Prince George’s County Healthcare Fraud Lawyer — What Are Your Defense Options?
Healthcare fraud in Prince George’s County is a serious white-collar crime prosecuted under both state and federal law, carrying severe penalties including prison time and massive fines. The Law Offices Of SRIS, P.C. has extensive experience defending clients against complex fraud charges in Maryland.
Understanding Healthcare Fraud Charges in Maryland
Healthcare fraud involves knowingly and willfully executing a scheme to defraud any healthcare benefit program or to obtain money or property from such a program through false pretenses. In Maryland, these cases are often prosecuted under both the federal statute, 18 U.S.C. § 1347, and state laws like Md. Code, Crim. Law § 8-501 (Medicaid fraud). The complexity arises from the intersection of billing codes, provider regulations, and intent requirements. A conviction can result in decades in federal prison, restitution orders in the millions, and permanent exclusion from participating in Medicare and Medicaid programs.
Last verified: April 2026 | Prince George’s County Circuit Court | Maryland General Assembly
Official Legal Resources
For the official text of Maryland’s Medicaid fraud statute, see Md. Code, Crim. Law § 8-501. For federal court procedures in Maryland, refer to the U.S. District Court for the District of Maryland website.
The Local Defense Process in Prince George’s County
Healthcare fraud investigations in Prince George’s County often begin with subpoenas from the Maryland Attorney General’s Medicaid Fraud Control Unit or federal agents. The initial phase is crucial, as decisions made before an indictment can define the entire case. In our experience, early engagement with a fraud charge defense lawyer Prince George’s County allows for proactive strategy, such as conducting an internal audit or negotiating a civil settlement to avoid criminal charges.
- Initial Investigation: You may receive an administrative subpoena, a search warrant, or a target letter. Do not speak to investigators without your attorney present.
- Grand Jury Proceedings: Federal cases are presented to a grand jury. Your lawyer can advise on whether to testify or present exculpatory evidence.
- Arraignment & Plea: If indicted, you will be arraigned. Your attorney will negotiate for favorable pre-trial release conditions and begin discovery review.
- Pre-Trial Motions: A strong defense often involves filing motions to suppress evidence, challenge the sufficiency of the indictment, or compel discovery.
- Trial or Resolution: The case may proceed to trial or be resolved through a negotiated plea agreement that minimizes penalties.
- Sentencing & Appeal: If convicted, your lawyer advocates at sentencing and preserves issues for appeal.
Potential Penalties for Healthcare Fraud
In Prince George’s County, a federal healthcare fraud conviction under 18 U.S.C. § 1347 can result in up to 10 years in prison per count, or up to 20 years if the fraud results in serious bodily injury. Fines can reach $250,000 per count for individuals.
| Offense Level | Classification | Incarceration | Fine | Additional Consequences |
|---|---|---|---|---|
| Basic Fraud | Federal Felony | Up to 10 years | Up to $250,000 | Restitution, Program Exclusion |
| Fraud Causing Injury | Federal Felony | Up to 20 years | Up to $250,000 | Restitution, Program Exclusion |
| State Medicaid Fraud | Felony | Up to 5 years | Up to $100,000 | Restitution, Civil Penalties |
Results may vary. Prior results do not aim for a similar outcome.
Our Experience in Healthcare Fraud Defense
Founded in 1997, the Law Offices Of SRIS, P.C. brings over 120 years of combined legal experience to complex white-collar defense. Our firm’s founder, a former prosecutor, understands the tactics used by the government. We approach each healthcare fraud case with a detailed, evidence-based strategy, scrutinizing billing records, experienced witness testimony, and the government’s proof of intent. We have successfully defended medical professionals, clinic owners, and billing companies against allegations of upcoding, unbundling, kickbacks, and false certifications.
Case Results & Client Advocacy
The Law Offices Of SRIS, P.C. has a documented record of advocating for clients facing serious fraud allegations. Our approach involves immediate case assessment, aggressive investigation, and strategic negotiation. We have secured dismissals, favorable plea agreements that avoid prison time, and reductions in alleged loss amounts—a key factor in federal sentencing.
Results may vary. Prior results do not aim for a similar outcome.
Contact Our Prince George’s County Healthcare Fraud Defense Team
Our team is accessible to clients throughout Prince George’s County. We offer 24/7 phone consultations to address urgent concerns. If you are seeking a dedicated white collar crime defense lawyer Prince George’s County, contact us to discuss your situation confidentially.
Law Offices Of SRIS, P.C.
Toll-Free: (888) 437-7747 | Local: (888) 437-7747
By appointment only.
24/7 phone consultations.
Healthcare Fraud Defense FAQs
What should I do if federal agents contact me about healthcare fraud?
No. Do not answer questions. Politely state you wish to speak with your attorney and end the conversation. Contact a healthcare fraud lawyer Prince Georges County immediately, as anything you say can be used against you.
Can I go to jail for a billing mistake?
It depends. Prosecutors must prove you acted with specific intent to defraud, not merely made an error. A skilled fraud charge defense lawyer Prince George’s County can distinguish between negligence and criminal intent, often using experienced witnesses and practice standards to defend against allegations.
What is the “loss amount” in a fraud case?
The government’s calculated loss amount is the single most important factor in federal sentencing guidelines. It directly impacts the recommended prison sentence. A primary defense goal is to challenge and reduce this amount through forensic accounting and negotiation.
What’s the difference between state and federal healthcare fraud charges?
Federal charges (like 18 U.S.C. § 1347) typically involve Medicare, TRICARE, or cross-state schemes and carry longer sentences. State charges often focus on Medicaid fraud under Maryland law. A dual-qualified attorney is essential as cases can involve both jurisdictions.
What defenses are available for healthcare fraud?
Common defenses include lack of intent, good faith reliance on professional advice, challenging the accuracy of the government’s data analysis, entrapment, and statute of limitations. The right defense depends entirely on the evidence and facts of your specific case.
Related Pages: Maryland White Collar Crime Lawyer | Healthcare Fraud Lawyer Montgomery County | Prince George’s County Criminal Defense Lawyer
Last verified: April 2026. Laws change. Contact Law Offices Of SRIS, P.C. at (888) 437-7747 for current guidance.