Healthcare Fraud Lawyer South Brunswick NJ | SRIS, P.C.
Healthcare Fraud Lawyer South Brunswick NJ — What Are Your Defense Options?
Healthcare fraud in South Brunswick, NJ, is a serious state and federal offense under N.J. Stat. § 2C:21-4.3 and 18 U.S.C. § 1347, carrying severe penalties. Law Offices Of SRIS, P.C. provides focused defense for individuals and entities accused of fraudulent billing, kickbacks, or false claims. Our healthcare fraud lawyer South Brunswick NJ understands the complex interplay of state regulations and federal enforcement.
What Is Healthcare Fraud in New Jersey?
Healthcare fraud involves knowingly and willfully executing a scheme to defraud any healthcare benefit program or to obtain money or property from such a program through false pretenses. In New Jersey, specific statutes like N.J. Stat. § 2C:21-4.3 criminalize filing false claims for payment, upcoding services, billing for services not rendered, or receiving kickbacks for patient referrals. These acts can be prosecuted at the state level or federally, often involving agencies like the FBI, OIG, and the New Jersey Attorney General’s Office.
Last verified: April 2026 | Middlesex County Superior Court | New Jersey Legislature
Official Legal Resources
For the official text of New Jersey’s healthcare fraud statute, see N.J. Stat. § 2C:21-4.3 (official New Jersey Legislature). For federal law, refer to 18 U.S.C. § 1347 (U.S. Code). The Middlesex County Superior Court handles indictable healthcare fraud cases in South Brunswick.
Defending a Healthcare Fraud Case in Middlesex County
Prosecutors in Middlesex County, which includes South Brunswick, aggressively pursue healthcare fraud cases, often using data analytics to identify billing anomalies. A successful defense requires dissecting complex medical and billing records to challenge the intent element—proving you did not “knowingly” commit fraud. Common defenses include lack of intent, good-faith errors in billing, insufficient evidence, or challenging the legality of the investigation itself.
- Secure Immediate Legal Counsel: Do not speak with investigators or insurance auditors without an attorney present.
- Preserve All Records: Secure all patient files, billing records, emails, and communications related to the allegations.
- Case Assessment: Your attorney will analyze the evidence to identify weaknesses in the prosecution’s case and potential defenses.
- Negotiation or Litigation: Based on the evidence, your lawyer will either negotiate for reduced charges or dismissal, or prepare for trial.
Potential Penalties for Healthcare Fraud
In South Brunswick, NJ, healthcare fraud is typically a second, third, or first-degree indictable offense, with penalties ranging from significant fines to decades in prison, plus mandatory restitution.
| Offense Level (NJ) | Classification | Incarceration | Fine | Additional Consequences |
|---|---|---|---|---|
| Fraud less than $75,000 | 3rd Degree | 3-5 years | Up to $15,000 | Restitution, license revocation, exclusion from programs. |
| Fraud $75,000 – $500,000 | 2nd Degree | 5-10 years | Up to $150,000 | Restitution, license revocation, exclusion from programs. |
| Fraud over $500,000 | 1st Degree | 10-20 years | Up to $200,000 | Restitution, license revocation, exclusion from programs, asset forfeiture. |
| Federal Healthcare Fraud (18 U.S.C. § 1347) | Felony | Up to 10 years per count (life if injury/death) | Fines, penalties | Mandatory restitution, exclusion from Medicare/Medicaid, corporate integrity agreements. |
Results may vary. Prior results do not aim for a similar outcome.
Why Choose Our Firm for Your Healthcare Fraud Defense
Founded in 1997, Law Offices Of SRIS, P.C. brings over 120 years of combined legal experience to complex criminal defense. Our firm-wide track record includes over 4,739 documented case results. We understand that healthcare fraud allegations threaten your livelihood, reputation, and freedom. Our approach involves a meticulous review of medical coding, billing practices, and contractual agreements to build a formidable defense.
Case Results and Client Advocacy
Our firm has a documented history of achieving favorable outcomes in complex fraud cases. While every case is unique, our strategies have led to charges being dismissed, reduced, or resolved without incarceration. We focus on protecting your professional license and future.
Results may vary. Prior results do not aim for a similar outcome.
Contact Our South Brunswick Healthcare Fraud Law Firm
If you are under investigation or have been charged with healthcare fraud in South Brunswick, time is critical. Our healthcare fraud law firm South Brunswick NJ is accessible to clients throughout Middlesex County.
Law Offices Of SRIS, P.C.
44 Apple St, 1st Floor
Tinton Falls, NJ 07724
Toll-Free: (888) 437-7747 | Local: (609)-983-0003 | Local: (732) 651-3900
By appointment only.
We offer 24/7 phone consultations at (888) 437-7747. Meetings are held by appointment at our New Jersey location. We serve South Brunswick and surrounding communities like North Brunswick, Dayton, and Kendall Park.
Healthcare Fraud Lawyer South Brunswick NJ FAQ
What should I do if I’m contacted by a healthcare fraud investigator?
No, you should not speak with them. Politely decline to answer questions and immediately contact a healthcare fraud attorney. Anything you say can be used against you, and investigators are trained to obtain incriminating statements.
Can I lose my medical license for a healthcare fraud conviction?
Yes, absolutely. A conviction for healthcare fraud almost certainly triggers disciplinary action by the New Jersey Board of Medical Examiners or other licensing boards, which can result in suspension or permanent revocation of your professional license.
What’s the difference between state and federal healthcare fraud charges?
State charges (N.J. Stat. § 2C:21-4.3) are prosecuted by the NJ Attorney General, while federal charges (18 U.S.C. § 1347) are brought by the U.S. Attorney’s Office. Federal penalties are often more severe and involve agencies like the FBI and HHS-OIG.
What are common defenses against healthcare fraud allegations?
Common defenses include lack of criminal intent (mistake or error), insufficient evidence, entrapment, challenging the legality of a search warrant, and demonstrating compliance with ambiguous billing regulations.
How long does a healthcare fraud investigation take?
It depends. Investigations can last from several months to multiple years, depending on the case’s complexity, the amount of data, and whether it’s a state or federal matter. An attorney can often intervene to seek a quicker resolution.
For more information on related defenses, see our pages on New Jersey Criminal Defense and Federal Criminal Defense.
Last verified: April 2026. Laws change. Contact Law Offices Of SRIS, P.C. at (888) 437-7747 for current legal guidance.