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Medicare whistleblower lawyer

Whistleblower and qui tam attorneys battling Medicare and Medicaid scams in Grand Island, Nebraska

Medicaid and Medicare fraud cost Nebraska taxpayers billions of dollars annually. While many medical companies and drug companies are honest and work within the system, there are those who don’t. When scams are perpetrated, everybody loses. Medicaid and Medicare whistleblower attorneys assist healthcare workers to file suits on behalf of the federal or state government to help report this type of fraud.

The state and federal governments put a great deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, it depends on every day people in Nebraska to come forward and to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing health care employees in Grand Island, Nebraska

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your brave decision to come forward to report abuse and scams in the market. understand that stepping forward is hard and many things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

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

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Whistleblower Laws in Grand Island, Nebraska

State and federal governments rely on private individuals coming forward to report fraudulent activity within the health care industry as it pertains to Medicaid. Some states provide for whistleblowers to report incorrect claims and file qui tam suits in order to hold people and entities who defraud the government accountable.


Nebraska has enacted the Nebraska Medicaid False Claims Act, which holds those who defraud the state’s medical health care program liable. But, this statute does not have a whistleblower arrangement.


Nevertheless, a private individual who knows of Medicaid scams might submit a whistleblower claim under the federal False Claims Act. This entitles the individual to submit a civil suit on behalf of the federal government in order to recuperate damages from that activity. Whistleblowers under the federal False Claims Act might gather a financial reward of in between 15 and 30 percent of the recovery, depending on if the government intervenes in the suit. A whistleblower is also shielded against any company retribution as an outcome of submitting the claim.

Liability of the Defendant in Grand Island, Nebraska

Under the federal False Claims Act, the defendant may be purchased to pay damages of as much as three times the amount of harm caused to the government in addition to substantial fines for each violation.

Statute of Limitations in Grand Island, Nebraska

A whistleblower needs to file a complaint within 10 years of the violation under the federal False Claims Act.

Working With an Experienced Whistleblower Lawyer

Health care fraud is widespread and costs taxpayers billions of dollars every year. Due to limited resources, state and federal governments frequently rely on private citizens to step forward with knowledge of this fraud. Because of this, whistleblowers are handsomely rewarded for their time and efforts.


If you have knowledge of deceptive Medicaid activity in Grand Island, Nebraska, you might have the ability to file a qui tam claim against the offending entity on behalf of the federal government. Contact our skilled whistleblower attorneys at Khurana Law Firm for a completely confidential assessment in order to discuss your rights under the federal False Claims Act.

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 Grand Island, Nebraska, 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 Grand Island, Nebraska,  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 A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Grand Island, Nebraska

If you’ve become aware of fraud that may concern Medicare or Medicaid in Grand Island, Nebraska, you require the guidance of a skilled whistleblower attorney, someone who can ensure that your claim is completely examined and submitted accurately and immediately. By working with a knowledgeable lawyer you are increasing the chance that the federal or state government will intervene, therefore increasing the possibility for a reward. Reporting Medicare and Medicaid fraud is a complicated matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of prior experience as national qui tam legal representatives to assist in your fight against Medicare and Medicaid fraud. We will review 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 lawsuit to report the scams and enable you to collect a financial benefit. Because all whistleblower work is on contingency, you pay nothing up until there is a settlement. Get in touch with us today to learn how we can be of help.

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