Medicaid Fraud Lawyer Somerset County — Defending Against Serious Fraud Charges
Medicaid fraud in Somerset County is a serious white-collar crime prosecuted under N.J.S.A. 2C:21-4.3, carrying severe penalties including prison time and restitution. If you are under investigation or charged, securing a skilled Medicaid fraud lawyer Somerset County is critical. Law Offices Of SRIS, P.C. provides experienced defense, leveraging our firm-wide 4,739+ documented case results and deep understanding of New Jersey’s complex fraud statutes.
Last verified: April 2026 | Superior Court of NJ, Somerset Vicinage | New Jersey Legislature
Understanding Medicaid Fraud Charges in New Jersey
Medicaid fraud involves knowingly making false statements or misrepresentations to obtain unauthorized payments from the New Jersey Medicaid program. This is classified as a form of health care fraud under state law. Charges can range from disorderly persons offenses to second-degree indictable crimes, depending on the dollar amount involved and the nature of the alleged scheme. A conviction can result in incarceration, massive fines, mandatory restitution, and exclusion from participating in any federal health care programs, effectively ending a professional career.
Official Legal Resources
For the official text of the statute, refer to N.J.S.A. 2C:21-4.3 (official New Jersey Legislature). Court proceedings for indictable (felony-level) Medicaid fraud occur at the Superior Court of NJ, Somerset Vicinage in Somerville.
Local Defense Strategy in Somerset County
Defending a Medicaid fraud charge requires a case-specific approach that addresses both the factual allegations and the complex regulatory framework. In Somerset County, these cases are often investigated by the New Jersey Office of the State Comptroller, Medicaid Fraud Division, or the Attorney General’s Office before being presented to the Somerset County Prosecutor. Early intervention by a fraud charge defense lawyer Somerset County is key to potentially influencing the direction of an investigation before formal charges are filed.
- Initial Case Assessment: Conduct a thorough review of all billing records, communications, and audit findings with a white collar crime defense lawyer Somerset County.
- Investigation Response: Strategically manage interactions with investigators to protect your rights without conceding liability.
- Pre-Indictment Negotiation: Engage with the Somerset County Prosecutor’s Office to present mitigating evidence and argue for reduced or alternative charges.
- Motion Practice: File pre-trial motions to suppress improperly obtained evidence or challenge the legal sufficiency of the charges.
- Trial or Resolution: Prepare for a rigorous trial to defend your innocence or negotiate a resolution that minimizes professional and personal consequences.
In Somerset County, Medicaid fraud classified as a second-degree crime carries 5 to 10 years in state prison and fines up to $150,000, plus mandatory restitution.
| Offense Level (By Amount) | NJ Classification | Incarceration | Fine | Additional Consequences |
|---|---|---|---|---|
| $75,000 or more | 2nd Degree Crime | 5-10 years | Up to $150,000 | Restitution, program exclusion, professional license loss. |
| $1,000 to $74,999 | 3rd Degree Crime | 3-5 years | Up to $15,000 | Restitution, possible program exclusion. |
| Under $1,000 | Disorderly Persons Offense | Up to 6 months | Up to $1,000 | Restitution, court costs. |
Results may vary. Prior results do not aim for a similar outcome.
Why Choose Our Firm for Your Medicaid Fraud Defense
Founded in 1997, Law Offices Of SRIS, P.C. brings over 120 years of combined legal experience to complex white-collar defense. Our founding attorney, Mr. Sris, is a former prosecutor with a background in accounting and information systems, providing a distinct advantage in dissecting financial fraud cases. We understand that a Medicaid fraud accusation threatens your livelihood, reputation, and freedom. Our team is prepared to mount a vigorous defense from the initial investigation through trial.
Our Approach to Your Case
We have a documented record of handling complex fraud cases. While specific local results cannot be guaranteed, our firm-wide track includes over 4,739 documented case results with a favorable outcome rate exceeding 93%. We apply this extensive experience to every Medicaid fraud defense in Somerset County. Our defense strategy is built on meticulous document review, consultation with financial experts, and challenging the prosecution’s evidence at every stage.
Results may vary. Prior results do not aim for a similar outcome.
Contact Our Somerset County Medicaid Fraud Defense Lawyers
Our New Jersey location serves clients across Somerset County, including Somerville, Bridgewater, Franklin Township, and Hillsborough. We offer 24/7 phone consultations for immediate concerns.
Law Offices Of SRIS, P.C. — New Jersey
44 Apple St, 1st Floor
Tinton Falls, NJ 07724
Toll-Free: (888) 437-7747 | Local: (609)-983-0003
By appointment only.
Frequently Asked Questions: Medicaid Fraud in NJ
What is considered Medicaid fraud in New Jersey?
It depends. Common examples include billing for services not rendered, upcoding services, providing unnecessary services, or falsifying patient records to obtain payment. The key element is knowingly making a false statement or misrepresentation to receive unauthorized Medicaid funds.
Who investigates Medicaid fraud in Somerset County?
Investigations are typically conducted by the New Jersey Office of the State Comptroller (Medicaid Fraud Division), the State Attorney General’s Office, or the Somerset County Prosecutor’s Office. These agencies work with federal partners and can involve audits, interviews, and subpoenas.
Can I go to jail for a Medicaid fraud mistake?
No, not for an honest mistake. Prosecution requires proof of intent to defraud. A skilled Medicaid fraud lawyer Somerset County can demonstrate a lack of criminal intent, such as billing errors due to complex regulations or clerical mistakes, which is a primary defense strategy.
What should I do if I’m contacted by a Medicaid fraud investigator?
Politely decline to answer questions and immediately contact a fraud charge defense lawyer Somerset County. Anything you say can be used against you. An attorney can communicate with investigators on your behalf to protect your rights while managing the inquiry.
Are there alternatives to trial for Medicaid fraud charges?
Yes. For first-time offenders, New Jersey’s Pre-Trial Intervention (PTI) program may be an option for certain indictable offenses, potentially skilled to dismissal after supervision. Other alternatives include negotiated pleas to reduced charges or diversion programs focused on restitution.
Related Legal Services in Somerset County
If you are facing other serious charges, our firm provides full defense. You may also need a Somerset County criminal defense lawyer for related matters. For broader state-level resources, visit our New Jersey criminal defense hub page. We also assist with federal criminal defense in Somerset County.
Last verified: April 2026. The law changes. Contact Law Offices Of SRIS, P.C. at (888) 437-7747 for current guidance.