New Hampshire healthcare fraud lawyers, medicare fraud defense and federal false claims act defense attorneyIn the high-stakes world of healthcare fraud,  a fraud allegation in New Hampshire and its metro areas is more than just a legal challenge—it’s a direct threat to your business future and personal livelihood. Our New Hampshire healthcare fraud defense lawyers and Medicare Fraud Attorneys at Watson & Associates, LLC can help.

If You Did NOT Intend to Defraud the Government, We Can Help in Criminal and Civil Federal Cases.

Government Investigations | HealthCare Fraud Criminal Defense Strategies | Subpoenas & Civil Investigative Demands (CIDs) | FBI, HHS, Office of the Inspector General (OIG) and DOJ Investigations | New Hampshire Medicare Fraud Defense | Indictments | Medical Billing Fraud Defense | Federal Criminal Defense & Trials | Pharmaceutical Fraud | Corporate Compliance | Internal Investigations | Health Care Fraud Investigations Defense

Running your business and moving forward with your career, free of tarnish and allegations of fraud, overbilling, or having your reputation exposed is your goal. To meet that goal sometimes means dealing with New Hampshire healthcare fraud allegations that have no legal merit. Simply because the government launches an FBO ir DOJ investigation against you does NOT mean that you have broken the law.

What Is Healthcare Fraud?

The Health Care Fraud Statute, codified under 18 USC 1347, makes it a federal offense to intentionally and knowingly defraud a healthcare benefit program. This law also covers attempts to commit such fraud, treating them with the same severity as the crime itself.

Best New Hampshire lawyer for physicians, pharmacists, and other New Hampshire healthcare providers, being accused of healthcare fraud is a serious and complex matter. The implications of such an accusation are far-reaching and multifaceted, creating significant challenges when facing healthcare fraud investigations by federal agencies such as the DOJ, DEA, OIG, or others. A federal investigation into “healthcare fraud” can arise from a variety of alleged actions, depending on the specific circumstances involved.  This includes:

  • Providing and billing for medically unnecessary services
  • Billing for services not actually rendered to patients
  • Falsifying patient records, prescriptions, physician certifications, and election statements
  • Offering or accepting illegal “kickbacks” or referral fees
  • Prescribing opioid medications to drug-dependent patients, diverting opioid prescriptions, and other forms of prescription drug fraud

What is the Government’s Burden of Proof in a Criminal New Hampshire Healthcare Fraud Case?

Our federal New Hampshire healthcare fraud attorneys have defended clients in DOJ, HHS, and OIG cases. False Claims Act Healthcare fraud under 18 USC 1347 typically involves a scheme to defraud the federal healthcare program. The government’s case may tend to argue false or fraudulent representations in exchange for money – health insurance fraud through payment of invoices or something of value.

The prosecutor has to prove every element of the case”beyond a reasonable doubt.”  This is a very high legal standard. The key to defending a False Claims Act healthcare fraud case is to show a lack of intent. This is usually the government’s biggest hurdle in a criminal case and something that the federal Anti-Kickback statute and medical billing fraud law firm, and a criminal healthcare fraud enforcement action defense lawyer at our firm can help.

  • bribery,
  • kickbacks,
  • gratuities, and
  • conflicts of interest
  • Ghost Patients
  • Inflating Cost Reports
  • Billing for Services Not Rendered

18 USC 1347. makes it a federal crime to defraud any health care benefit program or obtain, by fraudulent means, any money or benefit from a health care program.

If you are thinking about hiring a health care fraud attorney, Watson & Associates, LLC only Takes On Cases That Our False Claims Act Health care Fraud Attorneys Believe that They Can Help.

Kickbacks vs. Self-Referrals: What Healthcare Professionals Must Know

Understanding the Anti-Kickback Statute (AKS) and Stark Law is critical if you or your healthcare organization interacts with Medicare or Medicaid. Both laws aim to prevent financial conflicts that influence patient care—but they differ significantly in scope, penalties, and how they’re enforced. If you’re under investigation, a healthcare fraud defense lawyer can help you navigate the complex distinctions between the two.

