A Health Care Fraud lawyer Falls Church provides defense against federal charges under 18 U.S.C. § 1347. Law Offices Of SRIS, P.C. has 4,739+ firm-wide results with a 93%+ favorable outcome rate. Falls Church cases proceed through the U.S. District Court for the Eastern District of Virginia.
Last verified: April 2026 | Falls Church General District Court | Virginia Code (official Virginia General Assembly)
Statutory Definition of Health Care Fraud
Health care fraud is defined under 18 U.S.C. § 1347 as knowingly executing a scheme to defraud a health care benefit program. This includes billing for services not rendered, upcoding, and kickback schemes. A Health Care Fraud lawyer Falls Church understands these federal statutes and how they apply to medical providers, clinics, and billing companies in Northern Virginia.
External Citation Links
- 18 U.S.C. § 1347 (Health Care Fraud) — official U.S. Code
- Falls Church General District Court — official court website
- Step 1: Contact a Health Care Fraud lawyer Falls Church immediately upon receiving a subpoena or target letter.
- Step 2: Preserve all billing records, patient files, and communication with payors.
- Step 3: Do not speak with investigators without your attorney present.
- Step 4: Your lawyer will conduct an internal audit to identify potential compliance gaps.
- Step 5: Negotiate with the U.S. Attorney’s Office for a pre-indictment resolution if possible.
- Step 6: Prepare for grand jury proceedings or trial if charges are filed.
In Falls Church, health care fraud carries up to 10 years in federal prison per count under 18 U.S.C. § 1347.
| 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, forfeiture, supervised release |
| Conspiracy to Commit Health Care Fraud (18 U.S.C. § 1349) | Federal Felony | Up to 10 years | Up to $250,000 | Medicare/Medicaid exclusion | Restitution, forfeiture, supervised release |
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
Law Offices Of SRIS, P.C. has 4,739+ firm-wide documented results across VA, MD, NJ, NY, and DC with a 93%+ favorable outcome rate. In Falls Church, the firm has 6 documented criminal results: 5 dismissed/not guilty, 1 reduced/amended (100% favorable outcome rate).
Results may vary. Prior results do not guarantee a similar outcome.
Law Offices Of SRIS, P.C. — Fairfax Location
4008 Williamsburg Court, Fairfax, VA 22032
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Frequently Asked Questions
What is the penalty for health care fraud in Falls Church, Virginia?
Yes, 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. A Health Care Fraud lawyer Falls Church can explain how sentencing guidelines apply to your specific case.
Can a medical billing fraud defense lawyer Falls Church help before charges are filed?
Yes, early intervention by a medical billing fraud defense lawyer Falls Church can prevent charges. If you receive a subpoena or target letter, contact an attorney immediately to begin a pre-indictment resolution strategy.
How does a healthcare scheme charge lawyer Falls Church defend against kickback allegations?
A healthcare scheme charge lawyer Falls Church examines whether the arrangement meets the safe harbor provisions under the Anti-Kickback Statute. Defenses include fair market value compensation and legitimate business relationships.
What is the difference between health care fraud and medical billing errors?
Health care fraud requires intent to defraud, while billing errors are unintentional mistakes. A Health Care Fraud lawyer Falls Church can distinguish between criminal intent and innocent coding errors in your billing records.
Do I need a Health Care Fraud lawyer Falls Church for a federal investigation?
Yes, federal health care fraud investigations are complex and carry severe penalties. A Health Care Fraud lawyer Falls Church protects your rights during grand jury proceedings and negotiations with the U.S. Attorney’s Office.
Can a Health Care Fraud lawyer Falls Church help with Medicare exclusion?
Yes, a Health Care Fraud lawyer Falls Church can challenge Medicare/Medicaid exclusion through administrative proceedings. The Office of Inspector General may impose exclusion for fraud convictions, which your attorney can contest.
Last verified: April 2026. Information updated as of April 2026. Laws change — contact Law Offices Of SRIS, P.C. at (888) 437-7747 for current guidance.