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Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid fraud in Athens-Clarke County, Georgia

Medicare and Medicaid fraud cost Georgia taxpayers billions of dollars annually. Although the majority of medical companies and drug companies are ethical and work within the legal channels, there are those who don’t. When fraud occurs, everybody loses. Medicaid and Medicare whistleblower attorneys can help healthcare professionals to file suits on behalf of the government to help report these kinds of scams.

The federal and state government place a good deal of trust in pharmaceutical and medical service providers. When that trust is ill-placed, the government depends on private citizens in Georgia to come forward and to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare employees in Athens-Clarke County, Georgia

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your heroic choice to come forward to report abuse and fraud in the market. We know that stepping forward is hard and numerous things may be at stake. When you come to us, your case is kept in the strictest confidence .

With our comprehensive experience representing whistleblowers nationwide, we thoroughly investigate your claim, carefully prepare your case, for court, and work relentlessly with both you and the federal or state government to assist in bringing fraudulent Medicaid or Medicare activity to justice.

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Whistleblower Laws in Athens-Clarke County, Georgia

That state of Georgia makes it possible for people to come forward to report fraudulent activity against the state’s Medicaid program under the Georgia False Medicaid Claims Act and enables them to bring case against these parties on behalf of the state.


Under the Taxpayer Protection False Claims Act, whistleblowers may likewise submit a qui tam claim if they know of individuals, companies, or other entities that purposefully send incorrect or fraudulent claims or purposefully and incorrectly avoid responsibilities to the state or local government. This type of action involves the written approval of the Georgia Attorney General.


Under both acts, a whistleblower may potentially recover between 15 and 25 percent of the recovery in compensation when the Georgia Attorney General is participant to the litigation. If the state does not join the case, the whistleblower may be rewarded in between 25 and 30 percent of the financial recovery. The court may decrease an award depending upon the role that the whistleblower had in the fraud or if the action was based upon information that was publicly disclosed.


Under both the Georgia False Medicaid Claims Act and the Georgia Taxpayer Protection False Claims Act, the whistleblower is shielded from company retaliation.

Liability of the Defendant in Athens-Clarke County, Georgia

Under both acts, the offender might be ordered to pay up to three times the quantity of harm to the state. The defendant can also be ordered to pay fines of $5,500 to $11,000 per offense.

Statute of Limitations in Georgia

Under both laws, a whistleblower should start their complaint within 10 years of the date of the violation.

Working With an Experienced Whistleblower Attorney

If you have knowledge of Medicaid scams in Athens-Clarke County, Georgia,, you may be able to submit a qui tam lawsuit holding that entity responsible. Contact Khurana Law Firm for a confidential, no-cost consultation in order to understand your rights and protections under Georgia whistleblower statutes.

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 Athens-Clarke County, Georgia, 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 Athens-Clarke County, Georgia,  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 An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Athens-Clarke County, Georgia

If you’ve become aware of deceptive activity involving Medicare or Medicaid in Athens-Clarke County, Georgia, you require the guidance of an experienced whistleblower lawyer, someone who can guarantee that your claim is completely investigated and filed accurately and quickly. By working with an experienced lawyer you are increasing the chance that the federal or state government will intervene, thus increasing the possibility for a financial reward. Reporting Medicare and Medicaid scams is an intricate matter –  do not attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of prior experience as national qui tam legal representatives to help in your fight against Medicaid and Medicare scams. We will review your case on a confidential, no-obligation basis. If we feel that you may have a legitimate claim, we can represent you in a qui tam lawsuit to report the scams and enable you to gather a reward. All whistleblower work is on contingency, you pay absolutely nothing up until there is a recovery. Contact us today to to schedule a confidential consultation.

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