Anti-Kickback Statute (AKS) – A Criminal Offense

  • What It Prohibits: Offering or receiving anything of value in exchange for referrals for services covered by federal healthcare programs.

  • Examples:

    • Financial bonuses for patient referrals

    • Below-market rent for office space

    • Lavish “consulting” fees or speaking engagements

    • Waiving patient copays without legitimate financial hardship

  • Penalties:

    • Fines up to $25,000 per violation

    • Up to 5 years in federal prison

    • Exclusion from Medicare and Medicaid programs

AKS violations hinge on intent—prosecutors must prove that the arrangement was knowingly made to influence referrals. These are criminal charges, often pursued aggressively by federal agencies.

Stark Law – A Civil Violation

  • What It Prohibits: Physicians referring Medicare or Medicaid patients for designated health services (DHS) to an entity with which they or their family have a financial relationship—unless a legal exception applies.

  • Penalties:

    • Denial or refund of payments for improper referrals

    • Civil fines up to $15,000 per prohibited service

    • Treble damages (3x the amount received)

    • Up to $100,000 for schemes designed to evade the law

    • Potential exclusion from government healthcare programs

Unlike the AKS, Stark Law does not require proof of intent. That means even unintentional violations can trigger severe financial consequences.

If you are facing allegations related to kickbacks or self-referrals, the difference between criminal and civil exposure can mean everything. Engaging a seasoned healthcare fraud defense lawyer early can be the key to protecting your practice, reputation, and future.

HERE IS WHAT YOU NEED TO KNOW IF YOU ARE INVESTIGATED OR INDICTED

Call 1.866.601.6618 if you are seeking to retain a medical fraud lawyer and Speak to Mr. Watson 

New Hampshire anti-kickback law lawyer: At Watson & Associates, LLC our Federal False Claims Act defense attorneys understand that the prosecution MUST prove that you knowingly intended to commit fraud, and that the scienter element of the False Claims Act is one of the most difficult for the government’s prosecutor to prove. We aggressively represent you and focus on deconstructing the government’s case against you. Call our office immediately to secure aggressive legal representation and defense. 

How Our New Hampshire Medicare Fraud Defense Attorneys Can Help

Defending against federal Medicare fraud in New Hampshire requires more than just legal knowledge — it demands a strategic, proactive approach that challenges the prosecution’s narrative. A strong defense often involves building a team of experts who can dissect the government’s claims and provide alternative explanations for billing discrepancies.

Key elements of an effective Medicare fraud defense include:

  • Challenging Billing Data Analysis: Federal investigators often rely on data analysts to identify suspicious billing patterns. However, these interpretations are frequently flawed or based on incomplete information. An experienced defense team will consult independent billing experts who can uncover errors in the government’s analysis.
  • Demonstrating Lack of Intent: In many Medicare fraud cases, providers are accused of knowingly submitting false claims. Your medicare fraud lawyer must show that mistakes were unintentional — and that no deliberate fraud occurred — is often key to reducing or dismissing charges.
  • Exposing Investigation Errors: Federal agents must follow strict procedures when gathering evidence. Any violations of your rights or mishandling of evidence can weaken the government’s case.
  • Presenting Compliance Efforts: Demonstrating that your practice actively followed Medicare billing rules — even if mistakes occurred — can significantly reduce your risk of harsh penalties.

Understanding the Federal Criminal Process and What’s at Stake

If your case escalates to federal criminal charges, the consequences become even more severe. Federal prosecutors are focused on securing convictions — and they often pursue maximum penalties to set an example for others in the healthcare industry.

A conviction for federal Medicare fraud in New Hampshire can result in:

  • Prison time — Even first-time offenders can face significant jail sentences.
  • Massive fines — Providers may be forced to pay back claimed overpayments, plus additional financial penalties.
  • Loss of your medical license — Even a fraud allegation can trigger disciplinary action from your state’s medical board.
  • Exclusion from Medicare and Medicaid programs — Losing access to these programs can cripple your practice financially.

