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Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid scams in Columbus, Ohio

Medicaid and Medicare fraud cost Ohio taxpayers billions of dollars annually. Although many medical providers and drug companies are honest and work within the legal channels, some do not. When fraud occurs, everyone can lose. Medicare and Medicaid whistleblower attorneys can help healthcare professionals to file lawsuits on behalf of the government to help report this sort of fraud.

The federal and state government place a great deal of trust in medical and pharmaceutical companies. When that trust is ill-placed, the government counts on every day people in Ohio to come forward to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower attorneys; representing health care workers in Columbus, Ohio

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 scams in the market. We know that stepping forward is hard and numerous things might be at stake. When you come to us, your case is held in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we completely examine your claim, carefully prepare your case, for court, and work relentlessly with you and the state of federal government to assist in bringing deceitful Medicaid or Medicare activity to justice.

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Whistleblower Laws in Columbus, Ohio

The False Claims Act is a crucial statute that permits the government to fight scams and abuse in healthcare programs across the country. In Ohio, the government has lost millions to deceptive Medicaid activity. Sadly, state and federal governments have limited resources when it concerns tackling scams against government healthcare programs.


As a result, the government often relies on private people and healthcare staff members to come forward when they know about fraudulent activity. Whistleblower laws permit a staff member or a private individual to come forward with a civil lawsuit on behalf of the government, against the individual or entity engaged in fraudulent activity.


The federal False Claims Act enables individuals to come forward and be rewarded for their efforts. Under the federal act, any individual or worker who brings a whistleblower claim on behalf of the government is entitled to a benefit of between 15 percent and 25 percent of the recovery in the suit. If the government elects not to get in the lawsuit, the whistleblower might receive a benefit of between 25 and 30 percent of the recovery.


In addition to a benefit, whistleblower laws provide an additional protection to whistleblowers to prevent retaliation, discharge, or discrimination by an employer.

Liability of the Defendant in Columbus, Ohio

In a qui tam lawsuit, the accused may be liable for up to 3 times the harm to the state along with extra charges of as much as $5,500 to $11,000 for each different infraction.

Statute of Limitations in Columbus, Ohio

Under the federal False Claims Act, a whistleblower claim is restricted by a statute of limitations as follows:


A qui tam claim must be started within three years of the date of discovering the deceitful activity, or within 6 years after the activity took place, whichever happened later, however not more than 10 years after the activity happened.

Dealing with an Experienced Whistleblower Attorney

If you have information about fraudulent activity regarding Ohio’s Medicaid program in Columbus, Ohio, you must know your rights and what you may anticipate in a qui tam claim. In order to understand your rights, getting guidance from a skilled whistleblower lawyer is necessary. At Khurana Law Firm, P.C., our knowledgeable group of whistleblower attorneys will help you understand how a qui tam lawsuit works in addition to your rights and choices. Contact us for a confidential, no-cost assessment 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 Columbus, Ohio, 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 Columbus, Ohio,  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 Columbus, Ohio

When you become aware of fraudulent activity that may concern Medicaid or Medicare in Columbus, Ohio, you may need the guidance of a knowledgeable whistleblower attorney, someone who can ensure that your claim is totally examined and filed accurately and promptly. By working with a skilled lawyer you are increasing the chance that the government will intervene, hence increasing your chances for a reward. Reporting Medicaid and Medicare scams is a complicated matter –  do not attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of practical experience as national qui tam lawyers to help in your battle against Medicare and Medicaid fraud. We will evaluate your case on a confidential, no-obligation basis. If we believe that you have a valid claim, we can represent you in a qui tam suit to help report the fraud and allow you to gather a reward. All whistleblower cases are on contingency, you pay absolutely nothing up until there is a recovery. Contact us today to learn how we can be of help.

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