Healthcare Fraud
Federal healthcare fraud offenses involve schemes to defraud health care benefit programs or to obtain money or property through false or fraudulent representations related to medical services. These cases are prosecuted under federal law and often involve complex investigations, financial records, and regulatory compliance issues.
Healthcare fraud statutes may apply to billing practices, false statements, kickbacks, embezzlement, or misuse of funds connected to public or private health care programs. Multiple statutes are frequently charged together depending on the alleged conduct and the program involved.
The statutes below govern how federal healthcare fraud offenses are defined and prosecuted.
- 18 U.S.C. § 1347 – Health Care Fraud
- 18 U.S.C. § 1035 – False Statements Relating to Health Care Matters
- 18 U.S.C. § 669 – Theft or Embezzlement in Connection With Health Care
- 42 U.S.C. § 1320a-7b – Criminal Penalties Involving Federal Health Care Programs
Understanding Federal Healthcare Fraud Laws
Federal healthcare fraud statutes regulate how medical services are billed, reported, and reimbursed under health care programs. Violations may involve intentional fraud, improper payments, or unlawful financial relationships. Because these cases often involve overlapping statutes and regulatory rules, they can carry significant criminal and financial exposure.
Federal Healthcare Fraud Defense
Healthcare fraud investigations frequently involve audits, subpoenas, and parallel civil or administrative proceedings. If you are under investigation or facing healthcare fraud charges, it is important to speak with an attorney who understands how these cases are charged and defended under federal law. Contact Combs Waterkotte online or call (314) 900-HELP to discuss your situation with an experienced federal criminal defense attorney.