Most importantly, your personal freedom is at risk. Without the resources to fight back and avoid fines or jail time, you could face life-altering consequences that impact your career, family, and future. If you are seeking to retain a Medicare Fraud Defense Lawyer in a New Hampshire federal criminal case, call us today at 1.866.601. 5518. Speak to Theodore Watson.

Upcoding and Unbundling in Healthcare Fraud

Among the most scrutinized billing practices in federal investigations are upcoding and unbundling—two forms of healthcare fraud that can expose providers to serious legal and financial consequences. These practices involve inflating or manipulating billing codes to secure higher reimbursement from Medicare, Medicaid, or private insurers. While sometimes misunderstood as mere administrative errors, federal agencies increasingly view these actions as deliberate attempts to defraud public health programs. If your practice or institution has been accused of these billing irregularities, consulting with a skilled healthcare fraud attorney is essential.

Upcoding occurs when a provider submits billing codes for a service that is more severe or complex than what was performed. For instance, a physician might report a comprehensive office visit when the interaction was limited in scope, or list a high-level procedure code for what was a routine intervention. This misrepresentation can lead to significant overpayments from federal programs, and, when detected, can trigger audits, subpoenas, and even criminal charges. An experienced healthcare fraud defense lawyer understands how to differentiate between intentional fraud and innocent miscoding and can craft a strong strategy to protect your license and your business.

Unbundling, also known as fragmentation, involves billing separately for services that should be grouped under a single, lower-paying bundled code. Medicare and Medicaid use bundled payments for procedures that are typically performed together—such as a surgical incision and its closure—to prevent inflated billing. When a provider unbundles these services, they may receive a higher cumulative payment, but also risk civil penalties or program exclusion. In the eyes of regulators, this practice can distort the true cost of care and result in unjustified taxpayer expense.

Both practices are often made easier—or harder to detect—through electronic health records (EHR) systems. Some providers copy and paste outdated patient information into new charts, or restrict dropdown menus to show only high-reimbursement billing codes. This can unintentionally trigger red flags with federal payers and invite audits or whistleblower complaints. If your practice uses EHR technology and has been accused of improper coding, a healthcare fraud attorney can analyze your systems and documentation protocols to assess your legal risk and defend against accusations.

Upcoding is not limited to physicians. Hospitals can also face allegations of fraud if they bill higher inpatient severity codes than medically warranted. For example, hospitals may list a diagnosis-related group (DRG) that includes major complications or comorbidities, such as sepsis or acute respiratory failure, even when such conditions were not clearly documented. Additionally, billing for physician-level care when services were actually rendered by a nurse or physician’s assistant is another common trigger for allegations. These billing issues not only compromise reimbursement integrity but may lead to substantial penalties unless defended against by a knowledgeable healthcare fraud defense lawyer.

Ultimately, whether you’re a solo practitioner, a specialty group, or a hospital system, facing allegations of upcoding or unbundling is a serious matter. These claims can result in civil fines, exclusion from federal programs, or even criminal prosecution. The role of a seasoned healthcare fraud attorney is to help demonstrate that coding errors may be attributable to administrative oversights, not fraudulent intent. With the right legal guidance, providers can navigate audits, protect their reputations, and preserve their ability to serve patients.

Types of Medical Fraud Cases Our New Hampshire Anti-kickback Law Lawyer Help With

  • Upcoding;
  • Duplicate claims;
  • Medically unnecessary services;
  • Non-rendered services;
  • Kickbacks;
  • Stark violations;
  • Trade Agreements Act
  • Drug diversion; or
  • Other fraud-related allegations.

Defending Your Case Can Be Simpler Than Many May Think

Did You Knowingly Intend to Defraud the Government?

The government will normally Use the Supreme Court Case of Universal Health Servs.. lnc. v. United States ex rel. Escobar,579 U.S. 176, 180 (2016) to support its allegations of you violating the False Claims Act. Litigation against the federal government in both criminal and civil False Claims Act cases can be very expensive and difficult. The government uses Universal Health Servs.. lnc. v. United States ex rel. Escobar to leverage its allegations that under 3 l U.S.C. § 3729, it has met the FCA’s scienter (knowledge) requirement to argue that by merely submitting or signing a document, you automatically show a “reckless disregard of the truth or falsity of the information.

