Health Care Fraud lawyer Fairfax County, VA

Federal health care fraud charges are serious. They carry penalties that can include a lengthy prison term and severe financial consequences. If you are facing a federal health care fraud investigation or have been indicted in the Eastern District of Virginia, you need an attorney who understands how federal cases are built and how to challenge them. At Law Offices Of SRIS, P.C., Mr. Sris and the firm’s Of Counsel attorneys represent individuals accused of health care fraud under 18 U.S.C. § 1347 in Fairfax County and throughout Northern Virginia. Our Fairfax location serves clients whose cases are pending in the U.S. District Court for the Eastern District of Virginia. Federal health care fraud matters are prosecuted actively by the U.S. Attorney’s Office, often after lengthy investigations by agencies such as the FBI, the Department of Health and Human Services Office of Inspector General, and the IRS Criminal Investigation division. Because federal criminal procedure differs from state court practice, early involvement of a defense attorney familiar with the federal system can be critical. To discuss your situation with Mr. Sris and the firm’s Of Counsel attorneys, call (888) 437‑7747. Law Offices Of SRIS, P.C. – Advocacy Without Borders.

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What Health Care Fraud Means in Fairfax County

Health care fraud under federal law involves knowingly executing a scheme to defraud any health care benefit program. Under 18 U.S.C. § 1347, the maximum penalty is 10 years imprisonment; if the fraud results in death, the penalty can be life. The statute covers a broad range of conduct: billing for services not rendered, upcoding, kickbacks for patient referrals, false certifications of medical necessity, and schemes targeting Medicare, Medicaid, TRICARE, or private insurers that receive federal funds.

In Fairfax County, a federal health care fraud case is typically investigated by the FBI, HHS‑OIG, IRS‑CI, or another federal agency. Because federal prosecutors in the Eastern District of Virginia (Alexandria Division) have jurisdiction over offenses committed within the county, an indictment will be returned in the U.S. District Court for the Eastern District of Virginia. Federal sentencing guidelines apply, and unlike state court, there is no parole in the federal system. The Fairfax County area is home to numerous medical practices, defense contractors, and technology companies whose work intersects with federal health care programs, making it a jurisdiction where federal health care fraud investigations are not uncommon. Mr. Sris and the firm’s Of Counsel attorneys appear regularly in the Eastern District of Virginia and understand how local federal practice shapes the defense of these charges.

How Mr. Sris and the Firm’s Of Counsel Attorneys Handle Health Care Fraud Cases

Federal health care fraud cases often begin with an investigation long before charges are filed. Grand jury subpoenas, search warrants, target letters, or interviews by federal agents may signal that a case is being built. At this pre‑indictment stage, the defense can sometimes influence whether charges are brought and, if so, in what form. Mr. Sris and the firm’s Of Counsel attorneys work to understand the government’s theory of the case, identify weaknesses in the evidence, and present mitigating facts to the prosecutor. If charges are filed, the focus shifts to motion practice, discovery review, and trial preparation. The defense may challenge the sufficiency of the indictment, the admissibility of business records or expert testimony, or the government’s interpretation of billing codes and medical necessity standards.

Sentencing in federal health care fraud cases is driven largely by the U.S. Sentencing Guidelines. The offense level is calculated based on the amount of loss attributed to the scheme and any aggravating factors, such as a leadership role or obstruction of justice. The experienced attorneys at the firm work to ensure that the loss calculation is accurate and that all applicable downward adjustments—for example, for acceptance of responsibility or minimal role—are pursued. Throughout the process, the firm’s Of Counsel attorneys collaborate with Mr. Sris to develop a defense strategy that reflects the specific facts of each client’s case. For a confidential discussion of your federal health care fraud matter, call (888) 437‑7747.

About Mr. Sris and the Firm’s Of Counsel Attorneys

Mr. Sris is the Owner and Founder of Law Offices Of SRIS, P.C., he has practiced law since 1997 and is admitted in Virginia, Maryland, the District of Columbia, New Jersey, and New York. A former prosecutor, Mr. Sris understands how the government investigates and prosecutes complex white‑collar offenses, including health care fraud. He is supported by the firm’s Of Counsel attorneys, each of whom brings substantial litigation experience to the defense of federal criminal matters.

