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Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid scams in Stonecrest, Georgia

Medicaid and Medicare fraud cost Georgia taxpayers billions of dollars annually. While most medical companies and drug companies are honest and work within the system, some don’t. When fraud takes place, everybody loses. Medicaid and Medicare whistleblower lawyers can assist healthcare professionals to submit claims on behalf of the government to report these kinds of scams.

The federal and state government place a great deal of trust in pharmaceutical and medical service providers. When that trust is ill-placed, it relies on regular folks in Georgia to come forward and to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower attorneys; representing health care employees in Stonecrest, Georgia

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your brave decision to come forward to report abuse and scams 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 kept in the strictest confidence at all times.

With our extensive experience representing whistleblowers nationwide, we completely examine your claim, carefully prepare your case, for court, and work relentlessly with both you and the state of federal government to assist in bringing deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Stonecrest, Georgia

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


Under the Taxpayer Protection False Claims Act, whistleblowers may likewise file a qui tam claim if they are aware of people, companies, or other entities that intentionally send false or deceitful claims or intentionally and incorrectly avoid commitments 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 recuperate in between 15 and 25 percent of the financial recovery in a reward when the Georgia Attorney General is participant to the litigation. If the state does not take part in the case, the whistleblower might be rewarded in between 25 and 30 percent of the financial recovery. The court might reduce an award depending on the role that the whistleblower had in the fraud or if the action was based upon details 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 employer retaliation.

Liability of the Defendant in Stonecrest, Georgia

Under both acts, the defendant might be required to pay up to three times the amount of damage to the state. The accused can also be required to pay fines of $5,500 to $11,000 per offense.

Statute of Limitations in Georgia

Under both laws, a whistleblower needs to initiate their complaint within ten years of the date of the infraction.

Working With an Experienced Whistleblower Attorney

If you are aware of Medicaid fraud in Stonecrest, Georgia,, you might be able to submit a qui tam lawsuit holding that party liable. Contact Khurana Law Firm for a confidential, no-cost assessment so as 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 Stonecrest, 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. 

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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 Stonecrest, 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 ATTORNEY; We are proud to represent healthcare workers in Stonecrest, Georgia

If you’ve become aware of fraudulent activity involving Medicare or Medicaid in Stonecrest, Georgia, you require the advice of an experienced whistleblower lawyer, someone who can guarantee that your claim is totally examined and submitted accurately and immediately. By working with an experienced attorney you are increasing the chance that the federal or state government will step in, thus increasing the possibility for a financial reward. Reporting Medicaid and Medicare scams is an intricate matter –  don’t 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 legal representatives to help in your battle against Medicaid and Medicare scams. Our attorneys will evaluate your case on a confidential, no-obligation basis. If we believe you have a valid claim, we can represent you in a qui tam claim to report the scams and enable you to collect a financial benefit. Because all whistleblower work is on contingency, you pay nothing until there is a settlement. Get in touch with us today to learn how we can be of help.

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