Health Care Fraud lawyer Prince William County, VA

Reviewed by Mr. Sris, Owner and Founder Law Offices Of SRIS, P.C. – Advocacy Without Borders.

Admitted in Virginia, Maryland, District of Columbia, New Jersey, and New York

Practicing since 1997

Last reviewed: July 2026

Federal health care fraud charges carry serious potential consequences, including years of imprisonment and substantial fines. If you or someone close to you is under investigation or has been indicted in Prince William County, the matter will proceed in the U.S. District Court for the Eastern District of Virginia, where federal prosecutors pursue these cases actively. Health care fraud allegations—whether involving Medicare billing, kickback arrangements, or false claims to a health benefit program—can threaten your professional license, your finances, and your freedom. Mr. Sris and his Of Counsel team at Law Offices Of SRIS, P.C. represent individuals facing federal health care fraud charges in Prince William County and throughout Northern Virginia. We work to protect your rights, challenge the government’s evidence, and pursue the favorable outcomes. To discuss your situation in a confidential consultation, reach our firm at (888) 437-7747.

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What Health Care Fraud Means in Prince William County

Health care fraud is a federal offense that encompasses a broad range of conduct intended to defraud a health care benefit program. The primary statute, 18 U.S.C. § 1347, makes it a crime to knowingly and willfully execute or attempt to execute a scheme to defraud any health care benefit program, or to obtain money or property owned by or under the custody or control of any health care benefit program, by means of false or fraudulent pretenses, representations, or promises. The offense can arise from activities such as billing for services not rendered, upcoding, paying or receiving kickbacks for patient referrals, or submitting false cost reports.

For residents of Prince William County, a federal health care fraud case will not be heard in the local state courthouse. Federal charges are prosecuted by the United States Attorney’s Office for the Eastern District of Virginia, one of the most active and well-resourced federal districts in the country. Cases are typically filed in the Alexandria Division of the court, although some may be venued in the Richmond or Newport News Divisions depending on where the alleged conduct occurred. The federal system operates under the United States Sentencing Guidelines and, critically, does not provide for parole. A conviction can also trigger professional license repercussions for medical providers, billing professionals, and others working in the health care industry.

Because the government devotes significant resources to investigating health care fraud—often involving the FBI, the U.S. Department of Health and Human Services Office of Inspector General, and other agencies—early intervention by defense counsel is essential. The firm’s Fairfax location serves clients throughout Prince William County, including Manassas, Woodbridge, Dale City, Gainesville, and surrounding communities.

How Mr. Sris and His Of Counsel Handle Health Care Fraud Cases

When we are retained in a health care fraud matter, our first priority is to determine the scope of the investigation and whether charges have already been filed. Federal health care fraud cases often begin with a grand jury investigation that may last months before an indictment is returned. During this phase, we work to engage with the prosecution, present exculpatory evidence, and, where appropriate, seek to persuade the government not to bring charges or to reduce the scope of the allegations. If an indictment is returned, we prepare for every stage of the criminal process, from the initial appearance and detention hearing through pretrial motions and, if necessary, trial.

Health care fraud prosecution frequently involves extensive documentary evidence: billing records, patient files, email correspondence, and financial records. Our defense approach includes a thorough review of that evidence to identify weaknesses in the government’s case. We examine whether billing discrepancies are explained by legitimate medical judgment rather than fraudulent intent, whether the government’s interpretation of the data is flawed, and whether constitutional or procedural violations occurred during the investigation. Mr. Sris and his Of Counsel collaborate on complex matters, drawing on extensive combined legal experience to develop a defense strategy tailored to the specific facts of each case. Results vary, and prior outcomes do not guarantee a similar result; we are committed to providing a vigorous defense for every client.

