Law Firm

Medicare whistleblower lawyer

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

Medicaid and Medicare fraud cost Texas taxpayers billions of dollars every year. While many medical providers and drug companies are honest and work within the legal channels, some don’t. When fraud happens, everyone loses. Medicaid and Medicare whistleblower attorneys assist people who work in the healthcare system to file suits on behalf of the government to help report this sort of fraud.

The state and federal governments put a great deal of trust in medical and pharmaceutical companies. When that trust is ill-placed, the government counts on private citizens in Texas to come forward to report fraud. People like you.

Work with

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

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower lawyers, we support your heroic choice to come forward to report abuse and scams in the market. We know that stepping forward is challenging and numerous things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

With our comprehensive experience representing whistleblowers nationwide, we completely investigate your claim, carefully prepare your case, and work tirelessly with you and the federal or state government to help bring deceptive Medicaid or Medicare activity to justice.

schedule a
confidential consultation

Whistleblower Laws in Spring, Texas

Individuals who know of deceitful activity against the state of Texas may have whistleblower rights under two state laws.


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


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


A separate arrangement also exists that provides for an award to a person who reports fraudulent activity in the Texas Medicaid program without bringing a qui tam suit. If the report leads to recovery of funds, the award is restricted to 5 percent of the administrative penalty enforced on the party committing the scams.


The Texas Whistleblower Act safeguards public staff members from retaliation from any agency that uses them if they report wrongdoing. This law does not provide protection for workers who work for personal companies.

Liability of the Defendant in Spring, Texas

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


Statute of Limitations in Spring, Texas

The whistleblower has to file their complaint within 6 years of the date of the infraction.

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 government counts on the support of whistleblowers and rewards them for their heroic efforts.


If you have proof of Medicaid fraud in Spring, Texas, you may be able to pursue a qui tam suit and collect a financial reward. At the Khurana Law Firm, we represent whistleblowers who assist states in order to hold culprits liable. Contact us today to set up an appointment 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 Spring, 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 Spring, Texas,  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
Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Spring, Texas

When you become aware of potential fraud that may involve Medicare or Medicaid in Spring, Texas, you may need the advice of an experienced whistleblower lawyer, someone who can make sure 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 chance for a reward. Reporting Medicare and Medicaid scams is a complicated matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam legal representatives to help in your battle against Medicare and Medicaid scams. After you get in touch our lawyers will evaluate your case on a confidential, no-obligation basis. If we believe that you may have a legitimate 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 until there is a settlement. Contact us today to to schedule a confidential consultation.

Service areas