Health Care Fraud lawyer Near Me

Federal health care fraud investigations carry the full weight of U.S. Government resources—the FBI, HHS‑OIG, IRS‑CI, and Department of Justice prosecutors build cases methodically, often assembling documents for months or years before an indictment is unsealed. When you learn that you are a target, every statement you make and every record you produce can shape the trajectory of the case. Law Offices Of SRIS, P.C., founded in 1997, concentrates its federal criminal practice on defending health care providers, billing companies, and executives against allegations brought under 18 U.S.C. § 1347 and related statutes. Mr. Sris and the firm’s Of Counsel attorneys appear in U.S. District Courts across Virginia, Maryland, the District of Columbia, New Jersey, and New York, offering a multi-state defense to clients who need counsel in any of those jurisdictions. Reach our firm at (888) 437‑7747 to request a consultation. Law Offices Of SRIS, P.C. – Advocacy Without Borders.

What Is Federal Health Care Fraud?

Under 18 U.S.C. § 1347, health care fraud involves knowingly executing a scheme to defraud any health care benefit program, or obtaining money or property of a health care benefit program by false or fraudulent pretenses. The statute covers private insurers, Medicare, Medicaid, TRICARE, and other federal and state programs. A conviction carries a maximum penalty of ten years imprisonment, which rises to life if the fraud results in death. Federal prosecutors also routinely seek restitution orders and forfeiture of assets tied to the alleged scheme.

Unlike state-level billing disputes, a federal health care fraud charge means the U.S. Attorney’s Office, often in coordination with a U.S. Department of Justice strike force, is directing the prosecution. The government can use grand jury subpoenas, search warrants, and civil investigative demands to build its case before a single charge is filed. Because evidence is gathered through multiple agencies—including HHS‑OIG for Medicare, the FBI for wire-fraud components, and IRS‑CI for tax implications—a defense must address both the criminal allegations and any parallel civil or administrative actions that may accompany them.

Federal Health Care Fraud Investigations and Court Process

Most health care fraud matters begin long before an arrest. The government may issue a target letter, a grand jury subpoena for billing records, or a search warrant executed at a practice or business location. Early engagement gives the defense a meaningful opportunity to respond to document demands, preserve electronic records properly, and begin communicating with the prosecutor before an indictment is returned. The federal Speedy Trial Act and the U.S. Sentencing Guidelines shape the timeline and procedural posture, but the pace of each case varies with the complexity of the billing records, the number of alleged co-conspirators, and the court’s docket.

Once charges are filed, the matter proceeds in the U.S. District Court for the district where the alleged conduct occurred. For Virginia clients, that often means the Eastern District of Virginia (Alexandria, Richmond, Norfolk, or Newport News divisions) or the Western District of Virginia. In Maryland, cases are heard in the District of Maryland (Baltimore or Greenbelt). District of Columbia cases go to the U.S. District Court for the District of Columbia, New Jersey cases to the District of New Jersey, and New York cases to the appropriate division of the Eastern, Southern, Northern, or Western District of New York. The firm’s attorneys appear in each of these federal courts, and their submissions are calibrated to the expectations of the judges and prosecutors in those specific districts.

How Mr. Sris and the Firm’s Of Counsel Attorneys Defend Health Care Fraud Cases

Health care fraud defense requires a methodical examination of billing codes, medical-necessity documentation, and the government’s statistical sampling methodologies. Mr. Sris—whose background includes accounting and information systems before he earned his law degree—brings a focused approach to evaluating the financial and data‑driven evidence that typically anchors these cases. The firm’s Of Counsel attorneys review discovery, challenge forensic accounting conclusions, and test the admissibility of summary exhibits that prosecutors often seek to introduce at trial.

The defense team also addresses pretrial release conditions, potential asset-freeze orders, and the intersection of criminal charges with Medicare exclusion or state licensing consequences. Where the evidence permits, early negotiation with the AUSA can result in a narrower charging instrument, a deferred prosecution agreement, or a pretrial diversion resolution. If the case proceeds to trial, the firm prepares to cross-examine government witnesses—including former employees or billing‑company personnel—and to present independent experienced attorney analysis on billing standards and medical necessity.

