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Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid fraud in Birmingham, Alabama

Medicare and Medicaid fraud cost Alabama taxpayers billions of dollars every year. While most medical service providers and drug companies are honest and work within the legal channels, there are those who don’t. When fraud takes place, everybody can lose. Medicaid and Medicare whistleblower attorneys help people who work in the healthcare system to submit suits on behalf of the government to help report this type of fraud.

The state and federal governments put a good deal of trust in pharmaceutical and medical providers. When that trust is ill-placed, the government depends on private citizens in Alabama to come forward to report scams. People like you.

Work with

Experienced Medicare and Medicaid whistleblower attorneys; representing health care employees in Birmingham, Alabama

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. We know that coming forward is difficult and many things may be at stake. When you come to us, your case is held in the strictest confidence at all times.

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

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Whistleblower Laws in Birmingham, Alabama

Medicaid fraud in the state of Alabama costs residents of the state millions each year. The Alabama Medicaid Fraud Control Unit examines hundreds of reports of fraud and abuse each year. Medicaid fraud can lead to serious criminal charges and civil judgments. Many of the monetary recoveries from businesses and individuals that defraud the state arise from whistleblowers and health care workers who report knowledge of the fraudulent activity.


Although Alabama does not have a state false claims act, an individual with knowledge or evidence of Medicaid fraud in Alabama may file a qui tam lawsuit under the federal False Claims Act. This Act empowers a private citizen to take legal action against a company or entity on behalf of the government for Medicare and Medicaid scams.


Under the federal False Claims Act, a whistleblower with proof of fraud can seek financial recovery on behalf of the government. The state government can select to go into the case or not. A whistleblower can receive in between 15-25% of the recovery when the government enters into the case and 25-30% if litigated without the government.


In addition, the whistleblower who reports a violation under the False Claims Act is safeguarded from any employer retaliation as a result of their reporting.

Liability of the Defendant in Birmingham, Alabama

Under the federal False Claims Act, the defendant might be ordered by the court to pay up to three times the amount of harm to the government. The accused can likewise be ordered to pay fines of $5,500 to $11,000 per violation.

Statute of Limitations in Alabama

The statute of limitations for a qui tam lawsuit is 6 years from the date of the infraction or 3 years after the state government knew or ought to have known about the material fact, however not more than 10 years after the offense.

Working With an Experienced Whistleblower Lawyer

If you have become aware of Medicaid scams in Birmingham, Alabama, you ought to get competent legal counsel to advise you of your rights and protections under the False Claims Act, and guide you if you choose to carry out a whistleblower claim. Contact Khurana Law Firm for a confidential, no-cost consultation.

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:


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 Birmingham, Alabama, 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 Birmingham, Alabama,  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 Birmingham, Alabama

When you become aware of fraud that may involve Medicaid or Medicare in Birmingham, Alabama, you require the advice of an experienced whistleblower lawyer, someone who can ensure that your claim is completely investigated and filed accurately and without delay. By working with a knowledgeable lawyer you are increasing the chance that the federal or state government will intervene, thus increasing the opportunity for a reward. Reporting Medicaid and Medicare fraud is an intricate matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam legal representatives to help in your fight against Medicaid and Medicare fraud. After you contact us, our attorneys will review your case on a confidential, no-obligation basis. If we believe that you have a legitimate claim, we may represent you in a qui tam claim to report the scams and allow you to gather a reward. All whistleblower cases are on contingency, you pay absolutely nothing up until there is a settlement. Contact us today to learn how we can be of help.

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