How Our National Federal Healthcare Fraud Defense Lawyers Can Fight Back in Healthcare Fraud Cases

Defending Your Case Can Be Simpler Than Many May Think. First Question is – Did You Knowingly Intend to Defraud the Government Under 18 USC 1347? If  not, then you could a strong legal defense.

The government will normally Use the Supreme Court Case of Universal Health Servs.. lnc. v. United States ex rel. Escobar,579 U.S. 176, 180 (2016) to support its allegations that you violated the False Claims Act. Litigation against the federal government in both criminal and civil False Claims Act cases can be very expensive and difficult. The government uses Universal Health Servs.. lnc. v. United States ex rel. Escobar to leverage its allegations that under 3 l U.S.C. § 3729, it has met the FCA’s scienter (knowledge) requirement to argue that by merely submitting or signing a document, you automatically show a “reckless disregard of the truth or falsity of the information.

What the US Supreme Court Said and How We Fight Back

Defending Healthcare Fraud Cases Under the False Claims Act – Help for Doctors, Pharmacies, and Healthcare Providers

Federal prosecutors often lean heavily on the 2016 Supreme Court ruling in Universal Health Servs., Inc. v. United States ex rel. Escobar, 579 U.S. 176, which allowed them to pursue False Claims Act (FCA) cases by showing a provider acted with “reckless disregard” for the truth. This approach has become a cornerstone of the government’s strategy to secure convictions, extract large settlements, and even push for jail time in healthcare fraud New Hampshire cases involving doctors, pharmacies, and healthcare entities.

But in a critical and more recent decision—United States ex rel. Schutte et al. v. SuperValu Inc. et al.—the U.S. Supreme Court clarified and narrowed the standard. The Court emphasized that FCA liability must be judged by a subjective standard: what the defendant actually believed or knew at the time of the alleged false claim, not what a reasonable person should have known. This ruling marks a major shift, favoring defendants when credible evidence can be presented to show there was no intent to defraud.

At Watson & Associates, our New Hampshire healthcare fraud attorneys leverage the Schutte decision to dismantle the government’s narrative in both civil and criminal FCA cases. By showing our client’s honest interpretation of regulatory requirements—or a genuine misunderstanding of complex billing codes—we can undermine the “knowing” element the government must prove. This is especially powerful in criminal prosecutions, where the defense only needs to raise reasonable doubt, and in civil cases, where the burden of proof still rests squarely with the government.

While no case outcome can be guaranteed, our approach is strategic, aggressive, and grounded in the latest legal precedent. We build strong, evidence-backed defenses to protect your professional license, your financial future, and your freedom. If you or yourNew Hampshire healthcare organization is facing FCA allegations or a government investigation, contact a New Hampshire healthcare fraud defense lawyer at Watson & Associates today.

New Hampshire Overbilling Fraud Lawyer

Protecting New Hampshire Physicians Accused of Overbilling and Fraud

Becoming a physician is often driven by a genuine desire to heal others and make a meaningful difference in patients’ lives. But once your medical practice begins to thrive, you quickly realize that medicine isn’t just about treatment—it’s also a business. And with that business comes a maze of regulatory obligations and billing complexities that can feel overwhelming. While you may have hired competent staff to handle your coding and reimbursement processes, the ultimate responsibility still rests on your shoulders. As the head of your practice, you are accountable for ensuring every billing procedure aligns with both state and federal laws. Unfortunately, any lapse—whether accidental or intentional—can jeopardize your license, your livelihood, and even your freedom.

In New Hampshire, overbilling allegations can lead to intense scrutiny from powerful agencies such as the Department of Justice (DOJ), the Office of the Inspector General (OIG), the Centers for Medicare and Medicaid Services (CMS), and state agencies like Medi-Cal. These investigations are often triggered by billing irregularities, upcoding, duplicate claims, or submissions for services not provided. Even honest mistakes or misconduct by an employee can spiral into federal audits, False Claims Act (FCA) lawsuits, and potentially criminal charges. If you’re under investigation, or even suspect you may be, you need to act swiftly.

