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Medicare whistleblower lawyer

Whistleblower and qui tam lawyers fighting Medicare and Medicaid scams in Pasadena, Texas

Medicare and Medicaid fraud cost Texas taxpayers billions of dollars every year. Although most medical companies and drug companies are honest and work within the system, some do not. When scams are perpetrated, everybody loses. Medicare and Medicaid whistleblower attorneys can help healthcare workers to file suits on behalf of the federal or state government to help report this type of fraud.

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

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Experienced Medicaid and Medicare whistleblower attorneys; representing healthcare workers in Pasadena, Texas

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your heroic decision to come forward to report abuse and fraud in the industry. We know that coming forward is challenging 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 completely investigate your claim, diligently prepare your case, and work tirelessly with both you and the state of federal government to help bring deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Pasadena, Texas

Individuals who become aware of deceptive activity against the state of Texas might have whistleblower rights under 2 state laws.


The Texas Medicaid Fraud Prevention Act holds those entities responsible who have submitted fraudulent claims and perpetuated crimes against the Texas Medicaid program.


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


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


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

Liability of the Defendant in Pasadena, Texas

The defendant in a successful qui tam claim under the Texas Medicaid Fraud Prevention Act might be responsible 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 offender might be liable for charges of between $5,500 and $15,000.


Statute of Limitations in Pasadena, Texas

The whistleblower has to submit their complaint within 6 years of the date of the offense.

Working With an Experienced Whistleblower Attorney

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


If you have proof of Medicaid scams in Pasadena, Texas, you might be able to pursue a qui tam lawsuit and collect a monetary reward. At the Khurana Law Firm, we represent whistleblowers who assist states in order to hold wrongdoers accountable. Contact us today to set up an appointment 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 Pasadena, 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 Pasadena, 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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WORKING WITH An Experienced WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Pasadena, Texas

If you’ve become aware of deceptive activity that may concern Medicaid or Medicare in Pasadena, Texas, you may need the advice of a skilled whistleblower lawyer, someone who can ensure that your claim is completely examined and filed accurately and without delay. By working with a knowledgeable lawyer you are increasing the chance that the government will step in, therefore increasing your chances for a financial reward. Reporting Medicaid and Medicare 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 prior experience as national qui tam legal representatives to help in your fight against Medicare and Medicaid scams. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we feel you have a valid claim, we can represent you in a qui tam suit to report the scams and allow you to gather a financial benefit. All whistleblower cases are on contingency, you pay nothing up until there is a recovery. Contact us today to learn how we can help.

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