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Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid fraud in Rogers, Arkansas

Medicaid and Medicare fraud cost Arkansas taxpayers billions of dollars annually. Although many medical service providers and drug companies are honest and work within the legal channels, some don’t. When fraud occurs, everyone can lose. 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 governments put a lot of trust in pharmaceutical and medical service providers. When that trust is ill-placed, it depends on regular folks in Arkansas to come forward to report fraud. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare workers in Rogers, Arkansas

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 fraud in the industry. We know that coming forward is not easy and lots of 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 examine your claim, diligently prepare your case, for court, and work relentlessly with you and the federal or state government to assist in bringing deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Rogers, Arkansas

In the state of Arkansas, whistleblowers who knot of Medicaid scams against the state might receive a benefit for providing information causing the recovery of funds.


Two state laws allow the state government to recoup money lost to Medicaid fraud. The Arkansas Medicaid Fraud Act holds individuals and entities criminally accountable for deceptive activities. The Arkansas Medicaid Fraud False Claims Act allows for a civil claim in order to recuperate funds that were lost. The Arkansas Whistleblower Protection Act gives healthcare workers protection from an employer’s retaliation should they choose to come forward with info against the employer in a government inquiry.


Private individuals and workers may also be able to file a whistleblower claim against people and entities who engage in deceitful Medicaid activity under the federal False Claims Act. Under the federal Act, a whistleblower can be granted a reward of between 15 percent and 25 percent of the recovery if the government takes part in the litigation. If the government chooses not to step in, the whistleblower might receive a reward of in between 25 and 30 percent of the financial recovery should they pursue the claim by themselves.


In addition to a reward, the federal Act also affords safeguards against company retaliation.

Liability of the Defendant in Rogers, Arkansas

In a qui tam suit under the False Claims Act, the offender might be responsible for as much as three times the damage to the government. They also may be liable for extra charges of $5,500 to $11,000 per offense.

Statute of Limitations in Arkansas

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

Working With an Experienced Whistleblower Lawyer

Those who know of fraudulent Medicaid activity in Rogers, Arkansas and might be considering coming forward with a qui tam suit should understand the procedure and their rights and protections under the law. Having the support of a whistleblower attorney is crucial. At Khurana Law Firm, P.C., we can help. Contact us for a 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 Rogers, Arkansas, 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 Rogers, Arkansas,  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 ATTORNEY; We are proud to represent healthcare workers in Rogers, Arkansas

When you become aware of fraud that may involve Medicare or Medicaid in Rogers, Arkansas, you need the guidance of a knowledgeable whistleblower attorney, someone who can ensure that your claim is totally investigated and filed accurately and quickly. By working with a knowledgeable attorney you are increasing the chance that the federal or state government will intervene, thus increasing the opportunity for a financial reward. Reporting Medicare and Medicaid fraud is a complicated matter –  do not attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of experience as national qui tam lawyers to assist in your battle against Medicaid and Medicare scams. After you contact us, our attorneys will review your case on a confidential, no-obligation basis. If we believe you may have a valid claim, we can represent you in a qui tam lawsuit to help report the fraud and allow you to collect 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 be of help.

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