Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost Arizona taxpayers billions of dollars every year. While most medical companies and drug companies are honest and work within the system, some don’t. When fraud occurs, everyone loses. Medicare and Medicaid whistleblower lawyers help healthcare professionals to file claims on behalf of the government to report this sort of fraud.

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

Work with

Experienced Medicare and Medicaid whistleblower lawyers; representing health care workers in Flagstaff, Arizona

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your heroic decision to come forward to report abuse and fraud in the market. understand that coming forward is challenging and numerous things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

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

schedule a
confidential consultation

Whistleblower Laws in Flagstaff, Arizona

While Arizona does not have a state False Claims Act, an individual who is aware of Medicaid scams 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 lawsuit on behalf of the government to hold those who carry out fraud accountable.


The government relies on private citizens and healthcare workers to come forward when they learn of deceptive Medicaid activity. The federal False Claims Act permits a a healthcare employee or a private citizen to bring a qui tam claim on behalf of the government and allows them to get a reward for their efforts.


Under the federal Act, a private individual or employee who brings a whistleblower claim on behalf of the government might be entitled to a reward of between 15 percent and 25 percent of the recovery in the suit. If the government chooses not to step in, the whistleblower may receive a benefit of in between 25 and 30 percent of the recovery.


In addition to a reward, staff members in Arizona are protected from retaliation, discharge, or discrimination by an employer because of a whistleblower lawsuit.

Liability of the Defendant in Flagstaff, Arizona

In a whistleblower suit under the False Claims Act, the defendant may be liable for up to triple the damage to the government as well as additional charges of $5,500 to $11,000 per infraction.

Statute of Limitations in Arizona

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

Working With an Experienced Whistleblower Attorney

Those who have evidence or information concerning deceitful Medicaid activity in Flagstaff, Arizona must understand their rights and what to expect if they are considering a whistleblower claim. Getting skilled legal assistance from a whistleblower lawyer is vital. At Khurana Law Firm, P.C., we will assist you in understanding the procedure as well as your rights and choices under the False Claims Act. Contact us for a completely 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 Flagstaff, 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 Flagstaff, Arizona,  you can report Medicare fraud when you contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

Call now to
Report Medical fraud
We are here to help
Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Flagstaff, Arizona

When you become aware of fraud involving Medicaid or Medicare in Flagstaff, Arizona, you need the guidance of a skilled whistleblower lawyer, someone who can guarantee that your claim is fully examined and submitted accurately and promptly. By dealing with an experienced attorney you are increasing the chance that the federal or state government will step in, hence increasing the opportunity for a reward. Reporting Medicaid and Medicare fraud is an intricate matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of practical experience as national qui tam lawyers to assist in your battle against Medicaid and Medicare scams. After you contact us, our attorneys will evaluate your case on a confidential, no-obligation basis. If we feel that you have a valid claim, we may represent you in a qui tam lawsuit to help report the scams and allow you to gather a reward. Because all whistleblower work is on contingency, you pay nothing until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

Service areas