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Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost Alabama taxpayers billions of dollars every year. Although many medical companies and drug companies are honest and work within the system, some do not. When scams are perpetrated, everyone loses. Medicaid and Medicare whistleblower lawyers help healthcare workers to submit suits on behalf of the federal or state government to report this sort of fraud.

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

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Experienced Medicaid and Medicare whistleblower lawyers; representing healthcare employees in Mobile, Alabama

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your heroic choice to come forward to report abuse and scams in the industry. understand that coming forward is hard and many things may be at stake. When you come to us, your case is held in the strictest confidence .

With our extensive experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently prepare your case, and work relentlessly with you and the federal or state government to help bring fraudulent Medicare or Medicaid activity to justice.

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Whistleblower Laws in Mobile, Alabama

Medicaid fraud in the state of Alabama costs taxpayers millions each year. The Alabama Medicaid Fraud Control Unit examines hundreds of reports of scams and abuse yearly. Medicaid scams can lead to major criminal charges and civil judgments. Many of the monetary recoveries from companies and people that defraud the state result from whistleblowers and health care professionals who report their knowledge of the fraudulent activity.


Although Alabama does not have a state false claims act, a private individual with awareness or evidence of Medicaid scams in Alabama might file a qui tam claim under the federal False Claims Act. This Act empowers an individual to sue a business or entity on behalf of the government for Medicare and Medicaid scams.


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


Furthermore, the whistleblower who reports a violation under the False Claims Act is protected from any employer retaliation as an outcome of their reporting.

Liability of the Defendant in Mobile, Alabama

Under the federal False Claims Act, the accused may be ordered by the court to pay up to 3 times the amount of harm to the government. The defendant may 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 claim is six years from the date of the offense or three years after the government learned or ought to have learnt about the fact, but not more than 10 years after the offense.

Working With an Experienced Whistleblower Attorney

If you have become aware of Medicaid fraud in Mobile, Alabama, you should get competent legal counsel to advise you of your rights and protections under the False Claims Act, and guide you if you elect to carry out a whistleblower suit. Contact Khurana Law Firm for a confidential, no-cost assessment.

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 Mobile, 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 Mobile, 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 Mobile, Alabama

When you become aware of potential fraud that may concern Medicaid or Medicare in Mobile, Alabama, you may need the guidance of a skilled whistleblower lawyer, someone who can guarantee that your claim is completely examined and submitted accurately and quickly. By dealing with a knowledgeable attorney you are increasing the chance that the federal or state government will intervene, thus increasing your chances for a reward. Reporting Medicare and Medicaid fraud is a complicated matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam lawyers to help in your battle against Medicare and Medicaid scams. After you contact us, our attorneys will review your case on a confidential, no-obligation basis. If we believe that you have a valid claim, we may represent you in a qui tam suit to help report the scams and enable you to collect a financial benefit. Because all whistleblower work is on contingency, you pay absolutely nothing until there is a recovery. Get in touch with us today to learn how we can be of help.

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