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Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid fraud in Germantown, Maryland

Medicaid and Medicare fraud cost Maryland taxpayers billions of dollars each year. While many medical companies and drug companies are ethical and work within the system, there are those who do not. When fraud happens, everyone can lose. Medicaid and Medicare whistleblower attorneys can help people who work in the healthcare system to submit lawsuits on behalf of the federal or state government to report these kinds of scams.

The state and federal government put a good deal of trust in medical and pharmaceutical providers. When that trust is ill-placed, it depends on every day people in Maryland to come forward and to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care workers in Germantown, Maryland

At Khurana Law Firm, P.C., as skilled 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 hard and many things may be at stake. When you come to us, your case is held in the strictest confidence at all times.

With our substantial experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently and carefully prepare your case, for court, and work relentlessly with both you and the state of federal government to help bring deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Germantown, Maryland

The Maryland False Health Claims Act makes persons who provide fraudulent claims related to Maryland state health plans or programs, including Medicaid, accountable for their actions. In 2015, the Maryland False Claims Act was enacted to expand the scope of the False Health Claims Act to permit people who know of fraud against the government beyond the health care context the capability to come forward with a qui tam suit.


A whistleblower lawsuit is a civil claim brought by an individual on behalf of the state to collect from entities that knowingly present incorrect claims or otherwise defraud state programs for their own gain.


In a qui tam suit, a whistleblower functions as the claimant to hold these parties liable for their actions. Maryland law requires that the lawsuit also be entered into by the government in order for it to go forward. This enables the state government the capability to recuperate funds that it lost as an outcome of the fraudulent activity, in addition to charges and fines.

Whistleblower Protections in Germantown, Maryland

Under whistleblower laws, the individual reporting the deceptive activity is protected from retaliation by a company. The whistleblower may also be awarded a benefit of in between 15 and 25 percent of the quantity of the funds recovered.

Liability of the Defendant in Maryland

Under the Maryland False Claims Act as well as Maryland’s False Health Claims Act, an offender can be ordered by the court to pay the state government damages in the amount of up to 3 times the dollar amount of harm to the state. The offender can likewise be ordered to pay fines of as much as $10,000 per infraction.

Statute of Limitations in Maryland

In Maryland, a plaintiff needs to submit a whistleblower claim within ten years of the offense.

Working With an Experienced Whistleblower Attorney

If you have knowledge of scams against the state of Maryland in Germantown, Maryland, contact the knowledgeable whistleblower attorneys at Khurana Law Firm for a completely confidential, no-cost assessment in order to discuss your case. You might be entitled to a considerable compensation for your efforts.

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 Germantown, Maryland, 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 Germantown, Maryland,  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 Germantown, Maryland

When you become aware of deceitful activity that may concern Medicare or Medicaid in Germantown, Maryland, you need the guidance of a skilled whistleblower lawyer, someone who can guarantee that your claim is totally investigated and submitted accurately and promptly. By working with a skilled lawyer you are increasing the chance that the federal or state government will intervene, hence increasing the chance for a financial reward. Reporting Medicaid and Medicare scams is a complex matter –  don’t 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 legal representatives to help in your fight against Medicaid and Medicare fraud. We will examine your case on a confidential, no-obligation basis. If we feel that you may have a valid claim, we may represent you in a qui tam lawsuit to report the fraud and enable you to collect a financial benefit. 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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