About Mr. Sris and the Firm’s Of Counsel Attorneys

Mr. Sris, Owner and Founder of Law Offices Of SRIS, P.C., is a former prosecutor who has practiced since 1997. He is admitted in Virginia, Maryland, the District of Columbia, New Jersey, and New York—a five‑jurisdiction scope that allows the firm to represent clients whose alleged health care fraud spans multiple federal districts. Mr. Sris testified before the Virginia House Courts of Justice Committee in support of 2019 HB 635 (chief patron Del. David Bulova). His background in accounting and information systems gives him a strong foundation for analyzing the financial records and data-intake reports that are central to health care fraud prosecutions.

The firm’s Of Counsel attorneys bring extensive combined legal experience to each health care fraud matter. They work collaboratively with Mr. Sris, handling motion practice, electronic discovery review, and trial preparation. The structure allows every client to benefit from a deep bench without the overhead of a large firm—each attorney at the firm has well over a decade of practice experience, and the team devotes substantial time to every representation. Results may vary. In your case.

Frequently Asked Questions

Do I need a federal criminal defense lawyer for a health care fraud case?

Yes, you need a lawyer who is experienced in federal criminal procedure the moment you suspect an investigation. Federal health care fraud cases involve different rules than state court, including the Federal Rules of Criminal Procedure, the U.S. Sentencing Guidelines, and unique discovery obligations. Early engagement before an indictment allows counsel to respond to subpoenas, protect your documents, and address potential Medicare or Medicaid administrative actions that may run parallel to the criminal matter. For guidance, reach our firm at (888) 437‑7747.

What should I do if I receive a target letter or subpoena related to health care fraud?

Do not discuss the matter with anyone except your attorney, and do not alter or destroy any records. A target letter signals that the government considers you a subject of the investigation and may seek an indictment. Preserve all billing records, correspondence, and electronic files in their original form. Contact a federal criminal defense lawyer immediately to begin assessing the scope of the investigation and to handle the response to the subpoena; anything you say to agents can be used against you.

How does the federal sentencing process work for health care fraud?

Sentencing is governed by the advisory U.S. Sentencing Guidelines, and the court has substantial discretion within the statutory maximums. The computed loss amount under the guidelines is a principal driver of the applicable offense level. Other factors—such as the defendant’s role in the offense, acceptance of responsibility, and the presence of vulnerable victims—can increase or decrease the guideline range. Because there is no parole in the federal system, a person convicted of health care fraud will serve the vast majority of any prison sentence imposed. An experienced defense team can develop a detailed sentencing memorandum to present mitigating facts to the judge.

Can health care fraud charges be dropped before trial?

Yes, charges may be dismissed by the government, reduced through pretrial negotiations, or resolved by a diversionary agreement in appropriate cases. The outcome depends on the strength of the evidence, the quality of the defense’s investigation, and the specific facts of your matter. A defense lawyer may identify procedural flaws in the grand jury presentation or challenge the government’s loss calculations, which can lead to a narrower indictment or a non‑prosecution resolution. Every case is different. Results may vary.

What if the alleged conduct involves multiple states?

Multi‑district health care fraud cases require coordination across every jurisdiction where charges may be filed. Because Law Offices Of SRIS, P.C. represents clients in Virginia, Maryland, the District of Columbia, New Jersey, and New York, the firm can appear in the federal courts across that swath of the mid‑Atlantic and Northeast without the client needing to hire separate local counsel in each district. This integrated approach streamlines the defense when a single alleged scheme touches providers or payors in more than one state.

How can I speak with an attorney about a potential health care fraud matter?

Reach our firm at (888) 437‑7747 to request a consultation. We answer calls 24 hours a day, every day of the year. The consultation is by appointment, and an attorney will review the basics of your situation so you can make an informed decision about how to proceed. There is no charge for that initial discussion, and all communications are confidential.

18 U.S.C. § 1347 — Health Care Fraud  |  DOJ Health Care Fraud Unit  |  U.S. Sentencing Guidelines

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