Medicare Fraud Defense Lawyer in Middlesex County, NJ
Medicare fraud in Middlesex County is a serious federal offense under 18 U.S.C. § 1347, 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 white-collar crime allegations. Our firm has a documented history of handling federal cases. Contact us for a confidential consultation about your case.
Last verified: April 2026 | Superior Court of NJ, Middlesex Vicinage | Middlesex Vicinage Court
Medicare fraud is prosecuted federally under statutes like 18 U.S.C. § 1347 (Health Care Fraud) and 42 U.S.C. § 1320a-7b (Anti-Kickback Statute). These laws criminalize knowingly and willfully executing a scheme to defraud any health care benefit program, like Medicare, or receiving kickbacks for referrals. In New Jersey, these cases are typically investigated by agencies such as the FBI, HHS-OIG, and the U.S. Attorney’s Office for the District of New Jersey and tried in the U.S. District Court. The the issues involved of these cases demands a white collar crime defense lawyer Middlesex County with specific federal court experience.
Federal Medicare Fraud Statutes & Local Procedure
Federal law defines Medicare fraud broadly. Common allegations include billing for services not rendered, upcoding services, performing medically unnecessary procedures, paying or receiving illegal kickbacks for patient referrals, and falsifying patient records. The penalties upon conviction are severe, including lengthy prison sentences, substantial fines, mandatory restitution, and exclusion from participating in federal health care programs.
- Initial Investigation: You may be contacted by federal agents (FBI, HHS-OIG) or receive a subpoena for records. Do not speak to investigators without your attorney present.
- Grand Jury Proceedings: The U.S. Attorney’s Office presents evidence to a federal grand jury, which decides whether to issue an indictment.
- Arraignment & Detention Hearing: If indicted, you will be arraigned in U.S. District Court. Your lawyer can argue for pretrial release conditions.
- Discovery & Motion Practice: Your defense team will review all evidence and file motions to suppress evidence or dismiss charges if procedural errors exist.
- Plea Negotiations or Trial: Most federal cases are resolved by plea agreement. Your attorney will negotiate for a favorable outcome, whether that is reduced charges or advocating for a sentence below the federal guidelines.
- Sentencing: If convicted, sentencing follows the U.S. Sentencing Guidelines, which consider the “loss amount,” your role, and other factors.
Potential Penalties for Medicare Fraud
In federal court, a Medicare fraud conviction carries mandatory penalties including prison time, fines often in the millions, and permanent exclusion from Medicare.
| Offense (18 U.S.C. §) | Classification | Incarceration | Fine | Additional Consequences |
|---|---|---|---|---|
| Health Care Fraud (§ 1347) | Felony | Up to 10 years; up to 20 years if injury results; life if death results | Up to $250,000 (individual) or $500,000 (organization) | Restitution, forfeiture, program exclusion |
| Anti-Kickback Violations (42 U.S.C. § 1320a-7b) | Felony | Up to 10 years | Up to $100,000 | Civil penalties up to $50,000 per violation, program exclusion |
| Conspiracy to Commit Health Care Fraud (18 U.S.C. § 1349) | Felony | Same as underlying fraud | Same as underlying fraud | Holds all conspirators liable for acts of co-conspirators |
Results may vary. Prior results do not guarantee a similar outcome.
Why Choose Our Firm for Your Medicare Fraud Defense
Founded in 1997 by former prosecutor Mr. Sris, Law Offices Of SRIS, P.C. brings over 120 years of combined legal experience to federal defense. We understand the high stakes of a fraud charge defense lawyer Middlesex County case and the immense pressure of a federal investigation. Our approach is collaborative and detail-oriented, meticulously analyzing every piece of evidence, challenging the prosecution’s loss calculations, and exploring every procedural defense. We have a firm-wide record of over 4,739 documented case results.
Case Results & Client Advocacy
Our firm has a documented history of achieving favorable outcomes in contested cases. While every case is unique, our strategic approach focuses on early intervention, rigorous investigation, and assertive advocacy. For instance, in federal matters, we have successfully negotiated for reduced charges and sentences below the advisory guideline range by presenting mitigating factors and challenging the government’s evidence.
Results may vary. Prior results do not guarantee a similar outcome.
Law Offices Of SRIS, P.C.
New Jersey Location — 44 Apple St, 1st Floor, Tinton Falls, NJ 07724
Toll-Free: (888) 437-7747 | Local: (732) 837-1600
By appointment only.
Our New Jersey location serves clients throughout Middlesex County, including New Brunswick, Edison, Woodbridge, Old Bridge, Piscataway, and Perth Amboy. We are accessible via the NJ Turnpike and Route 1. Need a Medicare fraud lawyer near Middlesex County? We offer 24/7 phone consultations — call (888) 437-7747. Meetings are by appointment only.
Medicare Fraud Defense FAQs
What should I do if I am contacted by federal agents about Medicare fraud?
No. Do not answer any questions. Politely state you wish to speak with your attorney first. Contact a Medicare fraud lawyer Middlesex County immediately. 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” to defraud. Honest errors or negligence are not criminal fraud. A skilled fraud charge defense lawyer Middlesex County can distinguish between an innocent mistake and criminal intent, which is a core element of the defense.
What is the “loss amount” and why does it matter?
The alleged financial loss to the government is the primary driver of sentencing under the U.S. Sentencing Guidelines. A higher loss amount leads to a higher recommended prison sentence. A critical part of defense is challenging the prosecution’s loss calculation, often through experienced financial analysis.
What is the difference between a civil and criminal Medicare investigation?
Criminal investigations aim for indictment and imprisonment, led by the DOJ. Civil investigations seek monetary penalties and exclusion, led by HHS. They can run parallel. Having a white collar crime defense lawyer Middlesex County experienced in both arenas is essential to handle the dual threats.
Is it possible to avoid prison in a Medicare fraud case?
It depends. Outcomes depend on the evidence, your history, and defense strategy. Options may include pretrial diversion, negotiating a plea for a non-custodial sentence, or winning at trial. An experienced attorney will explore all avenues to seek a favorable resolution.
Related Practice Areas: If you are facing other federal allegations, explore our pages on Federal Criminal Defense in Middlesex County and Business Law. For broader New Jersey resources, visit our New Jersey Criminal Defense hub.
Attorney advertising. Prior results do not guarantee a similar outcome.
Middlesex County cases are handled by our New Jersey medicare fraud practice, where the whole process is set out.
Your case in Middlesex County, New Jersey
Sexual-offense charges are heard in the Criminal Part of the Law Division. In Middlesex County that is the Superior Court of NJ, Middlesex Vicinage (6th Vicinage), 56 Paterson Street, New Brunswick, NJ 08903, telephone (732) 981-3000, open Mon-Fri 8:30AM-4:30PM. Court procedures change; confirm the current schedule on the official vicinage website or with the clerk before you file or appear.
The governing law for this topic is N.J.S.A. 2C:14-2 (aggravated sexual assault) within the New Jersey Code of Criminal Justice, N.J.S.A. Title 2C. Law Offices Of SRIS, P.C. handles Middlesex County matters from its New Jersey location at 44 Apple St 1st Floor, Tinton Falls, NJ 07724; meetings are by appointment. Request a New Jersey consultation at (888) 437-7747 or (609) 983-0003.
Related New Jersey pages: Middlesex County NJ lawyers directory · Medicare Fraud Lawyer Essex County, NJ.