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Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid fraud in Yonkers, New York

Medicaid and Medicare fraud cost New York State taxpayers billions of dollars each year. Although most medical companies and drug companies are honest and work within the system, some do not. When scams are perpetrated, everybody can lose. Medicaid and Medicare whistleblower lawyers help people who work in the healthcare system to file claims on behalf of the federal or state government to help report this sort of fraud.

The state and federal government place a great deal of trust in medical and pharmaceutical service providers. When that trust is ill-placed, it depends on regular folks in New York to come forward and to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing health care workers in Yonkers, New York.

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower lawyers, we support your brave choice to come forward to report abuse and fraud in the market. understand that coming forward is hard and many things may 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 completely investigate your claim, diligently and carefully prepare your case, and work relentlessly with both you and the federal or state government to assist in bringing fraudulent Medicare or Medicaid activity to justice.

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Yonkers, New York Whistleblower Laws

In New York State, parties who may know of Medicaid fraud may file a qui tam or a whistleblower 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.

In addition, The law affords whistleblowers job protection as well as the ability to collect rewards based on the amount of recovery.

Liability of the Defendant in New York

Under the NY State False Claims Act, the defendant may be required to pay fines in the amount of up to 3 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 becomes a whistleblower and 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’s involvement, the plaintiff may stand to receive from 25% to 30% of the recovery as a reward .


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

Whistleblower Statute of Limitations In New York

In New York, a whistleblower complaint must be filed within ten years after the date of the violation.

Have you become aware of Medicaid or Medicare fraud? You might be able to file a qui tam lawsuit and hold the responsible parties accountable. Get the legal advice of an experienced NY whistleblower lawyer to understand your legal rights to a possible reward for your efforts. Are you a healthcare worker in Yonkers, 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 Yonkers, 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 Yonkers, 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 A NATIONALLY RECOGNIZED WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Yonkers, New York

If you’ve become aware of potential fraud that may concern Medicaid or Medicare in Yonkers, New York, you may need the advice of a knowledgeable whistleblower lawyer, someone who can make sure that your claim is totally examined and filed accurately and without delay. By working with a knowledgeable attorney you are increasing the chance that the federal or state government will step in, therefore increasing the opportunity for a financial reward. Reporting Medicaid and Medicare fraud is a complicated matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam attorneys to assist in your battle against Medicare and Medicaid scams. After you contact us, our attorneys will evaluate your case on a confidential, no-obligation basis. If we believe that you have a valid claim, we may represent you in a qui tam lawsuit to report the scams and enable you to gather a reward. All whistleblower cases are on is on contingency, you pay nothing until there is a recovery. Get in touch with us today to to schedule a confidential consultation.

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