Medicare Fraud Lawyer in Monmouth County, NJ — Federal Defense
A Medicare fraud charge in Monmouth County is a serious federal offense prosecuted under 18 U.S.C. § 1347, carrying severe penalties. Law Offices Of SRIS, P.C. provides a strong defense for individuals and healthcare providers facing such allegations. Our firm has extensive experience in federal court, including the U.S. District Court for the District of New Jersey.
Last verified: April 2026 | Superior Court of NJ, Monmouth Vicinage | New Jersey Legislature
Federal Medicare Fraud Statute and Penalties
Medicare fraud is prosecuted federally under the healthcare fraud statute, 18 U.S.C. § 1347. This law makes it a crime to knowingly execute, or attempt to execute, a scheme to defraud any healthcare benefit program, like Medicare, or to obtain money or property from such a program through false pretenses. In New Jersey, these cases are typically investigated by agencies like the FBI, HHS-OIG, and the U.S. Attorney’s Office for the District of New Jersey and tried in federal court in Newark or Camden.
Founded in 1997 by former prosecutor Mr. Sris, our firm understands the gravity of federal charges. A Medicare fraud lawyer Monmouth County relies on must handle federal procedures and build a defense against substantial government resources.
Official Legal Resources
For the official text of the federal healthcare fraud statute, see 18 U.S.C. § 1347 (Cornell Legal Information Institute). For local federal court procedures, visit the U.S. District Court for the District of New Jersey website.
handling a Federal Medicare Fraud Case in Monmouth County
The process for a federal Medicare fraud case differs significantly from state court. Investigations are often lengthy, involving subpoenas, interviews, and review of vast medical and billing records. The Key Local Procedural Fact is that New Jersey’s federal court handles these contested cases, and the outcome hinges on challenging the government’s evidence of intent and material falsehood.
- Initial Investigation: You may receive a subpoena or be contacted by federal agents. Do not speak to investigators without your attorney present.
- Grand Jury Proceedings: The U.S. Attorney presents evidence to a grand jury, which decides whether to issue an indictment.
- Arraignment & Detention Hearing: If indicted, you will be arraigned. Your attorney will argue for pretrial release conditions.
- Discovery & Motion Practice: Your defense team reviews all evidence and files motions to suppress evidence or dismiss charges.
- Plea Negotiations or Trial: Most federal cases are resolved by plea. If not, your case proceeds to a jury trial in federal court.
- Sentencing: If convicted, sentencing follows federal guidelines, which can include lengthy prison terms, fines, and restitution.
In Monmouth County, federal Medicare fraud convictions under 18 U.S.C. § 1347 can result in up to 10 years in federal prison per count, or up to 20 years if the violation results in serious bodily injury. Fines can reach $250,000 for individuals and $500,000 for organizations, plus mandatory restitution to Medicare.
| Offense Level | Federal Classification | Incarceration | Fine | Additional Consequences |
|---|---|---|---|---|
| Basic Fraud | Felony | Up to 10 years | Up to $250,000 | Restitution, forfeiture, exclusion from Medicare. |
| Fraud Causing Serious Injury | Felony | Up to 20 years | Up to $250,000 | Enhanced restitution, permanent program exclusion. |
| Conspiracy to Commit Fraud | Felony | Up to 10 years | Up to $250,000 | Same as basic fraud for all conspirators. |
Results may vary. Prior results do not guarantee a similar outcome.
Why Choose Our Firm for Your Medicare Fraud Defense
Law Offices Of SRIS, P.C. was founded in 1997. Our attorneys bring a combined 120+ years of legal experience to federal defense. We approach each case with the understanding that a Medicare fraud allegation can devastate a professional reputation and livelihood. Our defense strategies are meticulous, often focusing on lack of intent, compliance with billing regulations, and challenging the sufficiency of the government’s evidence.
Our Approach to Your Defense
We have a documented record of favorable outcomes in contested cases. Firm-wide, we have handled 4,739+ cases with a 93%+ favorable outcome rate. While specific Medicare fraud results are protected, our firm’s extensive white collar crime defense lawyer Monmouth County experience is applied to every case. We build defenses that may involve engaging forensic accountants, medical billing professionals, and challenging procedural errors.
Results may vary. Prior results do not guarantee a similar outcome.
Contact Our Monmouth County Medicare Fraud Lawyers
Our New Jersey location serves clients throughout Monmouth County, including Freehold, Tinton Falls, Red Bank, Long Branch, Asbury Park, Middletown, Holmdel, Marlboro, Manalapan, Howell, Wall Township, Neptune, and Colts Neck. We are your local Medicare fraud lawyer Monmouth County resource for federal court defense.
Law Offices Of SRIS, P.C.
New Jersey Location — 44 Apple St, 1st Floor
Tinton Falls, NJ 07724
By appointment only.
24/7 Phone Consultations: Toll-Free: (888) 437-7747
Medicare Fraud Defense FAQs
What is the first thing I should do if I’m under investigation for Medicare fraud?
No, do not speak to investigators. Immediately contact a Medicare fraud lawyer Monmouth County. Anything you say can be used against you. Your attorney will communicate with the government on your behalf and begin protecting your rights from the very start of the investigation.
Can I go to prison for a billing mistake?
It depends. Prosecution requires proof of knowingly and willfully defrauding the program. Honest errors, clerical mistakes, or misinterpretation of billing codes are typically not criminal. A strong defense often focuses on demonstrating the lack of criminal intent required by 18 U.S.C. § 1347.
What is the difference between a civil and criminal Medicare fraud case?
Civil cases seek monetary penalties and repayment under the False Claims Act. Criminal cases, prosecuted under statutes like 18 U.S.C. § 1347, seek imprisonment and fines. The same conduct can trigger both. A criminal charge requires proof “beyond a reasonable doubt,” a much higher standard than the “preponderance of the evidence” in civil cases.
What are common defenses to Medicare fraud charges?
Common defenses include lack of intent (mistake), insufficient evidence, entrapment, challenging the materiality of the false statement, and procedural defenses like statute of limitations or violations of your constitutional rights during the investigation. An experienced fraud charge defense lawyer Monmouth County will identify the best strategy for your situation.
Why do I need a lawyer who practices in federal court?
Federal criminal procedure, evidence rules, and sentencing guidelines are vastly different from state court. The prosecutors are highly focused, and the stakes are immense. A white collar crime defense lawyer Monmouth County with federal experience understands this unique field, knows the local federal judges and prosecutors, and can handle the process effectively.
For more information on related legal matters, see our pages on New Jersey Criminal Defense, or explore defenses in nearby areas like Bergen County. In Monmouth County, we also assist with business law matters that may intersect with regulatory compliance.
Last verified: April 2026. Laws change — contact Law Offices Of SRIS, P.C. at (888) 437-7747 for current guidance.
For the full picture beyond Monmouth County, our page on medicare fraud cases in New Jersey covers the process end to end.
Your case in Monmouth County, New Jersey
Federal charges are heard in the U.S. District Court for the District of New Jersey (Newark, Trenton and Camden), not in county court; related state charges are heard in the Criminal Part of the Law Division. In Monmouth County that is the Superior Court of NJ, Monmouth Vicinage (9th Vicinage), 71 Monument Park, Freehold, NJ 07728, telephone (732) 677-4200, 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 Title 18 of the United States Code and the Federal Rules of Criminal Procedure. Law Offices Of SRIS, P.C. handles Monmouth 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: Monmouth County NJ lawyers directory · Medicare Fraud Lawyer Bergen County, NJ · Medicare Fraud Lawyer Hudson County, NJ.