Health Care Fraud Lawyer Manassas — Federal Defense for Billing & Kickback Charges
Health care fraud in Manassas is a federal crime under 18 U.S.C. § 1347, prosecuted by the U.S. Attorney’s Office for the Eastern District of Virginia. A conviction can lead to decades in federal prison, massive fines, and mandatory exclusion from Medicare/Medicaid. As a Health Care Fraud lawyer Manassas, Law Offices Of SRIS, P.C.
Federal Health Care Fraud Law and Penalties
The primary federal statute governing health care fraud is 18 U.S.C. § 1347. This law makes it a crime to knowingly execute, or attempt to execute, a scheme to defraud any health care benefit program or to obtain money or property from such a program through false pretenses. Related statutes include the Anti-Kickback Statute (42 U.S.C. § 1320a-7b) and the False Claims Act (31 U.S.C. §§ 3729–3733).
Last verified: April 2026 | U.S. District Court for the Eastern District of Virginia | Virginia General Assembly
Mr. Sris, founder of Law Offices Of SRIS, P.C., brings a former prosecutor’s insight and a background in accounting and information systems, which is critical for dissecting complex billing records and financial data in health care fraud cases.
Official Legal Resources
For the full text of the federal health care fraud statute, see 18 U.S.C. § 1347 (official U.S. Code). Local federal court procedures and rules can be found at the U.S. District Court for the Eastern District of Virginia website.
handling a Federal Health Care Fraud Investigation in Manassas
Federal investigations for health care fraud in Manassas are typically conducted by agencies like the FBI, HHS-OIG, or DEA. These probes often begin with subpoenas for records, interviews of employees, or a search warrant. The key local procedural fact is that cases are prosecuted in the Alexandria Division of the U.S. District Court for the Eastern District of Virginia. Early intervention by a healthcare scheme charge lawyer Manassas is crucial to protect your rights during the investigative stage before an indictment is secured.
- Receive a Target Letter or Subpoena: Contact a federal defense attorney immediately. Do not speak to agents without counsel.
- Internal Investigation & Document Review: Your legal team will conduct a privileged review of billing practices, employee communications, and contracts.
- Negotiate with Prosecutors: Before indictment, your attorney may engage with the U.S. Attorney’s Office to present mitigating evidence or argue against charges.
- Grand Jury Proceedings: If indicted, the case moves to the U.S. District Court for arraignment and pre-trial motions.
- Trial or Plea Negotiation: Your defense will challenge the government’s evidence on intent and knowledge, key elements of the crime.
Potential Penalties for Health Care Fraud Convictions
In Manassas, a federal health care fraud conviction under 18 U.S.C. § 1347 carries a baseline of up to 10 years in prison, but if the fraud results in serious bodily injury, the maximum rises to 20 years, and if it results in death, a life sentence is possible.
| Offense | Classification | Incarceration | Fine | License Impact | Additional Consequences |
|---|---|---|---|---|---|
| Health Care Fraud (18 U.S.C. § 1347) | Federal Felony | Up to 10 years (20 years if injury; life if death) | Up to $250,000 (individual) or $500,000 (organization) | Mandatory exclusion from federal health programs | Asset forfeiture, restitution, probation |
| Anti-Kickback Violation (42 U.S.C. § 1320a-7b) | Federal Felony | Up to 5 years | Up to $25,000 | Mandatory exclusion from Medicare/Medicaid | Civil penalties up to $50,000 per violation |
| False Statements (18 U.S.C. § 1035) | Federal Felony | Up to 5 years | Up to $250,000 | Possible license board action | Often charged alongside main fraud count |
Results may vary. Prior results do not aim for a similar outcome.
Why Choose Our Firm for Your Health Care Fraud Defense
Law Offices Of SRIS, P.C. was founded in 1997 by former prosecutor Mr. Sris. With over 120 years of combined attorney experience and more than 4,739 documented case results firm-wide, we bring substantial resources to federal white-collar defense. Our team includes Matthew Greene, who has over 30 years of experience, including handling complex federal matters. We understand that a medical billing fraud defense lawyer Manassas must be adept at forensic accounting and federal procedure to build an effective defense.
Case Results and Client Advocacy
While specific results are confidential, our firm-wide track includes favorable resolutions in complex federal cases. We approach each health care fraud allegation by meticulously reviewing the evidence for weaknesses in the government’s proof of intent, challenging the legality of searches and seizures, and negotiating for reduced charges or alternative resolutions when appropriate.
Results may vary. Prior results do not aim for a similar outcome.
Health Care Fraud Lawyer Near Manassas
Our Fairfax location serves clients facing federal charges in Manassas and the broader Eastern District of Virginia. We are accessible via I-66 and Route 28.
Law Offices Of SRIS, P.C.
4008 Williamsburg Court
Fairfax, VA 22032
Toll-Free: (888) 437-7747 | Local: (703) 636-5417
By appointment only.
24/7 phone consultations — (888) 437-7747 — meetings by appointment only. We serve Manassas and surrounding communities.
Health Care Fraud Defense FAQs
What is the most common type of health care fraud?
Yes, billing for services not rendered is among the most common. This includes upcoding (billing for a more expensive service) and unbundling (billing separately for services that should be grouped). A medical billing fraud defense lawyer Manassas can analyze your specific billing practices.
Can I go to jail for a mistake in medical billing?
It depends. The government must prove you acted knowingly and willfully to defraud. Honest billing errors or negligence are not criminal. A Health Care Fraud lawyer Manassas will work to demonstrate the absence of criminal intent.
What is the Anti-Kickback Statute?
The Anti-Kickback Statute (42 U.S.C. § 1320a-7b) makes it illegal to knowingly offer, pay, solicit, or receive remuneration to induce referrals of services paid for by federal health care programs. Defenses often center on established statutory exceptions or safe harbors.
What should I do if I’m contacted by a federal agent about health care fraud?
No, do not answer questions. Politely state you wish to speak with your attorney first. Contact a healthcare scheme charge lawyer Manassas immediately. Anything you say can be used against you, and agents are not required to inform you that you are a target.
What are the collateral consequences of a health care fraud conviction?
Beyond prison and fines, consequences include mandatory exclusion from Medicare/Medicaid, loss of professional licenses, civil lawsuits under the False Claims Act (which can triple damages), and permanent damage to personal and professional reputation.
Related Legal Resources
If you are under investigation, act quickly. For related defense services, see our pages on Virginia Federal Criminal Defense, or for other local matters, Criminal Defense Lawyer Fairfax and Business Lawyer Manassas.
Last verified: April 2026. Laws change — contact Law Offices Of SRIS, P.C. at (888) 437-7747 for current guidance.