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Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid scams in South Portland, Maine

Medicaid and Medicare fraud cost Maine taxpayers billions of dollars each year. Although many medical providers and drug companies are honest and work within the legal channels, there are those who do not. When fraud takes place, everyone loses. Medicare and Medicaid whistleblower attorneys can help healthcare professionals to submit suits on behalf of the federal or state government to help report this sort of fraud.

The state and federal governments place a good deal of trust in pharmaceutical and medical providers. When that trust is ill-placed, the government depends on regular folks in Maine to come forward to report fraud. People like you.

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Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare workers in South Portland, Maine

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower legal representatives, we support your heroic decision to come forward to report abuse and fraud in the industry. understand that coming forward is not simple and lots of things may be at stake. When you come to us, your case is kept in the strictest confidence at all times.

With our substantial experience representing whistleblowers nationwide, we thoroughly investigate your claim, diligently and carefully prepare your case, and work relentlessly with you and the state of federal government to assist in bringing deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in South Portland, Maine

One of the main purposes of whistleblower laws is to fight fraud and abuse in Medicaid programs in the state of Maine. When healthcare providers send incorrect claims or perpetrate fraud, the False Claims Act makes it possible for individuals who know of the deceptive activity to submit a civil action on behalf of the government to recover damages, as well as penalties. This law enables people to come forward to reveal deceitful activity and safeguards them from retaliation by a company.


Because the state state government has minimal resources out there to combat healthcare fraud, the government must often rely on individuals in the industry to step forward to report and submit a lawsuit against those perpetrating Medicaid fraud. This permits the state to recuperate financial losses and penalties while the whistleblower is rewarded for their work.


In Maine, whistleblower retaliation protection is afforded through the Maine Whistleblowers’ Protection Act. Illegal retaliation against a worker can result in payment of any back salaries, reinstatement of all fringe benefits, repayment of court costs, and any other costs of lawsuits, in addition to any other relief ordered by the court.

Liability of the Defendant in South Portland, Maine

Under the federal False Claims Act, the offender might be responsible for damages up to 3 times the dollar amount of the fraud, with civil charges of up to $11,000 per incorrect claim violation and additional fines and penalties. In addition to any financial penalties, the accused might be left out from any future participation in government programs such as Medicaid.

Statute of Limitations in Maine

Under the federal False Claims Act, the statute of limitations for filing a qui tam claim are as follows:


The suit needs to be submitted no more than 6 years after the date of the infraction, or

no more than 3 years after the date when the violation was discovered, or should have reasonably been known, however not more than 10 years after the date that the violation was committed.

Working With an Experienced Whistleblower Lawyer

If you learned of deceitful Medicaid activity in South Portland, Maine, you ought to get prompt legal guidance from a top rated whistleblower lawyer. Contact Khurana Law Firm for a completely confidential, no-cost consultation to and talk about the elements of 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 South Portland, Maine, 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 South Portland, Maine,  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 LAWYER; We are proud to represent healthcare workers in South Portland, Maine

When you become aware of potential fraud involving Medicare or Medicaid in South Portland, Maine, you need the guidance of an experienced whistleblower lawyer, someone who can make sure that your claim is completely examined and filed accurately and quickly. By dealing with a skilled attorney you are increasing the chance that the federal or state government will step in, hence increasing the possibility for a financial reward. Reporting Medicaid and Medicare scams is a complicated matter –  do not attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of prior experience as national qui tam lawyers to help in your fight against Medicare and Medicaid fraud. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we believe you have a legitimate claim, we can represent you in a qui tam lawsuit to report the fraud and allow you to gather a reward. Because all whistleblower work is on contingency, you pay absolutely nothing until there is a settlement. Contact us today to to schedule a confidential consultation.

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