Health Care Fraud lawyer Near Me

Federal health care fraud investigations move quickly and carry serious consequences. If you are searching for a Health Care Fraud lawyer near you in Virginia, early legal guidance can make a meaningful difference in how your matter unfolds. Health care fraud charges under 18 U.S.C. § 1347 are prosecuted by the U.S. Attorney’s Office in the Eastern or Western District of Virginia, often involving agencies such as the FBI, HHS-OIG, and IRS-CI. These cases are built on extensive documentary evidence, billing records, and witness testimony gathered over months or years before an indictment. Law Offices Of SRIS, P.C. brings experienced, multi-state federal criminal defense representation to individuals facing health care fraud allegations in Charlottesville, the Western District of Virginia, and across the Commonwealth. Mr. Sris, a former prosecutor and Owner and Founder of the firm, has practiced federal criminal defense since 1997. To discuss your matter with our team, reach Law Offices Of SRIS, P.C. at (888) 437-7747. Law Offices Of SRIS, P.C. – Advocacy Without Borders.

What Health Care Fraud Means in Virginia

Health care fraud prosecutions in Virginia arise when the government alleges that a person knowingly defrauded a health care benefit program or obtained money or property owned by or under the control of a health care benefit program through false representations. These allegations can involve Medicare billing, Medicaid claims, private insurance submissions, kickback arrangements, or other conduct the government contends violated federal law. Because health care touches nearly every community, these cases can originate anywhere—from a small medical practice in Charlottesville to a large hospital system in Northern Virginia.

Federal prosecutors in Virginia handle health care fraud matters through two U.S. Attorney’s Offices. The Western District of Virginia, which includes Charlottesville, Roanoke, Lynchburg, and Harrisonburg, handles cases arising in the western and central parts of the Commonwealth. The Eastern District of Virginia, based in Alexandria, Richmond, Norfolk, and Newport News, handles cases in the eastern region. Both districts have dedicated health care fraud prosecutors who work closely with federal investigative agencies. Understanding which district your matter falls in, and the procedural expectations of that district, is an important part of building a defense.

Federal sentencing guidelines play a significant role in these cases. They take into account the alleged loss amount, the defendant’s role in the offense, and other factors that can substantially affect a potential sentence. There is no parole in the federal system, and supervised release follows any term of imprisonment. Given what is at stake, having experienced federal counsel who understands how these cases are investigated and prosecuted in Virginia is important. Results may vary.

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

Mr. Sris and his Of Counsel team approach each health care fraud matter by first understanding the government’s theory of the case. Federal investigations in this area typically begin long before charges are filed—often with grand jury subpoenas, search warrants, or civil investigative demands. If you are aware of an investigation before an indictment, early engagement with experienced counsel can shape how the investigation proceeds. Mr. Sris and his Of Counsel work with clients to understand the billing practices, medical records, and financial documentation at issue, and to identify potential defenses and mitigating factors.

The team reviews discovery, evaluates the strength of the government’s evidence, and examines whether constitutional or procedural issues may provide grounds for challenging the charges. In health care fraud cases, the evidence often includes thousands of pages of billing data, patient records, and financial statements. Analyzing this material thoroughly and identifying weaknesses in the government’s case takes time and attention to detail. Mr. Sris and his Of Counsel handle this work collaboratively, drawing on extensive collective experience in federal criminal defense across multiple jurisdictions.

Every health care fraud matter is different. Some cases involve allegations of billing for medically unnecessary services. Others concern claims of upcoding, unbundling, or kickback violations under the Anti-Kickback Statute. Some cases focus on alleged false statements in provider enrollment applications or cost reports. The approach to each depends on the specific facts and the applicable law. Mr. Sris and his Of Counsel evaluate each matter individually and work toward the most favorable resolution available under the circumstances. Results may vary.

About Mr. Sris and His Of Counsel Team

Mr. Sris, Owner and Founder of Law Offices Of SRIS, P.C., has practiced federal criminal defense since founding the firm in 1997. A former prosecutor, he brings an understanding of how the government builds and presents its cases. His background in accounting and information systems provides additional perspective in financial and document-intensive matters, including health care fraud investigations that often involve complex billing and reimbursement data. Mr. Sris is admitted to practice in Virginia, Maryland, the District of Columbia, New Jersey, and New York.

