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Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid fraud in Wheaton, Maryland

Medicaid and Medicare fraud cost Maryland taxpayers billions of dollars every year. Although most medical companies and drug companies are honest and work within the legal channels, there are those who don’t. When fraud happens, everybody can lose. Medicaid and Medicare whistleblower attorneys can assist healthcare professionals to submit claims on behalf of the government to report this type of fraud.

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

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Experienced Medicaid and Medicare whistleblower attorneys; representing healthcare employees in Wheaton, Maryland

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower legal representatives, we support your heroic decision to come forward to report abuse and fraud in the market. We know that stepping forward is not easy and numerous things may be at stake. When you come to us, your case is kept in the strictest confidence .

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

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Whistleblower Laws in Wheaton, Maryland

The Maryland False Health Claims Act makes persons who present false claims connected to Maryland state programs or health plans, including Medicaid, accountable for their actions. In 2015, the Maryland False Claims Act was enacted to broaden the scope of the False Health Claims Act to permit individuals who have knowledge of scams against the government outside of the health care context the capability to file a qui tam lawsuit.


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


In a qui tam claim, a whistleblower acts as the claimant to hold these parties liable for their actions. Maryland law requires that the suit also be entered into by the state government in order for it to move forward. This enables the government the capability to recover funds that it lost as a result of the deceitful activity, in addition to penalties and fines.

Whistleblower Protections in Wheaton, Maryland

Under whistleblower laws, the person reporting the deceitful activity is protected from retaliation by a company. The whistleblower may also be granted a reward of in between 15 and 25 percent of the amount 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 accused can be ordered by the court to pay the state government damages in the amount of as much as 3 times the amount of harm to the state. The accused can likewise be ordered by the court to pay fines of as much as $10,000 per offense.

Statute of Limitations in Maryland

In Maryland, a plaintiff should submit a whistleblower claim within 10 years of the infraction.

Working With an Experienced Whistleblower Attorney

If you know of fraud against the state of Maryland in Wheaton, Maryland, call the skilled whistleblower attorneys at Khurana Law Firm for a completely confidential, no-cost assessment to discuss your case. You might be entitled to a considerable 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 Wheaton, 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 Wheaton, 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 An Experienced WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Wheaton, Maryland

When you become aware of potential fraud as it concerns Medicaid or Medicare in Wheaton, Maryland, you require the advice of an experienced whistleblower lawyer, someone who can guarantee that your claim is totally investigated and filed accurately and promptly. By dealing with a skilled lawyer you are increasing the chance that the government will intervene, hence increasing the possibility for a financial reward. Reporting Medicare and Medicaid fraud is a complicated matter –  do not attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of practical experience as national qui tam attorneys to help in your battle against Medicare and Medicaid fraud. After you get in touch our lawyers 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 lawsuit to help report the fraud and enable you to collect a financial benefit. Because all whistleblower cases are on contingency, you pay absolutely nothing until there is a recovery. Contact us today to to schedule a confidential consultation.

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