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Medicare whistleblower lawyer

Whistleblower and qui tam lawyers battling Medicare and Medicaid fraud in Casas Adobes, Arizona

Medicaid and Medicare fraud cost Arizona taxpayers billions of dollars annually. Although the majority of medical providers and drug companies are ethical and work within the system, some don’t. When scams are perpetrated, everybody loses. Medicaid and Medicare whistleblower lawyers assist people who work in the healthcare system to submit claims on behalf of the government to report this sort of fraud.

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

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Experienced Medicare and Medicaid whistleblower attorneys; representing health care employees in Casas Adobes, Arizona

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your brave decision to come forward to report abuse and fraud in the market. We know that coming forward is challenging and many things might be at stake. When you come to us, your case is held in the strictest confidence .

With our extensive experience representing whistleblowers nationwide, we completely examine your claim, carefully prepare your case, for court, and work tirelessly with both you and the state of federal government to help bring deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Casas Adobes, Arizona

While Arizona does not have a state False Claims Act, a person who is aware of Medicaid fraud in the state of Arizona may pursue a whistleblower claim under the federal False Claims Act. The Act empowers private individuals to come forward with a civil suit on behalf of the government to hold those who carry out scams liable.


The government relies on citizens and employees to come forward when they learn of deceitful Medicaid activity. The federal False Claims Act permits an employee or individual to bring a qui tam claim on behalf of the government and enables them to get a reward for their efforts.


Under the federal Act, a private individual or healthcare worker who brings a whistleblower claim on behalf of the government may be entitled to a reward of between 15 percent and 25 percent of the financial recovery in the suit. If the government selects not to intervene, the whistleblower might receive a benefit of in between 25 and 30 percent of the funds recovered.


In addition to a reward, workers in Arizona are protected against retaliation, discharge, or discrimination by an employer because of a whistleblower suit.

Liability of the Defendant in Casas Adobes, Arizona

In a whistleblower suit under the False Claims Act, the defendant might be liable for as much as triple the harm to the federal government along with additional charges of $5,500 to $11,000 per offense.

Statute of Limitations in Arizona

Under the federal False Claims Act, a whistleblower must submit a complaint within 10 years of the infraction.

Working With an Experienced Whistleblower Attorney

Healthcare workers who have proof or relevant information concerning deceitful Medicaid activity in Casas Adobes, Arizona ought to understand their rights and what to anticipate if they are thinking about a whistleblower suit. Getting experienced legal guidance from a whistleblower lawyer is essential. At Khurana Law Firm, P.C., we will help you understand the complaint process along with your rights and options under the False Claims Act. Contact us for a confidential, no-cost consultation in order to discuss your case.

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 Casas Adobes, Arizona, 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 Casas Adobes, Arizona,  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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Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Casas Adobes, Arizona

When you become aware of fraud that may concern Medicaid or Medicare in Casas Adobes, Arizona, you may need the advice of a knowledgeable whistleblower lawyer, someone who can ensure that your claim is fully examined and submitted accurately and promptly. By working with an experienced lawyer you are increasing the chance that the government will intervene, thus increasing the possibility for a reward. Reporting Medicaid and Medicare fraud is a complicated 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 attorneys to assist in your fight against Medicare and Medicaid fraud. Our attorneys will examine your case on a confidential, no-obligation basis. If we feel you may have a valid claim, we may represent you in a qui tam lawsuit to help report the fraud and enable you to collect a reward. Because all whistleblower work is on contingency, you pay nothing up until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

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