Medicare Fraud Lawyer New Jersey — What Are Your Defense Options?
Medicare fraud in New Jersey is a serious federal offense under 42 U.S.C. § 1320a-7b, carrying severe penalties. If you are under investigation or charged, you need a strategic defense. Law Offices Of SRIS, P.C. provides experienced representation for those accused of healthcare fraud. Our team understands the details of federal statutes and the procedures of New Jersey’s federal courts.
Understanding Medicare Fraud Charges in New Jersey
Medicare fraud involves knowingly submitting false claims or making misrepresentations to obtain payments from the federal Medicare program. In New Jersey, these cases are prosecuted federally, often involving agencies like the FBI, HHS-OIG, and the U.S. Attorney’s Office. Common allegations include billing for services not rendered, upcoding, kickbacks, and falsifying patient records. A conviction can result in decades in prison, massive fines, and mandatory exclusion from all federal healthcare programs.
Last verified: April 2026 | U.S. District Court for the District of New Jersey | New Jersey Legislature
Official Legal Resources
For the official text of the federal statute governing Medicare fraud, see 42 U.S.C. § 1320a-7b (Cornell Legal Information Institute). For information on the federal court handling these cases in New Jersey, visit the U.S. District Court for the District of New Jersey website.
Strategic Defense for Federal Healthcare Fraud
Defending against Medicare fraud charges requires immediate action. Federal investigators build cases over months, often using subpoenas, audits, and interviews. An early intervention by a skilled fraud charge defense lawyer New Jersey can be critical. Strategies may involve challenging the intent element (“knowingly”), disputing the accuracy of billing records, negotiating with prosecutors, or pursuing pre-trial motions to suppress evidence.
- Secure immediate legal representation upon learning of an investigation.
- Conduct a thorough internal review of all relevant billing and patient records.
- Develop a communication strategy for dealing with federal agents and auditors.
- Prepare a strong defense strategy, which may involve experienced witnesses in medical billing.
- Negotiate with the U.S. Attorney’s Office for a potential resolution.
- Prepare for trial if a favorable settlement cannot be reached.
Potential Penalties for Medicare Fraud
In New Jersey, a Medicare fraud conviction under federal law can lead to up to 10 years in prison per count, fines exceeding $250,000, and restitution payments that can reach millions of dollars.
| Offense | Classification | Incarceration | Fine | Additional Consequences |
|---|---|---|---|---|
| False Statements (42 U.S.C. § 1320a-7b(a)) | Federal Felony | Up to 5 years | Up to $250,000 | Restitution, Program Exclusion |
| Kickbacks (Anti-Kickback Statute) | Federal Felony | Up to 10 years | Up to $100,000 | Civil penalties up to $50,000 per violation |
| Conspiracy to Commit Fraud (18 U.S.C. § 371) | Federal Felony | Up to 5 years | As prescribed by statute | Forfeiture of assets |
Results may vary. Prior results do not aim for a similar outcome.
Why Choose Our Firm for Your Defense
Founded in 1997 by former prosecutor Mr. Sris, Law Offices Of SRIS, P.C. brings over 120 years of combined legal experience to complex federal cases. Our firm-wide track record includes over 4,739 documented case results. We understand the high stakes of federal court and the specific procedures of the District of New Jersey. Our approach is direct and focused on protecting your future.
Documented Case Results
Our firm has a documented history of achieving favorable outcomes in complex cases. For instance, we have secured dismissals in federal misdemeanor sex abuse cases in D.C. Superior Court and favorable resolutions in serious state-level charges. Results may vary. Prior results do not aim for a similar outcome.
Contact Our New Jersey Federal Defense Team
If you are facing allegations of Medicare fraud, time is of the essence. Our white collar crime defense lawyer New Jersey team is accessible. We offer 24/7 phone consultations to discuss your situation and outline a potential defense strategy.
Law Offices Of SRIS, P.C.
By appointment only.
24/7 Phone Consultations: (888) 437-7747
Frequently Asked Questions
What should I do if a federal agent contacts me about Medicare fraud?
No. Do not speak to them. Politely decline to answer questions and immediately contact a Medicare fraud lawyer New Jersey. Anything you say can be used against you, and agents are trained to obtain incriminating statements.
Can I go to jail for a billing mistake?
It depends. Prosecutors must prove you acted “knowingly” and “willfully.” An honest error or a misunderstanding of complex billing codes is a defense. A skilled attorney will work to demonstrate the lack of criminal intent to the government.
What is the difference between civil and criminal Medicare fraud?
Criminal fraud requires proof of intent beyond a reasonable doubt and can lead to prison. Civil fraud, enforced under the False Claims Act, involves financial penalties and restitution but not incarceration. The same conduct can trigger both proceedings.
How long does a federal Medicare fraud investigation take?
Months to years. Federal investigations are meticulous. An early intervention by your Medicare fraud lawyer New Jersey can sometimes influence the direction of the investigation before formal charges are filed.
What are my options if I am charged?
Options range from negotiating a pre-trial resolution to taking your case to trial. The best path depends on the evidence, your history, and the specific allegations. A thorough case analysis by your defense team will determine the strategy.
Related Content: For defense against other federal charges, see our page on Federal Criminal Defense. For state-level fraud defense, learn about our New Jersey Criminal Defense services.
Last verified: April 2026. Laws change. Contact Law Offices Of SRIS, P.C. at (888) 437-7747 for current guidance.
A medicare fraud case is one part of fraud & financial crimes work, and our page on bank fraud lawyer New Jersey covers the wider process.