This is where having a seasoned New Hampshire. overbilling fraud lawyer becomes critical. At Watson & Associates, LLC, we understand how healthcare providers can become entangled in legal complications stemming from billing practices. Whether you’re dealing with coding errors, alleged Medicare fraud in New Hampshire, or accusations of improper reimbursement, our firm brings a wealth of knowledge and experience in federal healthcare fraud defense. We don’t just navigate the law—we fight to protect your reputation, your practice, and your future.

The consequences of overbilling accusations are severe. Civil penalties under the False Claims Act can include treble damages and fines exceeding $25,000 per claim. A criminal conviction may result in imprisonment, exclusion from Medicare and Medi-Cal, and the permanent loss of your medical license. However, not all billing discrepancies amount to fraud, and prosecutors must prove intent. Our role as your New Hampshire overbilling fraud lawyer is to dismantle weak government theories, present mitigating evidence, and—when possible—negotiate resolutions that avoid charges or reduce liability.

We approach every case with the urgency and attention it deserves, because we know what’s at stake. Our firm is equipped to represent clients during audits, administrative hearings, settlement negotiations, or at trial. We routinely challenge faulty CMS data, aggressively dispute liability in civil actions, and push back against overzealous investigators. No matter the nature of the accusations, our goal is to provide clarity, calm, and competent representation when you need it most.

If your practice has come under scrutiny for billing irregularities or federal agents or state regulators have contacted you, do not wait to seek counsel. Early intervention can often mean the difference between a manageable audit and a full-blown criminal indictment. Watson & Associates, LLC is here to serve physicians, clinics, and healthcare professionals throughout New Hampshire. When you partner with a knowledgeable New Hampshire overbilling fraud lawyer, you give yourself the best chance at a favorable outcome.

Contact our office today for a confidential consultation. We’re ready to stand by your side, defend your practice, and protect everything you’ve worked hard to build.

We Represent Clients Seeking to Build a Defense Team to Aggressively Fight Back

If you have been accused of defrauding Medicare, Medicaid or a private health insurance company, you could be facing a prison sentence and other substantial federal civil or criminal penalties. It is important to retain an experienced healthcare fraud law firm and criminal defense attorney as soon as possible.

If you made an honest mistake, acted responsibly or even never intended to commit fraud against the government or any health care organization, there is a chance that you can be exonerated. To accomplish this goal, you want a. solid team that is dedicated to getting some results. This is where our New Hampshire healthcare fraud defense lawyers and attorneys come in.

What are Possible Legal Defenses to HealthCare Fraud in New Hampshire?

There are some potential legal defenses to healthcare fraud charges that our New Hampshire excessive billing fraud lawyers can help with:

Lack of Intent or Mistake – To commit fraud under health care fraud rules , you must have the requisite legal intent to cheat the government or insurer out of money. If you acted in good faith but made a mistake, accidentally omitted information, made an error, or made a mistake in billing,  you cannot be convicted of health care fraud.

Insufficient Evidence – The government must have evidence of your intent to defraud and enough evidence to prove beyond a reasonable doubt. Without sufficient evidence, you cannot be convicted.

Compliance Program – An experienced New Hampshire healthcare fraud criminal defense lawyer and False Claims Act attorney can help you by directing the fact of your case and aggressively surmounting a solid legal defense. Evidence of a comprehensive compliance plan can be used to show you lacked intent to engage in health care fraud.

Consent – You do not commit fraud if you were granted permission for your actions by the alleged victim. Evidence you were given permission to do what you are accused of is a defense against the charges.

Are you equipped with the right legal strategy to protect and defend your practice and your reputation before it’s too late?

Healthcare providers throughout New Hampshire and its metro areas are targeted by HHS, DEA, DOJ and other law enforcement agencies in high-stakes federal healthcare fraud investigations.

If you or the company have received a target letter, Civil Investigative Demand, or subpoena for a criminal case, immediately send our New Hampshire healthcare fraud criminal defense lawyers.

