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Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid fraud in Scottsdale, Arizona

Medicaid and Medicare fraud cost Arizona taxpayers billions of dollars every year. Although the majority of medical providers and drug companies are ethical and work within the legal channels, some do not. When fraud occurs, everyone can lose. Medicaid and Medicare whistleblower lawyers assist people who work in the healthcare system to file claims on behalf of the government to help report these kinds of scams.

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

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

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your brave decision to come forward to report abuse and scams in the market. We know that stepping forward is difficult and numerous 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 completely investigate your claim, diligently prepare your case, for court, and work relentlessly with both you and the federal or state government to help bring deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Scottsdale, Arizona

While Arizona does not have a state False Claims Act, a person who has knowledge 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 commit fraud accountable.


The government counts on individuals and healthcare workers to come forward when they become aware of deceptive Medicaid activity. The federal False Claims Act allows a worker or a private citizen to bring a qui tam claim on behalf of the government and enables them to receive a financial 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 financial reward of between 15 percent and 25 percent of the recovery in the lawsuit. If the government chooses not to intervene, the whistleblower might receive a reward of in between 25 and 30 percent of the recovery.


In addition to a reward, employees in Arizona are safeguarded against retaliation, discharge, or discrimination by a company since of a whistleblower lawsuit.

Liability of the Defendant in Scottsdale, Arizona

In a whistleblower suit under the False Claims Act, the defendant may be liable for up to triple the damage to the federal government along with extra penalties of $5,500 to $11,000 per infraction.

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

Those who have evidence or relevant information regarding deceitful Medicaid activity in Scottsdale, Arizona ought to understand their rights and what to anticipate if they are thinking about a whistleblower lawsuit. Getting skilled legal guidance from a whistleblower attorney is necessary. At Khurana Law Firm, P.C., we will assist you in understanding the procedure along with your rights and choices under the False Claims Act. Contact us for a completely confidential, no-cost consultation 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 Scottsdale, 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 Scottsdale, 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 An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Scottsdale, Arizona

When you become aware of fraud that may involve Medicaid or Medicare in Scottsdale, Arizona, you may need the advice of an experienced whistleblower lawyer, someone who can ensure that your claim is fully investigated and filed accurately and quickly. By working with a skilled lawyer you are increasing the chance that the federal or state government will intervene, hence increasing the opportunity for a reward. Reporting Medicaid and Medicare scams 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 practical experience as national qui tam attorneys to assist in your battle against Medicare and Medicaid scams. Our attorneys will review your case on a confidential, no-obligation basis. If we believe you may have a legitimate claim, we may represent you in a qui tam suit to help report the scams and allow you to gather a financial benefit. All whistleblower work is on contingency, you pay absolutely nothing up until there is a settlement. Contact us today to learn how we can help.

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