Law Firm

Medicare whistleblower lawyer

Whistleblower and qui tam attorneys fighting Medicare and Medicaid scams in Dayton, Ohio

Medicare and Medicaid fraud cost Ohio taxpayers billions of dollars each year. While most medical service providers and drug companies are ethical and work within the system, some don’t. When fraud takes place, everyone can lose. Medicaid and Medicare whistleblower lawyers can help healthcare workers to file claims on behalf of the federal or state government to help report these kinds of scams.

The federal and state governments put a lot of trust in pharmaceutical and medical companies. When that trust is ill-placed, it relies on private citizens in Ohio to come forward to report scams. People like you.

Work with

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

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower attorneys, we support your heroic choice to come forward to report abuse and scams in the industry. understand that stepping forward is hard and numerous things may be at stake. When you come to us, your case is kept in the strictest confidence .

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

schedule a
confidential consultation

Whistleblower Laws in Dayton, Ohio

The False Claims Act is an essential statute that enables the government to combat scams and abuse in healthcare programs across the nation. In Ohio, the government has lost millions to fraudulent Medicaid activity. Unfortunately, state and federal governments have restricted resources when it concerns taking on scams against government health care programs.


Consequently, the government has become reliant on private individuals and healthcare workers to come forward when they know about deceitful activity. Whistleblower laws allow a worker or a private individual to come forward with a civil claim on behalf of the government, against the person or business entity engaged in fraudulent activity.


The federal False Claims Act enables private citizens 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 participate in the lawsuit, the whistleblower may receive a reward of in between 25 and 30 percent of the recovery.


In addition to a reward, whistleblower laws offer an additional protection to whistleblowers to prevent retaliation, discharge, or discrimination by a company.

Liability of the Defendant in Dayton, Ohio

In a qui tam suit, the accused may be accountable for up to 3 times the damage to the state in addition to extra penalties of approximately $5,500 to $11,000 for each separate infraction.

Statute of Limitations in Dayton, 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 finding the deceitful activity, or within six years after the activity occurred, whichever took place later on, however not more than 10 years after the activity happened.

Working With an Experienced Whistleblower Attorney

If you have information about deceitful activity relating to Ohio’s Medicaid program in Dayton, Ohio, you must know your rights and what you may anticipate in a qui tam suit. In order to understand your rights, getting assistance from a knowledgeable whistleblower lawyer is important. At Khurana Law Firm, P.C., our skilled team of whistleblower lawyers will help you understand how a qui tam lawsuit works along with your rights and alternatives. Contact us for a personal, 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 Dayton, 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 Dayton, Ohio,  you can report Medicare fraud when you contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

Call now to
Report Medical fraud
We are here to help
WORKING WITH A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Dayton, Ohio

When you become aware of deceitful activity that may concern Medicare or Medicaid in Dayton, Ohio, you may need the guidance of an experienced whistleblower attorney, someone who can make sure that your claim is totally examined and submitted accurately and promptly. By dealing with a knowledgeable attorney you are increasing the chance that the government will intervene, hence increasing the possibility for a reward. Reporting Medicare and Medicaid scams is an intricate matter –  do not try 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 attorneys to assist in your fight against Medicare and Medicaid fraud. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we believe that you have a legitimate claim, we may represent you in a qui tam lawsuit to report the fraud and allow you to collect a financial benefit. 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 help.

Service areas