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Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid fraud in DeSoto, Texas

Medicare and Medicaid fraud cost Texas taxpayers billions of dollars each year. Although the majority of medical service providers and drug companies are ethical and work within the system, some do not. When fraud takes place, everybody can lose. Medicare and Medicaid whistleblower lawyers can assist healthcare workers to submit lawsuits on behalf of the government to help report these kinds of scams.

The state and federal government place a lot of trust in medical and pharmaceutical companies. When that trust is ill-placed, it depends on every day people in Texas to come forward and to report scams. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare workers in DeSoto, Texas

At Khurana Law Firm, P.C., as knowledgeable Medicare and Medicaid whistleblower lawyers, we support your heroic choice to come forward to report abuse and scams in the industry. We know that coming 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 comprehensive experience representing whistleblowers nationwide, we thoroughly investigate your claim, diligently and carefully prepare your case, for court, and work relentlessly with you and the state of federal government to assist in bringing fraudulent Medicare or Medicaid activity to justice.

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Whistleblower Laws in DeSoto, Texas

Private citizens who learn of deceptive activity against the state of Texas might have whistleblower rights under two state statutes.


The Texas Medicaid Fraud Prevention Act holds those parties liable who have sent fraudulent claims and perpetuated unlawful acts against the Texas Medicaid program.


A whistleblower may file a qui tam lawsuit on behalf of the state when they have proof of Medicaid scams. Under the Texas Medicaid Fraud Act, the whistleblower in a successful action might be rewarded an amount in between 15 and 25 percent of the recovery when the state intervenes in the lawsuit. If the private citizen pursues the claim independent of the state, they may be granted in between 25 and 30 percent of the recovery.


A different provision likewise exists that provides for an award to an individual who reports deceitful activity in the Texas Medicaid program without bringing a qui tam lawsuit. If the report results in the recovery, the award is limited to five percent of the administrative penalty enforced on the party perpetrating the scams.


The Texas Whistleblower Act protects public staff members from retaliation from any company that employs them if they report wrongdoing. This law does not afford protection for staff members who work for private businesses.

Liability of the Defendant in DeSoto, Texas

The offender in a successful qui tam lawsuit under the Texas Medicaid Fraud Prevention Act might be responsible for charges of between $5,500 and $11,000 per violation. If the illegal conduct caused damage to the elderly, handicapped, or a minor, the offender might be responsible for penalties of between $5,500 and $15,000.


Statute of Limitations in DeSoto, Texas

The whistleblower must file their complaint within 6 years of the date of the violation.

Working With an Experienced Whistleblower Lawyer

Medicaid fraud cost federal and state governments and Texas taxpayers billions of dollars each year. To help root out this problem, the state and federal government relies on the support of whistleblowers and rewards them for their heroic efforts.


If you have proof of Medicaid fraud in DeSoto, Texas, you may be able to pursue a qui tam lawsuit and collect a financial reward. At the Khurana Law Firm, we represent whistleblowers who assist states in holding culprits accountable. Contact us today to schedule a confidential consultation to discuss your case and understand your rights and defenses under Texas whistleblower laws.

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 DeSoto, Texas, 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 DeSoto, Texas,  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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Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in DeSoto, Texas

If you’ve become aware of deceitful activity that may concern Medicaid or Medicare in DeSoto, Texas, you require the advice of a knowledgeable whistleblower attorney, someone who can guarantee that your claim is totally examined and filed accurately and immediately. By working with a knowledgeable attorney you are increasing the chance that the government will intervene, hence increasing the opportunity for a financial reward. Reporting Medicaid and Medicare fraud is a complex matter –  don’t 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 lawyers to help in your battle against Medicaid and Medicare scams. Our attorneys will review your case on a confidential, no-obligation basis. If we feel that you may have a legitimate claim, we can represent you in a qui tam lawsuit to help report the scams and enable you to collect a reward. Because all whistleblower work is on contingency, you pay absolutely nothing up until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

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