Mr. Sris testified before the Virginia House Courts of Justice Committee in support of 2019 HB 635 (chief patron Del. David Bulova). He maintains a limited personal caseload to remain directly involved in the matters he handles. His Of Counsel team—experienced attorneys engaged through Excella—works collaboratively with him on federal criminal defense matters, bringing additional depth in litigation, evidence analysis, and courtroom advocacy.

Last reviewed: July 2026

Frequently Asked Questions

Do I need a federal criminal defense lawyer for health care fraud charges in Virginia?

Yes, you need experienced federal counsel immediately. Health care fraud charges under 18 U.S.C. § 1347 are prosecuted in U.S. District Court, where federal sentencing guidelines apply, conviction rates are high relative to state court, and there is no parole in the federal system. Federal prosecutors have substantial resources and typically have been building the case for months or years before charges are filed. Early engagement with counsel can affect pretrial detention decisions, plea negotiations, and overall case strategy. To discuss your situation, reach Law Offices Of SRIS, P.C. at (888) 437-7747.

What should I do if I am under investigation for health care fraud?

If you learn you are under federal investigation for health care fraud, do not speak with investigators without counsel present. Preserve all relevant documents and records. Do not alter, destroy, or conceal any documents—obstruction charges can carry penalties as serious as the underlying fraud allegations. Contact an experienced federal criminal defense attorney as soon as you are aware of the investigation. Early legal guidance can help you understand the scope of the investigation and what steps to take next.

How does the government build a health care fraud case?

Federal health care fraud investigations often involve multiple agencies working together—the FBI, the Department of Health and Human Services Office of Inspector General, and IRS Criminal Investigation, among others. Investigators may review billing records, interview former employees or patients, execute search warrants, and use data analytics to identify billing patterns the government considers suspicious. Grand jury subpoenas may be issued to obtain records from third parties. Understanding how these investigations work can help in preparing a defense.

What are the potential consequences of a health care fraud conviction?

Under 18 U.S.C. § 1347, a health care fraud conviction carries a maximum sentence of ten years imprisonment, or life if the fraud results in death. The actual sentence depends on the federal sentencing guidelines, which consider the alleged loss amount, the defendant’s role, and other factors. Additional consequences can include restitution, asset forfeiture, exclusion from federal health care programs, and loss of professional licenses. Supervised release follows any term of imprisonment, and there is no parole in the federal system.

Where are federal health care fraud cases heard in Virginia?

Federal health care fraud cases in Virginia are heard in the U.S. District Court for the Eastern District of Virginia or the Western District of Virginia, depending on where the alleged conduct occurred. The Western District, which includes Charlottesville, has courthouses in Charlottesville, Roanoke, Lynchburg, Harrisonburg, and Abingdon. The Eastern District has courthouses in Alexandria, Richmond, Norfolk, and Newport News. Law Offices Of SRIS, P.C. represents clients in both districts.

Can health care fraud charges be resolved without a trial?

Many federal criminal cases, including health care fraud matters, are resolved through plea negotiations rather than trial. Whether a resolution without trial is possible depends on the strength of the government’s evidence, the client’s objectives, and the willingness of the U.S. Attorney’s Office to negotiate. Some cases involve pretrial motions that can narrow or dismiss certain charges. Each matter is different, and the appropriate strategy depends on the specific facts of the case.

For guidance on your specific situation, reach Law Offices Of SRIS, P.C. at (888) 437-7747.

Virginia Federal Court Resources

For additional information about federal health care fraud prosecutions and the courts where these cases are heard, the following official resources may be helpful:

• 18 U.S.C. § 1347 — Health Care Fraud Statute (Cornell LII)
• U.S. District Court for the Western District of Virginia
• U.S. District Court for the Eastern District of Virginia

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Results may vary.

Case results depend on a variety of factors unique to each case.