The attorneys Of Counsel to the firm are experienced litigators who have handled cases in federal court across multiple jurisdictions. They work closely with Mr. Sris to review discovery, consult with forensic accountants and medical experts, and prepare for trial when necessary. The firm’s Fairfax location serves clients throughout Fairfax County and the surrounding communities, including Burke, Centreville, Chantilly, Herndon, Reston, McLean, Vienna, Tysons, Springfield, and Annandale. To learn more about the attorneys who may work on your matter, call (888) 437‑7747.

Reviewed by Mr. Sris, Owner and Founder

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

Practicing since 1997

Last reviewed: July 2026

Frequently Asked Questions

What is federal health care fraud?

Federal health care fraud is a crime under 18 U.S.C. § 1347 that makes it illegal to knowingly execute a scheme to defraud a health care benefit program. The statute reaches a wide variety of conduct, including false billing, kickback arrangements, phantom services, and misrepresentations of medical necessity. Because the federal government funds Medicare, Medicaid, TRICARE, and other programs, any fraud targeting those programs falls under federal jurisdiction. A conviction can result in a prison sentence of up to 10 years—or life if the fraud results in death—as well as substantial fines, restitution, and exclusion from federal health care programs. The Eastern District of Virginia has a reputation for swift case processing, so anyone facing a health care fraud investigation should seek legal guidance as soon as possible.

What are the penalties for health care fraud under federal law?

Under 18 U.S.C. § 1347, the maximum penalty for health care fraud is 10 years imprisonment, and if the fraud results in death, the maximum is life imprisonment. In practice, the sentence in a particular case is determined in large part by the U.S. Sentencing Guidelines, which calculate an offense level based on the amount of loss, the number of victims, and any aggravating or mitigating factors. Courts may also order restitution to the defrauded program, impose a fine of up to $250,000 or more, and require forfeiture of assets traceable to the offense. Because there is no parole in the federal system, a defendant typically serves at least 85% of the imposed sentence. Early and strategic defense work can affect the loss calculation and the presence of aggravating factors, thereby reducing the advisory guideline range.

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

If you learn you are under federal investigation for health care fraud, the most important step is to retain an experienced federal criminal defense attorney and refrain from discussing the matter with anyone other than your lawyer. Do not speak with federal agents without your attorney present, and do not destroy or alter any documents, even if you believe they are harmful. The U.S. Attorney’s Office for the Eastern District of Virginia initiates many health care fraud cases through grand jury investigations, and early legal intervention can sometimes shape the course of the investigation. Mr. Sris and the firm’s Of Counsel attorneys are available to provide guidance at the first sign of a federal inquiry. Call (888) 437‑7747 to schedule a confidential consultation.

How does a federal health care fraud case proceed in the Eastern District of Virginia?

A federal health care fraud case in the Eastern District of Virginia generally begins with an investigation by a federal agency, followed by an indictment, arraignment, pretrial motions, and either trial or a negotiated resolution. The Speedy Trial Act requires an indictment within 30 days of arrest and a trial within 70 days of indictment, though many delays are excludable. The Alexandria Division of the EDVA is known for its relative speed of litigation; cases often move more quickly than in other federal districts. Because health care fraud cases often involve voluminous documentary evidence, the defense must digest and analyze thousands of pages of records early in the process. A defendant’s initial appearance, detention hearing, and arraignment all occur in the early procedural stages, and the outcome of a detention hearing can affect the ability to assist in the defense. Mr. Sris and the firm’s Of Counsel attorneys have represented clients in the EDVA and can explain what to expect at each stage.

Why hire an experienced federal criminal lawyer for a health care fraud charge?

Federal criminal procedure, sentencing guidelines, and evidentiary rules differ significantly from state court, and an attorney experienced in the federal system can navigate those differences to build a focused defense. Federal prosecutors in health care fraud cases often rely on statistical analysis, expert testimony, and voluminous billing data, which require careful scrutiny. An attorney who routinely practices in the U.S. District Court for the Eastern District of Virginia understands local practice, the preferences of the U.S. Attorney’s Office, and the nuances of federal sentencing advocacy. Additionally, because a conviction can lead to exclusion from Medicare and other federal programs, the stakes extend beyond incarceration. Mr. Sris, a former prosecutor with decades of federal defense experience, and the firm’s Of Counsel attorneys work together to identify weaknesses in the government’s case and advocate for the most favorable outcome possible. To discuss your matter in confidence, call (888) 437‑7747.

Authoritative resources (open in new tab):
U.S. District Court for the Eastern District of Virginia ·
United States Code (House of Representatives)

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