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Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid fraud in Bowling Green, Kentucky

Medicaid and Medicare fraud cost Kentucky taxpayers billions of dollars annually. Although many medical companies and drug companies are honest and work within the legal channels, some do not. When fraud happens, everyone can lose. Medicaid and Medicare whistleblower lawyers assist healthcare professionals to submit claims on behalf of the government to report these kinds of scams.

The state and federal governments put a good deal of trust in pharmaceutical and medical providers. When that trust is ill-placed, the government relies on every day people in Kentucky to come forward and to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare workers in Bowling Green, Kentucky

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower legal representatives, we support your heroic choice to come forward to report abuse and scams in the market. We know that coming forward is hard and lots of things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

With our comprehensive experience representing whistleblowers nationwide, we completely examine your claim, carefully prepare your case, and work tirelessly with you and the state of federal government to assist in bringing deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Bowling Green, Kentucky

The state of Kentucky does not have a state false claims act of its own. But, if you have knowledge of Medicaid scams in the state of Kentucky, you might have the ability to submit a qui tam lawsuit under the federal False Claims Act. This whistleblower law entitles a private citizen with knowledge and evidence of deceptive activity against the government to come forward, help recover damages, and hold the crooks accountable.


Submitting a successful whistleblower claim under the False Claims Act likewise entitles the whistleblower to gather a financial reward based on a percentage of the recovery as follows:


If the federal government picks to join the case, the whistleblower might collect in between 15 and 25 percent of the funds recovered.

If the government picks not to sign up with the suit, the whistleblower can collect in between 25 and 30 percent of the financial recovery.


Whistleblowers are likewise provided defense under the federal False Claims Act against any retaliation by an employer that may result from the lawsuit.

Liability of the Defendant in Bowling Green, Kentucky

Under the federal False Claims Act, a defendant may be required to pay damages in the amount of approximately 3 times the monetary damage to the government. They may likewise be required to pay substantial fines for every single infraction.

Statute of Limitations in Bowling Green, Kentucky

A whistleblower needs to file their complaint within ten years of the date of the violation in Kentucky.

Working With an Experienced Whistleblower Lawyer

The government counts on whistleblowers every day to weed out fraud at the federal level. If you have become aware of fraudulent Medicaid activity in the state of Kentucky, you might think about a qui tam claim under the federal False Claims Act. In this way, the government recovers funds that were lost due to the deceptive activity while you collect a financial reward for your brave efforts.


At Khurana Law Firm, we have more than 20 years of experience in complex litigation, qui tam, and whistleblower law. We can help you decide whether to file a claim and offer a completely confidential consultation to discuss your alternatives and rights under the federal False Claims Act. Contact us to schedule a no-cost, no-obligation appointment.

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 Bowling Green, Kentucky, 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 Bowling Green, Kentucky,  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 A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Bowling Green, Kentucky

When you become aware of potential fraud involving Medicare or Medicaid in Bowling Green, Kentucky, you may need the guidance of a knowledgeable whistleblower attorney, someone who can ensure that your claim is fully investigated and submitted accurately and without delay. By working with a skilled attorney you are increasing the chance that the federal or state government will intervene, therefore increasing the chance for a financial reward. Reporting Medicare and Medicaid 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 prior experience as national qui tam legal representatives to assist in your battle against Medicaid and Medicare scams. Our attorneys will evaluate your case on a confidential, no-obligation basis. If we feel you have a valid claim, we may represent you in a qui tam lawsuit to report the scams and enable you to collect a reward. All whistleblower work is on contingency, you pay nothing until there is a recovery. Get in touch with us today to learn how we can help.

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