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Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid scams in Georgetown, Michigan

Medicare and Medicaid fraud cost Michigan taxpayers billions of dollars each year. Although most medical providers and drug companies are honest and work within the system, some do not. When scams are perpetrated, everyone loses. Medicaid and Medicare whistleblower attorneys can assist healthcare workers to file claims on behalf of the federal or state government to report these kinds of scams.

The federal and state governments put a lot of trust in pharmaceutical and medical service providers. When that trust is ill-placed, the government relies on every day people in Michigan to come forward to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare workers in Georgetown, Michigan

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower lawyers, we support your heroic decision to come forward to report abuse and fraud in the industry. understand that coming forward is challenging 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 completely examine your claim, carefully prepare your case, for court, and work tirelessly with both you and the state of federal government to assist in bringing fraudulent Medicare or Medicaid activity to justice.

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Whistleblower Laws in Georgetown, Michigan

Michigan loses countless dollars each year in Medicaid scams and counts on individuals to come forward with details relating to fraudulent activity. In the state of Michigan, whistleblowers can file civil suits against companies and individuals who present incorrect or deceitful claims to the state under the Michigan Medicaid False Claims Act. Under the Act, it is also unlawful to pay or get money in exchange for referrals paid by Medicaid.


The Act makes it possible for the whistleblower to submit a qui tam suit against the parties on behalf of the state government in order to recover funds lost due to fraud. When the government enters the lawsuit, a whistleblower can get benefits in the amount of in between 15 and 25 percent of the funds recovered to the state. If the state chooses not to participate in the suit, the whistleblower may be granted between 25 and 30 percent  of the financial recovery.


Under whistleblower laws, the whistleblower is also safeguarded from any company retaliation against them in participating in a lawsuit.

Liability of the Defendant in Georgetown, Michigan

If an accused is found guilty of defrauding the state, they may be ordered to pay up to triple the dollar amount of actual damage that they created, in addition to fines of between $5,000 and $10,000 per individual infraction.

Statute of Limitations in Michigan

Under the Michigan Medicaid False Claims Act, a whistleblower should submit their complaint within 10 years of the date of the violation.

Working With an Experienced Whistleblower Lawyer

While the decision to come forward can be a hard one, there is defense afforded under whistleblower laws. If you have information relating to Medicaid scams in Georgetown, Michigan, we can provide guidance and helpful information on what it means to be a whistleblower and how you are protected under the law. Contact the skilled whistleblower attorneys at Khurana Law Firm for a confidential, no-cost consultation and to talk about a possible whistleblower claim.

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 Georgetown, Michigan, 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 Georgetown, Michigan,  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 Georgetown, Michigan

When you become aware of potential fraud that may concern Medicaid or Medicare in Georgetown, Michigan, you may need the guidance of a skilled whistleblower attorney, someone who can make sure that your claim is completely investigated and submitted accurately and promptly. By dealing with an experienced lawyer you are increasing the chance that the federal or state government will step in, thus increasing your chances for a reward. Reporting Medicaid and Medicare fraud is an intricate 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 attorneys to assist in your fight against Medicare and Medicaid fraud. After you get in touch our lawyers will evaluate 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 help report the scams and allow you to gather a financial benefit. Because all whistleblower cases are on contingency, you pay nothing until there is a settlement. Get in touch with us today to learn how we can help.

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