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Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid scams in Severn, Maryland

Medicaid and Medicare fraud cost Maryland taxpayers billions of dollars each year. While the majority of medical companies and drug companies are ethical and work within the system, some don’t. When scams are perpetrated, everybody loses. Medicaid and Medicare whistleblower attorneys can assist healthcare workers to file lawsuits on behalf of the government to help report this sort of fraud.

The federal and state governments place a great deal of trust in medical and pharmaceutical service providers. When that trust is ill-placed, the government counts on private citizens in Maryland to come forward to report fraud. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing health care employees in Severn, Maryland

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your heroic decision to come forward to report abuse and fraud in the industry. understand that stepping forward is not easy and many things may be at stake. When you come to us, your case is held in the strictest confidence .

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

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Whistleblower Laws in Severn, Maryland

The Maryland False Health Claims Act makes individuals who provide fraudulent claims connected to Maryland state health plans or programs, including the Medicaid program, liable for their actions. In 2015, the Maryland False Claims Act was enacted to broaden the scope of the False Health Claims Act to allow people who have knowledge of scams against the government outside of the health care context the ability to come forward with a qui tam lawsuit.


A whistleblower lawsuit is a civil claim brought by a a private individual on behalf of the state to collect from parties that purposefully present false claims or otherwise may have committed fraud state programs for their own gain.


In a qui tam suit, a whistleblower functions as the complainant to hold these parties liable for their actions. Maryland law requires that the lawsuit likewise be entered into by the state government in order for it to move forward. This allows the state government the ability to recuperate funds that it lost as a result of the deceptive activity, along with penalties and fines.

Whistleblower Protections in Severn, Maryland

Under whistleblower laws, the person reporting the deceitful activity is protected from retaliation by an employer. The whistleblower may also be awarded a reward of in between 15 and 25 percent of the quantity of the recovery.

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 to pay the state government damages in the quantity of as much as 3 times the amount of harm to the state. The defendant can likewise be ordered to pay fines of up to $10,000 per violation.

Statute of Limitations in Maryland

In Maryland, a complainant must file a whistleblower claim within ten years of the infraction.

Working With an Experienced Whistleblower Attorney

If you have knowledge of scams against the state of Maryland in Severn, Maryland, get in touch with the skilled whistleblower attorneys at Khurana Law Firm for a completely confidential, no-cost consultation and to discuss your case. You may be entitled to a significant reward 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 Severn, 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 Severn, 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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WORKING WITH An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Severn, Maryland

When you become aware of potential fraud involving Medicaid or Medicare in Severn, Maryland, you require the guidance of an experienced whistleblower attorney, someone who can ensure that your claim is totally examined and filed accurately and promptly. By working with a knowledgeable attorney you are increasing the chance that the federal or state government will intervene, thus increasing the opportunity for a reward. Reporting Medicare and Medicaid scams is a complicated matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of practical experience as national qui tam legal representatives to help in your fight against Medicare and Medicaid scams. We will evaluate your case on a confidential, no-obligation basis. If we feel you may have a legitimate claim, we may represent you in a qui tam suit to report the scams and enable you to collect a reward. All whistleblower work is on contingency, you pay nothing up until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

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