Health care fraud in Virginia carries severe federal penalties under 18 U.S.C. § 1347, including up to 10 years in prison. Law Offices Of SRIS, P.C. has 4,739+ documented results firm-wide. A Health Care Fraud lawyer Virginia can help you understand your defense options. Consultation by appointment.
Health care fraud is defined under federal law at 18 U.S.C. § 1347 as knowingly and willfully executing a scheme to defraud a health care benefit program. This includes submitting false claims, billing for services not rendered, or upcoding. The statute covers both public programs like Medicare and Medicaid and private insurance plans. A conviction can result in imprisonment, fines, and exclusion from federal health care programs. The Law Offices Of SRIS, P.C., founded in 1997 by former prosecutor Mr. Sris, has extensive experience defending these complex cases.
Last verified: April 2026 | Federal Courts (EDVA/WDVA) | 18 U.S.C. § 1347 (official U.S. Code)
For more information, review the federal health care fraud statute (18 U.S.C. § 1347) and the U.S. District Court for the Eastern District of Virginia.
In federal court, health care fraud cases often begin with a grand jury indictment. The government typically builds cases through data analysis of billing patterns. Your attorney can challenge the evidence before trial.
- Retain a Health Care Fraud lawyer Virginia immediately upon notice of investigation.
- Preserve all billing records and communications with insurers.
- Do not speak to investigators without counsel present.
- Your attorney will review the government’s evidence for procedural errors.
- Negotiate pre-indictment resolution if possible.
- Prepare for trial if no favorable resolution is reached.
In Virginia, health care fraud carries federal penalties including imprisonment, fines, and program exclusion.
| Offense | Classification | Incarceration | Fine | License Impact | Additional Consequences |
|---|---|---|---|---|---|
| Health Care Fraud (18 U.S.C. § 1347) | Federal Felony | Up to 10 years | Up to $250,000 | Medicare/Medicaid exclusion | Restitution, supervised release |
| Health Care Fraud Resulting in Serious Bodily Injury | Federal Felony | Up to 20 years | Up to $250,000 | Medicare/Medicaid exclusion | Restitution, supervised release |
| Health Care Fraud Resulting in Death | Federal Felony | Up to life | Up to $250,000 | Medicare/Medicaid exclusion | Restitution, supervised release |
Results may vary. Prior results do not guarantee a similar outcome.
Law Offices Of SRIS, P.C. was founded in 1997 by former prosecutor Mr. Sris. The firm has over 120 years of combined legal experience and has handled 4,739+ documented case results firm-wide with a 93%+ favorable outcome rate. Our tagline is “Advocacy Without Borders.” We bring deep knowledge of federal criminal procedure to every health care fraud case.
Bryan Block, Defense Attorney at Law Offices Of SRIS, P.C. — Licensed in VA. Former Virginia State Trooper (15 years). View Bryan Block’s Profile
Matthew Greene, Senior Defense Attorney at Law Offices Of SRIS, P.C. — Licensed in VA. 30+ years criminal defense. Death penalty certified (formerly). View Matthew Greene’s Profile
Firm-wide across VA, MD, NJ, NY, and DC: 4,739+ documented results with 93%+ favorable outcome rate.
Results may vary. Prior results do not guarantee a similar outcome.
Our Fairfax location is accessible via I-66 and Route 50. Health Care Fraud lawyer Virginia near Fairfax, Arlington, and Alexandria. Serving Warrenton, New Baltimore, Bealeton, Marshall, and The Plains.
24/7 phone consultations — (888) 437-7747 — meetings by appointment only.
Toll-Free: (888) 437-7747 | Local: (703) 636-5417
By appointment only.
Q: Do I need a Health Care Fraud lawyer Virginia if I am under investigation?
Yes. Federal investigations often lead to indictment. Early representation can prevent charges or reduce penalties. Contact a Health Care Fraud lawyer Virginia immediately.
Q: What is the penalty for health care fraud in Virginia?
It depends. Under 18 U.S.C. § 1347, penalties range from up to 10 years for basic fraud to life if death results. Fines up to $250,000 apply.
Q: Can I lose my medical license for health care fraud?
Yes. A conviction can lead to Medicare/Medicaid exclusion and state licensing board action. A Health Care Fraud lawyer Virginia can work to protect your license.
Q: What is the difference between health care fraud and medical billing fraud?
Health care fraud is the broader federal crime. Medical billing fraud is a subset involving false claims. Both require a medical billing fraud defense lawyer Virginia for proper handling.
Q: How long does a health care fraud case take in Virginia federal court?
It depends. Under the Speedy Trial Act, trial must occur within 70 days of indictment. Complex cases often take 6-18 months. A healthcare scheme charge lawyer Virginia can explain timelines.
Last verified: April 2026. Information current as of April 2026. Laws change — contact Law Offices Of SRIS, P.C. at (888) 437-7747 for current guidance.