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Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid fraud in Buffalo, New York

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

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

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare employees in Buffalo, New York.

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower lawyers, we support your heroic choice to come forward to report abuse and fraud in the market. understand that stepping forward is not easy and lots of things might be at stake. When you come to us, your case is held in the strictest confidence at all times.

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

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Buffalo, New York Whistleblower Laws

In New York State, people who may have knowledge of Medicaid fraud can file a whistleblower or qui tam or lawsuit under NY False Claims Act. Under this law, parties who file fraudulent claims to state or local governments are liable for their fraudulent activity.

It also provides whistleblowers job protection and the ability to collect rewards.

Liability of the Defendant in NY

Under the state of New York False Claims Act, the defendant may have to pay fines in the amount of up to three times the harm caused to the government and as any consequential damages. In addition, there may also be the added requirement of the defendant to pay additional fines of between $6,000 and $12,000 for every individual violation.

Whisleblower Rewards in New York

Any person who comes forward as a whistleblower and who files a claim against the defendant has the ability to receive between 15 to 20 percent of the government’s recovery if the government enters into the claim. On the other hand, if a whistleblower claim proceeds without the government entering into the claim, the plaintiff may be able to get from 25 to 30 percent of the recovery as a reward .


If the whistleblower may have had an active involvement in initiating or planning the fraud, or in those cases where the information has been derived not by personal knowledge but from the media or public hearings, the reward might be reduced, in some cases significantly.

New York State: Whistleblower Statue of Limitations

A whistleblower complaint must be filed within ten years after the date of the violation.

Experienced NY Whistleblower Lawyer Arvind Bob Khurana Is Here To Help

Have you become aware of Medicaid or Medicare fraud? You might be able to file a qui tam lawsuit and hold responsible parties accountable. Get the legal advice of an experienced NY whistleblower attorney to understand your legal rights to a potential whistleblower reward. Are you a healthcare worker in Buffalo, New York who has information about healthcare fraud? Contact Khurana Law Firm, P.C. for a confidential, no-cost consultation.

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 Buffalo, New York, 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 Buffalo, New York to report Medicare fraud, contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

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Work With An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Buffalo, New York

If you’ve become aware of fraud involving Medicaid or Medicare in Buffalo, New York, you may need the advice of a skilled whistleblower lawyer, someone who can ensure that your claim is totally examined and submitted accurately and immediately. By working with a skilled attorney you are increasing the chance that the government will step in, hence increasing your chances for a financial reward. Reporting Medicare and Medicaid scams is a complex matter –  don’t try 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 lawyers to help in your battle against Medicaid and Medicare scams. We will evaluate your case on a confidential, no-obligation basis. If we believe you may have a valid claim, we may represent you in a qui tam lawsuit to report the fraud and allow you to gather a reward. Because all whistleblower work is on contingency, you pay absolutely nothing until there is a settlement. Contact us today to learn how we can help.

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