Health Care Fraud Lawyer Virginia — What Is Your Best Defense?
Health care fraud in Virginia carries severe federal penalties under 18 U.S.C. § 1347, including up to 10 years in prison per count. Law Offices Of SRIS, P.C. has 4,739+ firm-wide documented results with a 93%+ favorable outcome rate. A Health Care Fraud lawyer Virginia from our firm can build your defense.
What Is Health Care Fraud Under Federal Law?
Health care fraud is defined under 18 U.S.C. § 1347 as knowingly and willfully executing a scheme to defraud a health care benefit program or to obtain money or property from such a program by false pretenses. This includes billing for services not rendered, upcoding, and kickback schemes. A Health Care Fraud lawyer Virginia understands these complex federal statutes.
Last verified: April 2026 | Eastern District of Virginia | 18 U.S.C. § 1347 (official U.S. Code)
Official Government Resources
Insider Procedural Edge: Federal Health Care Fraud Cases in Virginia
Federal health care fraud cases in Virginia are prosecuted by the U.S. Attorney’s Office for the Eastern District of Virginia, known for aggressive enforcement. The government often uses data analytics to identify billing anomalies before filing charges.
In our experience, early intervention before an indictment is critical. The pre-indictment phase offers the best opportunity to negotiate a declination or a favorable resolution.
- Step 1: Immediately preserve all billing records and communications with the health care program.
- Step 2: Do not speak to investigators without your attorney present.
- Step 3: Your attorney will conduct a parallel internal investigation to identify potential defenses.
- Step 4: Your attorney will engage with the U.S. Attorney’s Office pre-indictment to present mitigating evidence.
- Step 5: If indicted, your attorney will file pretrial motions to suppress evidence or dismiss charges.
- Step 6: Your attorney will negotiate a plea or prepare for trial based on the strength of the government’s case.
Penalties for Health Care Fraud in Virginia
In Virginia, health care fraud under 18 U.S.C. § 1347 carries up to 10 years in federal prison per count, fines up to $250,000, and mandatory restitution.
| Offense | Classification | Incarceration | Fine | License Impact | Additional Consequences |
|---|---|---|---|---|---|
| Health Care Fraud (18 U.S.C. § 1347) | Federal Felony | Up to 10 years per count | Up to $250,000 | Medicare/Medicaid exclusion; professional license revocation | Restitution; forfeiture; supervised release up to 3 years |
Results may vary. Prior results do not guarantee a similar outcome.
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
Case Results
Firm-wide across VA, MD, NJ, NY, and DC: 4,739+ documented results with 93%+ favorable outcome rate. Our firm has handled numerous federal criminal cases, including health care fraud matters.
Results may vary. Prior results do not guarantee a similar outcome.
Our Virginia Location
Our Fairfax location is approximately 20 miles from the Eastern District of Virginia federal courthouse in Alexandria, accessible via I-66 and I-395.
Looking for a Health Care Fraud lawyer Virginia near Fairfax? We serve clients throughout Northern Virginia.
Neighborhoods served: Fairfax, Arlington, Reston, Herndon, McLean, Vienna, Tysons, Centreville, Chantilly, Burke, Springfield, Annandale, Falls Church, Manassas, Woodbridge, Leesburg, Ashburn, Warrenton, Stafford, Fredericksburg.
24/7 phone consultations — (888) 437-7747 — meetings by appointment only.
Toll-Free: (888) 437-7747 | Local: (804)201-9009
By appointment only.
Frequently Asked Questions About Health Care Fraud in Virginia
What is the statute of limitations for health care fraud in Virginia?
Yes, the statute of limitations is generally 5 years under 18 U.S.C. § 3282, but can be extended to 6 years for health care fraud under 18 U.S.C. § 3295.
Can I lose my medical license for a health care fraud conviction?
Yes, a health care fraud conviction can result in mandatory exclusion from Medicare and Medicaid, and the Virginia Board of Medicine may revoke or suspend your medical license.
What is the difference between upcoding and unbundling in health care fraud?
Upcoding means billing for a more expensive service than provided. Unbundling means billing separately for services that should be billed together. Both can form the basis of a fraud charge.
Do I need a lawyer if I am under investigation but not yet charged?
Yes, you should contact a lawyer immediately. The pre-indictment phase is critical for presenting evidence to prosecutors to potentially avoid charges entirely.
What is the role of a medical billing fraud defense lawyer Virginia in my case?
A medical billing fraud defense lawyer Virginia can analyze your billing records, identify coding errors versus intentional fraud, negotiate with prosecutors, and build a defense strategy case-specific to your specific circumstances.
Can a healthcare scheme charge lawyer Virginia help with a corporate investigation?
Yes, a healthcare scheme charge lawyer Virginia can represent corporations and individuals during internal investigations, before government subpoenas are issued, and throughout the criminal process.
Related Practice Areas
Last verified: April 2026. Laws change — contact Law Offices Of SRIS, P.C. at (888) 437-7747 for current guidance.