New Hampshire Healthcare Fraud Defense Lawyers

Most New Hampshire healthcare fraud cases allege that a medical provider or a healthcare business (lab, pharmacy, hospital, home health agency) has submitted fraudulent billing claims to Medicare, Medicaid, Tricare, or a commercial insurance company.

Please that true billing mistakes lack the intent that the government seeks to prove. Watson & Associates, LLC New Hampshire healthcare fraud defense lawyers know that federal prosecutors make mistakes. As a result, our legal team puts forth a rigorous legal defense in both civil and criminal cases. Please call us at 1.866.601.5518.

Medical Billing Fraud Attorney – Who Can Face Medicare Fraud Charges in New Hampshire

Both beneficiaries and Medicare providers can face charges of insurance fraud. Whether you are a medical care provider such as a physician, nurse, or medical billing employee; or you are a patient charged with fraud, you should retain a New Hampshire overbilling fraud lawyer immediately.

Some of the common reasons a provider can federal medical billing fraud charges:

  • Overbilling of Services – Medicare providers who have not performed services and have billed for them could face criminal charges of fraud. These charges are very serious as they could ultimately result in the provider being banned from receiving any type of payment from these programs. False diagnosis is also another common way providers have defrauded Medicaid and Medicare.
  • Violation of Stark and Anti-Kickback Laws – medicare providers are prohibited from referring patients to other providers in return for any type of financial gain. This includes referrals for any type of services including laboratory work, physical therapy, second opinions, etc. All types of providers and medical billing companies are bound by these rules. At Watson & Associates, LLC our federal New Hampshire medicare fraud lawyers are here to help you to defend your case.
  • Up Billing Patients – when a hospital, physician’s office or a billing company improperly codes procedures or they bill services individually when they are offered as a “bundle”. All submissions for reimbursement must be properly coded and if a pattern of abuse is discovered the Medicare provider could face federal criminal fraud charges.

New Hampshire FBI Healthcare Fraud Defense Attorneys

If you are facing an FBI investigation, indicted or facing federal charges for healthcare fraud, you should seek legal counsel from an experienced New Hampshire. FBI healthcare fraud lawyer. If your company or home was raided by the FBI and search warrants were involved our criminal defense New Hampshire anti-kickback law lawyer can help.

Companies and Individuals Have Become Targets for HealthCare Fraud Across the United States

medicare fraud defense attorneys and New Hampshire healthcare fraud lawyers. Federal Criminal Defense Law firmLegal civil and criminal defense for healthcare fraud New Hampshire: For many healthcare providers, manufacturers, and small and large businesses, participating in federal government benefit programs such as Medicare, Medicaid, and Tricare is essential to maintaining their financial success. When investigated for health care fraud, federal investigations can be intrusive, scary, and complex. 

Your company is subjected to Health Care Fraud False Claims Act charges. This makes you subject to both civil and criminal penalties. The most common health care fraud charges involve alleged overbilling of healthcare services and billing of medical services not rendered. These charges may be brought against doctors, hospitals, home health care agencies, pharmacies and many other types of medical service providers.

New Hampshire government programs fraud lawyer :Federal Healthcare providers in New Hampshire and nationwide are being targeted in federal healthcare fraud and False Claims Act investigations. Failure to secure the proper legal defense can expose you to jail time and serious fines. It’s time to find and hire an experienced criminal defense attorney, pharmaceutical fraud lawyers and New Hampshire healthcare fraud defense lawyer.

You Have Constitutional Rights that the Government Cannot Cross When They Are Trying to Take Your Life, Liberty or Property Away. Let Us Help You Protect Those Rights

IMMEDIATELY REDUCE THE CHANCE OF JAIL TIME OR HUGE FINES - DOWNLOAD FREE HEALTH CARE FRAUD DEFENSE CHECKLIST

Who Are Our Clients

  • Physicians;
  • Physician assistants;
  • Nurses;
  • Physical and occupational therapists;
  • Pharmacies;
  • Pharmacists;
  • Drug manufacturers;
  • DME suppliers;
  • Hospitals; and
  • Clinics

Practice Lead (US Supreme Court Licensed Attorney)

Health care fraud defense government contractor defense, white collar litigation and appeal counselCall our healthcare qui tam defense attorneys and federal New Hampshire healthcare fraud lawyers today for a Free Initial Consultation at 1.866.601.5518.

