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Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid fraud in Greenville, North Carolina

Medicare and Medicaid fraud cost North Carolina taxpayers billions of dollars every year. Although most medical service providers and drug companies are honest and work within the legal channels, some don’t. When fraud takes place, everybody can lose. Medicaid and Medicare whistleblower lawyers can help healthcare workers to file lawsuits on behalf of the government to help report this sort of fraud.

The state and federal government put a good deal of trust in pharmaceutical and medical service providers. When that trust is ill-placed, it relies on private citizens in North Carolina to come forward and to report scams. People like you.

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Experienced Medicaid and Medicare whistleblower lawyers; representing health care employees in Greenville, North Carolina

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower lawyers, we support your brave decision to come forward to report abuse and fraud in the industry. understand that stepping forward is difficult and lots of 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 thoroughly examine your claim, diligently prepare your case, for court, and work relentlessly with both you and the state of federal government to assist in bringing deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Greenville, North Carolina

Those who commit fraud against the Medicaid program in North Carolina cost countless dollars to taxpayers. The State depends on whistleblowers to help fight scams in the Medicaid health care system. These individuals can step forward under the North Carolina False Claims Act.


The North Carolina False Claims Act allows a whistleblower to file a civil lawsuit on behalf of the State if they know of deceptive activity. The Act makes anyone who commits Medicaid scams liable for losses and damages to the State. It also enables whistleblowers to be rewarded for their brave efforts.


A successful whistleblower suit may entitle the individual to awards of in between 15 and 25 percent of the state’s recovery should they intervene in the claim. If the whistleblower chooses to litigate separately, she or he may be awarded in between 25 and 30 percent of the recovery. These benefits will be contingent on the whistleblower’s participation in the deceitful activity or the source of the details.


Under the North Carolina False Claims Act, the whistleblower is likewise protected from any company retaliation that may arise from the reporting.

Liability of the Defendant in Greenville, North Carolina

The accused in a whistleblower suit in North Carolina may be ordered to pay up to 3 times the actual damages to the state in addition to fines of between $5,500 and $11,000 for each infraction.

Statute of Limitations in North Carolina

People filing a whistleblower suit in the state of North Carolina should submit their complaint within ten years of the date of the violation.

Working With an Experienced Whistleblower Lawyer

Because of the state government’s reliance on whistleblowers to recover lost funds due to Medicaid scams, they will often reward those people handsomely. If you may be aware of Medicaid fraud in Greenville, North Carolina and choose to come forward, you should understand your rights under the law and protections under the North Carolina False Claims Act. At Khurana Law Firm, P.C., our experienced team of whistleblower lawyers can advise and assist you. Contact us for a confidential, no-cost consultation to discuss your case.

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 Greenville, North Carolina, 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 Greenville, North Carolina,  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 LAWYER; We are proud to represent healthcare workers in Greenville, North Carolina

When you become aware of fraud as it concerns Medicare or Medicaid in Greenville, North Carolina, you may need the guidance of an experienced whistleblower lawyer, someone who can ensure that your claim is totally examined and filed accurately and quickly. By dealing with a skilled lawyer you are increasing the chance that the federal or state government will intervene, hence increasing the possibility for a reward. Reporting Medicare and Medicaid fraud is an intricate matter –  do not attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of experience as national qui tam lawyers to assist in your fight against Medicaid and Medicare scams. Our attorneys will examine your case on a confidential, no-obligation basis. If we feel that you have a legitimate claim, we may represent you in a qui tam claim to report the fraud and enable you to gather a financial benefit. All whistleblower work is on contingency, you pay nothing until there is a recovery. Contact us today to to schedule a confidential consultation.

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