Medicare Fraud Lawyer Somerset County NJ | SRIS, P.C.
Medicare Fraud Lawyer Somerset County NJ — Federal Defense
Medicare fraud in Somerset County, NJ, is a serious federal crime prosecuted under 18 U.S.C. § 1347, carrying penalties of up to 10 years in prison and $250,000 in fines per count. Law Offices Of SRIS, P.C. provides defense for individuals and entities facing these complex federal investigations.
Federal Medicare Fraud Statute and Definition
Medicare fraud involves knowingly and willfully executing a scheme to defraud a federal health care program, such as Medicare, or to obtain money or property from such a program through false pretenses. The primary federal statute is 18 U.S.C. § 1347. This law makes it a felony to defraud any health care benefit program, including Medicare, or to obtain any money or property owned by such a program through false representations.
Last verified: April 2026 | U.S. District Court for the District of New Jersey | Federal statutes are codified by the Office of the Law Revision Counsel.
Official Legal Resources
Understanding the legal framework is essential. The official text of the federal health care fraud statute is available from the U.S. Code (18 U.S.C. § 1347). For matters prosecuted in New Jersey, the U.S. District Court for the District of New Jersey provides local rules and procedural information.
Insider Procedural Edge for Somerset County Federal Cases
Federal Medicare fraud cases in New Jersey are typically investigated by agencies like the FBI, HHS-OIG, or the U.S. Attorney’s Health Care Fraud Unit. The case will be prosecuted in the U.S. District Court for the District of New Jersey, often in the Newark or Trenton divisions. Early intervention by a skilled Medicare Fraud Attorney Somerset County NJ is vital, as the government often builds its case through subpoenas, interviews, and data analysis long before an indictment is filed.
- Initial Investigation: You may receive a subpoena for records, or agents may attempt to interview you or your staff. Do not speak to investigators without your attorney present.
- Grand Jury Proceedings: The prosecution presents evidence to a federal grand jury, which decides whether to issue an indictment.
- Arraignment & Detention Hearing: If indicted, you will be arraigned. Your attorney can argue for your release pending trial.
- Discovery & Pre-Trial Motions: Your legal team will review all government evidence and may file motions to suppress evidence or dismiss charges.
- Plea Negotiations or Trial: Most federal cases are resolved by plea agreement. If no agreement is reached, the case proceeds to a jury trial.
- Sentencing: If convicted, sentencing follows federal guidelines, which consider the amount of the loss, your role, and other factors.
Potential Penalties for Medicare Fraud
In Somerset County, NJ, federal Medicare fraud under 18 U.S.C. § 1347 carries a base penalty of up to 10 years in federal prison, but sentences can increase to 20 years if the fraud results in serious bodily injury, and life imprisonment if it results in death.
| Offense | Classification | Incarceration | Fine | Additional Consequences |
|---|---|---|---|---|
| Medicare Fraud (Base) | Federal Felony | Up to 10 years | Up to $250,000 (individual) | Restitution, asset forfeiture, exclusion from Medicare/Medicaid |
| Medicare Fraud Causing Serious Bodily Injury | Federal Felony | Up to 20 years | Up to $250,000 (individual) | Mandatory restitution, permanent program exclusion |
| Medicare Fraud Causing Death | Federal Felony | Any term of years or life | Up to $250,000 (individual) | Mandatory restitution, permanent program exclusion |
Results may vary. Prior results do not aim for a similar outcome.
Why Choose Our Firm for Your Medicare Fraud Defense
Founded in 1997 by former prosecutor Mr. Sris, Law Offices Of SRIS, P.C. brings over 120 years of combined legal experience to complex federal defense. Our firm-wide track record includes 4,739+ documented case results. We understand the high-stakes nature of federal health care fraud investigations and the severe collateral consequences, such as professional license revocation and mandatory exclusion from federal health programs. Our approach is to mount an immediate, thorough defense to protect your liberty and livelihood.
Case Results and Firm Experience
While specific Medicare fraud results in Somerset County are not listed, our firm has a documented history of handling complex federal white-collar and fraud cases. Firm-wide, we have achieved over 4,739 documented case results with a favorable outcome rate exceeding 93%. Each case is unique, and we draw on this extensive experience to build the strongest possible defense for every client.
Results may vary. Prior results do not aim for a similar outcome.
Local Service for Somerset County Residents
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) 651-9900
By appointment only.
Our New Jersey location serves clients throughout Somerset County, including Somerville, Bridgewater, Franklin Township, Bound Brook, Hillsborough, Warren Township, Watchung, Bernardsville, and Bedminster. We are accessible via major highways like I-287 and Route 22. Facing federal charges requires a Medicare Fraud Law Firm Somerset County NJ with the resources and experience to handle the U.S. District Court system. We offer 24/7 phone consultations at (888) 437-7747, with meetings available by appointment.
Medicare Fraud Defense FAQs
What agencies investigate Medicare fraud in New Jersey?
Several. Primary investigators include the Federal Bureau of Investigation (FBI), the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG), and the U.S. Attorney’s Office for the District of New Jersey. State agencies may also be involved.
Can I go to jail for a billing error?
It depends. The key distinction is intent. Prosecution under 18 U.S.C. § 1347 requires proof that you knowingly and willfully executed a scheme to defraud. Honest mistakes or negligence typically do not rise to the level of a federal felony. However, the government may argue that patterns of errors demonstrate criminal intent.
What is the first sign of a Medicare fraud investigation?
Often, it is a subpoena for patient records, billing documents, or emails. Alternatively, you or your employees may be contacted by federal agents requesting an interview. You should not respond to any investigative contact without first consulting a Medicare Fraud Lawyer Somerset County NJ.
What are the collateral consequences of a conviction?
Beyond incarceration and fines, a conviction leads to mandatory exclusion from participation in Medicare, Medicaid, and all other federal health care programs. This is often a career-ending consequence for healthcare providers. You may also face loss of state professional licensure and civil lawsuits.
Is it possible to avoid indictment?
Yes. In some cases, a proactive defense presented to the U.S. Attorney’s Office during the investigation phase can persuade them not to seek an indictment. This may involve demonstrating a lack of criminal intent, cooperating with the investigation, or negotiating a pre-indictment resolution.
How long does a federal Medicare fraud case take?
Timelines vary widely. An investigation can last months or years before charges are filed. Once indicted, the Speedy Trial Act sets guidelines, but complex cases often take 1-3 years to resolve through plea or trial, depending on the evidence and court schedule.
Related Practice Areas: If you are facing other federal charges, you may need a Federal Criminal Lawyer in Somerset County. For state-level fraud allegations, see our Somerset County Criminal Defense Lawyer page.
Service Area: We also serve clients in neighboring counties. For help in Hunterdon County or Morris County, contact us.
Last verified: April 2026. Federal laws and procedures can change. Contact Law Offices Of SRIS, P.C. at (888) 437-7747 for current legal guidance regarding Medicare fraud defense.