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Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid fraud in Silver Spring, Maryland

Medicare and Medicaid fraud cost Maryland taxpayers billions of dollars annually. Although most medical service providers and drug companies are honest and work within the legal channels, there are those who do not. When scams are perpetrated, everybody loses. Medicaid and Medicare whistleblower attorneys assist healthcare professionals to submit lawsuits on behalf of the federal or state government to help report these kinds of scams.

The federal and state government place a lot of trust in pharmaceutical and medical companies. When that trust is ill-placed, the government depends on private citizens in Maryland to come forward and to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower attorneys; representing healthcare workers in Silver Spring, Maryland

At Khurana Law Firm, P.C., as knowledgeable 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 difficult and numerous things might 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 examine your claim, diligently and carefully prepare your case, and work tirelessly with you and the federal or state government to help bring deceitful Medicare or Medicaid activity to justice.

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Whistleblower Laws in Silver Spring, Maryland

The Maryland False Health Claims Act makes individuals who present false 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 individuals who have knowledge of scams against the state government beyond the healthcare context the capability to come forward with a qui tam claim.


A whistleblower lawsuit is a civil claim brought by a a person on behalf of the state to collect from parties that knowingly present incorrect claims or otherwise commit fraud on state programs for their own gain.


In a qui tam claim, a whistleblower serves as the complainant to hold these parties liable for their actions. Maryland law requires that the lawsuit also be participated in by the state government in order for it to move forward. This allows the state government the capability to recover funds that it lost as an outcome of the fraudulent activity, in addition to penalties and fines.

Whistleblower Protections in Silver Spring, Maryland

Under whistleblower laws, the person reporting the fraudulent activity is safeguarded from retaliation by a company. The whistleblower may likewise be granted 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 accused can be ordered to pay the state government damages in the amount of up to 3 times the dollar amount of damage to the state. The accused can likewise be ordered by the court to pay fines of as much as $10,000 per violation.

Statute of Limitations in Maryland

In Maryland, a complainant must submit a whistleblower claim within 10 years of the infraction.

Working With an Experienced Whistleblower Lawyer

If you know of fraud against the state of Maryland in Silver Spring, Maryland, call the skilled whistleblower attorneys at Khurana Law Firm for a completely confidential, no-cost consultation in order to discuss your case. You might be entitled to a substantial 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 Silver Spring, 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 Silver Spring, 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 LAWYER; We are proud to represent healthcare workers in Silver Spring, Maryland

If you’ve become aware of fraud as it concerns Medicaid or Medicare in Silver Spring, Maryland, you require the guidance of an experienced whistleblower lawyer, someone who can guarantee that your claim is totally investigated and submitted accurately and promptly. By working with an experienced lawyer you are increasing the chance that the government will step in, thus increasing the possibility for a financial reward. Reporting Medicaid and Medicare scams is an intricate matter –  do not attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of experience as national qui tam lawyers to assist in your fight against Medicaid and Medicare fraud. We will evaluate your case on a confidential, no-obligation basis. If we feel that you have a valid claim, we can represent you in a qui tam suit to report the scams and enable you to collect a financial benefit. Because all whistleblower cases are on contingency, you pay nothing until there is a settlement. Contact us today to learn how we can help.

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