misconduct.  (Added to NRS by 1993, 683; A 1997, 1444)
NV Rev Stat § 616D.550 (2021)
2021 Nevada Revised Statutes|Chapter 616D - Industrial Insurance: Prohibited Acts; Penalties; Prosecution|NRS 616D.550 - Duty to report violations to Fraud Control Unit for Industrial Insurance.

  1. An insurer, organization for managed care, health care provider, employer, third-party administrator or public officer who believes, or has reason to believe, that:  (a) A fraudulent claim for benefits under a policy of insurance has been made, or is about to be made;  (b) An employer within the provisions of NRS 616B.633 has:  (1) Knowingly made a false statement or representation concerning the amount of payroll upon which a premium is based; or  (2) Failed to provide and secure compensation under the terms of chapters 616A to 616D, inclusive, or chapter 617 of NRS or has failed to maintain that compensation;  (c) A provider of health care has submitted an invoice for payment for accident benefits that contains information which the provider knows is false; or  (d) A person has committed any other fraudulent practice under this chapter or chapter 616A, 616B, 616C or 617 of NRS,  shall report that belief to the Fraud Control Unit for Industrial Insurance established pursuant to NRS 228.420.  2. The Fraud Control Unit for Industrial Insurance established pursuant to NRS 228.420 may require a person who submits a report pursuant to subsection 1 to submit that report on a form prescribed by the Unit.  (Added to NRS by 1997, 3218; A 1999, 230)
NV Rev Stat § 616D.560 (2021)
2021 Nevada Revised Statutes|Chapter 616D - Industrial Insurance: Prohibited Acts; Penalties; Prosecution|NRS 616D.560 - Duty of Administrator and Fraud Control Unit for Industrial Insurance to report and share information relating to violations.

The Administrator and the Fraud Control Unit for Industrial Insurance established pursuant to NRS 228.420 shall establish procedures to ensure that:  1. The Administrator, in accordance with the established procedures, reports to the Unit violations of the provisions of NRS 616D.200, 616D.220, 616D.240, 616D.300, 616D.310 or 616D.350 to 616D.440, inclusive, of which the Administrator becomes aware;  2. For the purposes of NRS 616D.120, the Unit notifies the Administrator in a timely manner whether the Unit will prosecute a person who has violated the provisions of NRS 616D.200, 616D.220, 616D.240, 616D.300, 616D.310 or 616D.350 to 616D.440, inclusive; and  3. The Administrator and the Unit share other information of which they are aware relating to violations of the provisions of NRS 616D.200, 616D.220, 616D.240, 616D.300, 616D.310 or 616D.350 to 616D.440, inclusive.  (Added to NRS by 1997, 3219; A 2011, 842)
NV Rev Stat § 616D.600 (2021)
2021 Nevada Revised Statutes|Chapter 616D - Industrial Insurance: Prohibited Acts; Penalties; Prosecution|NRS 616D.600 - Prosecution of criminal actions by Attorney General: Prosecution not precluded by commencement of civil action; duty to furnish information to assist in prosecution; penalty.

  1. The Attorney General may prosecute all criminal actions for the violation of any of the provisions of NRS 616D.200, 616D.220, 616D.240, 616D.300, 616D.310 or 616D.350 to 616D.440, inclusive. The commencement of a civil action by the Attorney General pursuant to NRS 616D.230 or 616D.430 or for the recovery of any civil penalties, fines, fees or assessments imposed pursuant to the provisions of chapters 616A to 616D, inclusive, or chapter 617 of NRS does not preclude the prosecution of a criminal action by the Attorney General pursuant to this section.  2. Upon request, any person shall furnish to the Attorney General information which would assist in the prosecution of any person alleged to have violated any of the provisions of NRS 616D.200, 616D.220, 616D.240, 616D.300, 616D.310 or 616D.350 to 616D.440, inclusive. Any person who fails to furnish such information upon request is guilty of a misdemeanor.  (Added to NRS by 1993, 684; A 1995, 1876; 2011, 842)