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Medicare whistleblower lawyer

Quit tam and whistleblower lawyers battling Medicare and Medicaid scams in Houston, Texas

Medicaid and Medicare fraud cost Texas taxpayers billions of dollars each year. Although most medical service 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 assist healthcare professionals to file lawsuits on behalf of the federal or state government to help report this sort of fraud.

The state and federal governments place a good deal of trust in pharmaceutical and medical companies. When that trust is ill-placed, it depends on regular folks in Texas to come forward and to report fraud. People like you.

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Experienced Medicare and Medicaid whistleblower attorneys; representing health care workers in Houston, Texas

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower lawyers, we support your heroic choice to come forward to report abuse and scams in the industry. understand that stepping forward is hard and many things might be at stake. When you come to us, your case is held in the strictest confidence at all times.

With our comprehensive experience representing whistleblowers nationwide, we thoroughly investigate your claim, diligently 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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Whistleblower Laws in Houston, Texas

Private citizens who have knowledge of deceptive activity against the state of Texas may have whistleblower rights under two state laws.


The Texas Medicaid Fraud Prevention Act holds those entities liable who have sent deceitful claims and perpetuated crimes against the Texas Medicaid program.


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


A separate provision likewise exists that offers an award to a person who reports deceptive activity in the Texas Medicaid program without bringing a qui tam lawsuit. If the report results in recovery of funds, the award is limited to 5 percent of the administrative penalty enforced on the party perpetrating the fraud.


The Texas Whistleblower Act safeguards public employees from retaliation from any company that uses them if they report wrongdoing. This law does not afford protection for employees who work for personal businesses.

Liability of the Defendant in Houston, Texas

The defendant in a successful qui tam lawsuit under the Texas Medicaid Fraud Prevention Act may be accountable for charges of in between $5,500 and $11,000 per infraction. If the unlawful conduct caused harm to the elderly, handicapped, or a minor, the accused may be accountable for penalties of between $5,500 and $15,000.


Statute of Limitations in Houston, Texas

The whistleblower has to file their complaint within six years of the date of the offense.

Working With an Experienced Whistleblower Attorney

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


If you have proof of Medicaid scams in Houston, Texas, you might have the right to pursue a qui tam suit and collect a financial reward. At the Khurana Law Firm, we represent whistleblowers who help states in holding perpetrators accountable. Get in touch with us today to set up a confidential consultation in order to discuss your case and understand your rights and protections 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 Houston, 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 Houston, 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 An Experienced WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Houston, Texas

When you become aware of fraud as it concerns Medicare or Medicaid in Houston, Texas, you require the guidance of a knowledgeable whistleblower attorney, someone who can ensure that your claim is completely examined and filed accurately and immediately. By working with an experienced attorney you are increasing the chance that the government will intervene, hence increasing the chance for a reward. Reporting Medicare and Medicaid scams is a complex matter –  don’t try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of practical experience as national qui tam lawyers to help in your fight against Medicare and Medicaid fraud. We will evaluate your case on a confidential, no-obligation basis. If we feel you may have a legitimate claim, we may represent you in a qui tam claim to help report the scams and enable 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 to schedule a confidential consultation.

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