Medicare Fraud Lawyer Hunterdon County NJ | SRIS, P.C.
Medicare Fraud Lawyer in Hunterdon County, NJ — Federal Defense
Medicare fraud in Hunterdon County is a federal crime under 18 U.S.C. § 1347, prosecuted by the U.S. Attorney’s Office for the District of New Jersey. A conviction can mean decades in federal prison, massive fines, and mandatory restitution. Law Offices Of SRIS, P.C. provides a strong defense for individuals and healthcare providers facing these serious allegations.
Last verified: April 2026 | U.S. District Court for the District of New Jersey | New Jersey legislature
Medicare fraud involves knowingly submitting false claims or making misrepresentations to obtain payments from the federal Medicare program. In Hunterdon County, these cases are investigated by federal agencies like the FBI, HHS-OIG, and IRS-CI, and prosecuted federally, not in state court. The penalties are severe and include prison time, fines that can reach millions of dollars, and exclusion from all federal healthcare programs, effectively ending a medical career.
Federal Statutes and Official Resources
The primary law governing Medicare fraud is the federal 18 U.S.C. § 1347 (Health Care Fraud). Cases are filed in the U.S. District Court for the District of New Jersey. Understanding the federal rules of procedure and evidence is critical, as these cases differ significantly from state-level charges.
Hunterdon County Medicare Fraud Defense Strategy
Federal investigations often begin with subpoenas for records or interviews with agents. An early intervention by a Medicare Fraud Attorney Hunterdon County NJ is crucial. In the federal system, the discovery process is extensive, and pre-trial motions can challenge the sufficiency of the indictment or suppress improperly obtained evidence. The U.S. Attorney’s Office in Newark has significant resources, requiring a defense of equal caliber.
- Receive a target letter, subpoena, or learn of a search warrant.
- Secure legal representation immediately—do not speak to investigators without counsel.
- Your attorney conducts a thorough case analysis and engages with the Assistant U.S. Attorney.
- Negotiate for a favorable plea agreement or prepare a vigorous trial defense.
- If convicted, advocate for the most lenient sentence under the federal guidelines.
Potential Penalties for Medicare Fraud
In Hunterdon County, Medicare fraud prosecuted federally carries a baseline penalty of up to 10 years in prison per count, with enhanced penalties if the fraud results in serious bodily injury or death.
| Charge (Under 18 U.S.C.) | Classification | Incarceration | Fine | Additional Consequences |
|---|---|---|---|---|
| Health Care Fraud (§ 1347) | Federal Felony | Up to 10 years* | Up to $250,000 (individual) / $500,000 (organization) | Restitution, forfeiture, program exclusion |
| Health Care Fraud Causing Serious Injury | Federal Felony | Up to 20 years | Up to $250,000 (individual) / $500,000 (organization) | Mandatory restitution, forfeiture |
| Conspiracy to Commit Health Care Fraud (§ 1349) | Federal Felony | Same as underlying fraud | Same as underlying fraud | All conspirators liable for total loss |
| False Statements Relating to Health Care Matters (§ 1035) | Federal Felony | Up to 5 years | Up to $250,000 | Often charged alongside § 1347 |
*Enhanced to 20 years if the violation results in serious bodily injury, and life imprisonment if it results in death.
Results may vary. Prior results do not aim for a similar outcome.
Why Choose Our Firm for Your Medicare Fraud Defense
Founded in 1997, Law Offices Of SRIS, P.C. brings a founder with a background in accounting and information systems—a critical advantage in dissecting complex financial and billing records central to Medicare fraud cases. Our firm-wide experience includes handling federal investigations and courtrooms. We understand the high stakes and work to protect your freedom and professional future.
Case Results and Client Advocacy
While specific case results are confidential, our Medicare Fraud Law Firm Hunterdon County NJ approaches each case with a detailed strategy. We scrutinize the government’s evidence, challenge procedural errors, and explore all avenues for dismissal or reduction. Our goal is to achieve the best possible outcome, whether through negotiation or trial.
Results may vary. Prior results do not aim for a similar outcome.
Contact Our Hunterdon County Medicare Fraud Defense Lawyers
Our New Jersey location serves clients in Hunterdon County, including Flemington, Clinton, and Lambertville. We are accessible via I-78 and Route 202. If you are under investigation or charged with Medicare fraud, immediate action is essential.
Law Offices Of SRIS, P.C.
New Jersey Location — 44 Apple St, 1st Floor, Tinton Falls, NJ 07724
Toll-Free: (888) 437-7747 | Local: (609)-983-0003 | Local: (732) 509-5905
By appointment only.
24/7 phone consultations — (888) 437-7747 — meetings by appointment only.
Medicare Fraud Lawyer Hunterdon County NJ — Frequently Asked Questions
What is the first sign of a Medicare fraud investigation?
It depends. The first sign is often a subpoena for patient or billing records sent to a healthcare provider, or an agent from the FBI or HHS-OIG requesting an interview. Sometimes, a “target letter” from the U.S. Attorney’s Office formally notifies an individual they are under investigation.
Can I go to jail for a billing mistake?
No, not for an honest mistake. Medicare fraud requires the government to prove you knowingly and willfully executed a scheme to defraud. An accidental coding error or a misunderstanding of a complex billing rule typically does not meet this high legal standard. However, repeated “mistakes” after being corrected can be used as evidence of intent.
What is the “False Claims Act” and how does it relate to Medicare fraud?
The federal False Claims Act (31 U.S.C. §§ 3729-3733) allows the government to sue anyone who knowingly submits a false claim for payment. It is a primary civil tool used alongside criminal Medicare fraud statutes. Violations can result in treble damages and significant per-claim penalties. Whistleblowers (“relators”) can file suits on the government’s behalf and share in any recovery.
Should I speak to investigators if they contact me?
No. You have the right to remain silent and the right to an attorney. Politely decline to answer questions and state you wish to consult with your lawyer. Anything you say can be used against you, and investigators are trained to obtain incriminating statements.
What are the defenses to a Medicare fraud charge?
Common defenses include lack of intent (showing the billing was a mistake), insufficient evidence, challenging the calculated loss amount, entrapment, or procedural violations like unlawful search and seizure. A skilled Medicare Fraud Lawyer Hunterdon County NJ will identify the strongest defense based on the specific facts of your case.
Internal Resources: For related legal help, see our pages on Federal Criminal Defense in Hunterdon County and Business Law in Hunterdon County. Learn more about our firm’s approach on our Federal Criminal Defense hub page.
Last verified: April 2026. Laws change — contact Law Offices Of SRIS, P.C. at (888) 437-7747 for current guidance.