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+ documented results firm-wide across VA, MD, NJ, NY, and DC. Contact us 24/7.
Health care fraud is defined under federal law at 18 U.S.C. § 1347 as knowingly executing a scheme to defraud a health care benefit program or to obtain money or property from such a program through false pretenses. Virginia also prosecutes related offenses under Va. Code § 18.2-186.1 (false statements to obtain health care benefits). A conviction can result in up to 10 years in federal prison, fines, and mandatory restitution. The Law Offices Of SRIS, P.C., founded in 1997 by former prosecutor Mr. Sris, provides full representation for these complex cases.
Last verified: April 2026 | Eastern District of Virginia (Alexandria Division) | Va. Code § 18.2-186.1 (official Virginia General Assembly)
For the federal statute governing health care fraud, see 18 U.S.C. § 1347 (official U.S. Code). For Virginia’s related statute, see Va. Code § 18.2-186.1 (official Virginia General Assembly). For court procedures, visit the Eastern District of Virginia federal court website.
In the Eastern District of Virginia, federal prosecutors use data analytics to identify billing patterns that suggest fraud. The government often subpoenas records years before charges are filed. Early intervention with a Health Care Fraud lawyer Virginia can prevent indictment through a pre-filing presentation.
- Preserve all billing records and communications immediately upon learning of an investigation.
- Do not destroy or alter any documents — spoliation carries separate criminal penalties.
- Contact a Health Care Fraud lawyer Virginia before speaking with investigators or auditors.
- Let your attorney respond to subpoenas and Civil Investigative Demands (CIDs).
- Prepare for potential parallel proceedings: criminal, civil, and administrative (e.g., Medicare exclusion).
- Negotiate pre-indictment resolutions, including declinations or deferred prosecution agreements.
In Virginia, health care fraud carries federal penalties of up to 10 years in prison per count, substantial fines, and mandatory restitution to affected programs.
| 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 (individual) or $500,000 (organization) | Mandatory exclusion from Medicare/Medicaid (5+ years) | Restitution; forfeiture of proceeds; supervised release |
| False Statements (Va. Code § 18.2-186.1) | Class 6 Felony | 1-5 years | Up to $2,500 | Professional license suspension | Restitution; permanent criminal record |
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 with a 93%+ favorable outcome rate firm-wide across VA, MD, NJ, NY, and DC. Our tagline: “Advocacy Without Borders.” Mr. Sris personally amended Va. Code § 20-107.3, the equitable distribution statute, demonstrating deep legislative and procedural knowledge applicable to complex fraud cases.
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. These include dismissals, reductions, and favorable plea agreements in complex federal health care fraud matters.
Results may vary. Prior results do not guarantee a similar outcome.
Our Fairfax location is approximately 20 miles from the Eastern District of Virginia courthouse in Alexandria, accessible via I-66 and I-395. If you need 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: (703) 636-5417
By appointment only.
Do I need a Health Care Fraud lawyer Virginia if I receive a subpoena?
Yes. A subpoena means the government is investigating. Speaking with investigators without counsel can waive your rights and create additional charges. Contact a Health Care Fraud lawyer Virginia immediately to protect your interests.
What is the difference between civil and criminal health care fraud?
Civil fraud involves the False Claims Act and can result in treble damages and penalties. Criminal fraud under 18 U.S.C. § 1347 carries prison time. The government often pursues both simultaneously in parallel proceedings.
Can I lose my medical license for health care fraud?
Yes. A conviction for health care fraud can result in mandatory exclusion from Medicare and Medicaid for at least five years. The Virginia Board of Medicine may also suspend or revoke your professional license.
What should I do if a whistleblower files a qui tam case against me?
It depends. The case is filed under seal, meaning you may not know about it for months. Once unsealed, you need immediate representation. A Health Care Fraud lawyer Virginia can negotiate with the government before the case becomes public.
How long does a federal health care fraud investigation take?
Investigations typically last 12-24 months before charges are filed. The government reviews billing data, interviews witnesses, and may use grand jury subpoenas. Early legal intervention can sometimes prevent charges entirely.
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.