About Mr. Sris and His Of Counsel Team

Mr. Sris, Owner and Founder of Law Offices Of SRIS, P.C., has practiced law since 1997 and is a former prosecutor. His background gives him insight into how the government builds its cases and how to identify weaknesses in the prosecution’s evidence. Mr. Sris is admitted to practice in Virginia, Maryland, the District of Columbia, New Jersey, and New York. He has testified before the Virginia House Courts of Justice Committee in support of 2019 HB 635 (chief patron Del. David Bulova) and remains deeply involved in the firm’s federal criminal defense practice. Mr. Sris and his Of Counsel bring extensive combined legal experience to health care fraud and other federal matters. The firm’s Of Counsel attorneys are experienced litigators who work alongside Mr. Sris to prepare each case thoroughly, ensuring that no detail is overlooked.

Frequently Asked Questions

What is health care fraud under federal law?

Health care fraud is a federal crime defined as knowingly and willfully defrauding a health care benefit program or obtaining its money through false pretenses. The offense is codified at 18 U.S.C. § 1347 and carries a maximum penalty of ten years imprisonment, or life if the fraud results in death. Federal prosecutors must prove that the defendant acted with intent to defraud, which is a nuanced element that often depends on the surrounding circumstances. The law covers a broad spectrum of conduct, including billing for unnecessary services, falsifying diagnoses to justify treatment, and engaging in illegal kickback arrangements. Because these charges are federal, they are handled in the U.S. District Court system and are not subject to state criminal statutes. Early involvement of an attorney familiar with federal health care fraud prosecutions can be critical to understanding the government’s theory and building a defense.

What should I do if I am facing health care fraud charges in Prince William County?

If you are facing health care fraud charges in Prince William County, contact a federal criminal defense attorney immediately and do not discuss your case with anyone else. Preserve all relevant documents, including billing records, emails, and correspondence, without altering or destroying anything. Federal investigators often have a significant head start, and your early cooperation with counsel can help level the playing field. Do not speak with law enforcement agents without your lawyer present, even if they suggest the conversation is informal. The statute of limitations and procedural deadlines in federal court require swift action, so reaching out to a defense attorney promptly is essential. At Law Offices Of SRIS, P.C., we can meet with you at our Fairfax location or arrange a phone consultation to discuss your situation.

How does a lawyer defend against health care fraud charges?

A defense against health care fraud charges can focus on challenging the government’s evidence of fraudulent intent, contesting the accuracy of billing data, or raising procedural violations. Because health care fraud is a specific-intent crime, the government must prove that the defendant acted with a conscious objective to defraud, not merely that billing errors occurred. Our defense approach may include scrutinizing the work of agency investigators, examining whether medical necessity decisions fell within accepted standards of care, and negotiating with prosecutors to reduce or dismiss charges. In some cases, presenting mitigating factors early can influence how the case is charged or resolved. Every federal health care fraud case is unique, and defense strategy must be crafted around the specific facts and evidence the government intends to use.

What is the difference between state and federal charges?

Federal charges are prosecuted in U.S. District Court by the U.S. Attorney’s Office and generally carry longer potential sentences with no parole, while state charges are handled in Virginia’s General District or Circuit Courts under state law. In Prince William County, a state criminal case would be filed in the Prince William County General District Court or Circuit Court. Health care fraud, however, is almost always a federal matter because it involves federal programs such as Medicare or Medicaid. Federal court procedures—including the Federal Rules of Criminal Procedure, the United States Sentencing Guidelines, and the federal bail statute—differ significantly from Virginia’s state court rules. The absence of parole in the federal system means that a defendant serving a federal sentence will serve substantially all of the term imposed, less limited good-time credits.

Do I need a lawyer for federal health care fraud charges?

Yes, retaining an experienced federal criminal defense attorney is essential if you are charged with or under investigation for health care fraud. Federal health care fraud cases are complex and document-intensive, often involving years of billing records, experienced attorney analysis, and multiple government agencies. The U.S. Attorney’s Office in the Eastern District of Virginia has a high conviction rate, and the consequences of a conviction can extend beyond incarceration to include forfeiture, restitution, and professional license sanctions. An attorney can help you understand the charges, protect your rights during the investigation, and work to negotiate a resolution or prepare for trial. For a confidential consultation, reach Mr. Sris and his Of Counsel at (888) 437-7747.

Official resources:
U.S. District Court for the Eastern District of Virginia |
18 U.S.C. § 1347 (Health Care Fraud)

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Results may vary.

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