Speak to Theodore Watson. Top False Claims Act New Hampshire healthcare fraud federal criminal defense lawyers for small businesses and large corporations nationwide.

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Nationwide Healthcare Fraud Defense Attorney Serving New Hampshire Companies

As federal healthcare fraud defense attorney and healthcare False Claims Act lawyers, with law offices in Washington DC and Colorado, the law firm can represent providers in all areas of New Hampshire including Manchester, Nashua, Concord, Dover, Rochester, Keene, Derry, Portsmouth, Laconia, Lebanon, Claremont, Somersworth, Londonderry, Durham, Berlin, Hampton and more.

, and surrounding metro areas. We will comb the facts of your case, develop the strongest legal defense, and aggressively fight back.

What Triggers Federal Healthcare Fraud Investigations?

Federal False Claims Act New Hampshire Lawyers

New Hampshire Medicare fraud criminal defense lawyers: The False Claims Act (FCA) imposes civil and criminal penalties for the submission of “false or fraudulent” claims for payment by the federal government – including payment under Medicare, Medicaid, Tricare, and other federal healthcare programs. This includes intentional and unintentional billing and coding errors, as well as various other forms of healthcare fraud.

Civil penalties under the FCA include fines, recoupments, treble damages, and program exclusion. Criminal penalties include fines and federal imprisonment. Call our New Hampshire healthcare fraud defense lawyers for immediate help. 

Federal New Hampshire Healthcare Fraud Penalties (18 USC 1347)

A violation of 18 USC 1347 in New Hampshire for federal healthcare fraud is punishable by:

  • a maximum of 10 years in federal prison and/or
  • the imposition of a fine

Federal New Hampshire healthcare fraud criminal convictions  and penalties can result in up to 10 years in prison and fines of up to $250,000, with harsher penalties for serious bodily injury or death, potentially leading to a life sentence. If, a criminal violation results in serious bodily injury to any individual, the maximum confinement time is increased to 20 years. If the healthcare fraud violation results in death, the maximum punishment increases in federal prison. 

18 USC 1349 provides that a conspiracy to commit healthcare fraud may be punished in the same fashion as the healthcare fraud itself, so the maximum punishments would be:

  • 10 years, 20 years, or life in federal prison depending on if the enhancements for injury or death are applicable

As Federal New Hampshire Healthcare fraud defense lawyers, we understand knowledge that the fraudulent conduct is illegal, much less knowledge of the specific provision of federal law which prohibits health care fraud, is not required for a jury conviction under these statutes. 

Suppose the defendant knows that the statements or representations they made to obtain money or services through a federal healthcare benefit program are fraudulent. In that case, that is enough to convict regardless of whether the defendant understood that their conduct was illegal.

New Hampshire Pharmaceutical Fraud Lawyers

Helathcare PharmaCeutical Fraud LawyersAt Watson & Associates, LLC, our New Hampshire pharmaceutical fraud lawyers and New Hampshire healthcare compliance defense attorneys provide aggressive legal defense for companies, healthcare providers, and executives facing federal investigations and criminal charges. Whether you’re being targeted for off-label marketing, kickback schemes, fraudulent billing, or violations of the False Claims Act, our team understands how to navigate the complex web of pharmaceutical regulations and government enforcement actions.

With decades of combined experience in healthcare fraud defense, our medical fraud lawyers. represent clients during DOJ and OIG investigations, audits, and federal court proceedings. If you’re under scrutiny or have been charged with pharmaceutical fraud, contact our pharmaceutical fraud law firm today to protect your rights and business.

Immediate Help from Watson & Associates LLC

Looking to hire a healthcare compliance defense attorney?  Whether you. are under federal investigation, presented with a civil investigative demand (CID) or subpoena, or being indicted by a grand jury, our New Hampshire healthcare fraud criminal defense lawyers and New Hampshire medicare fraud defense attorneys are here to help.

Contact Our New Hampshire Health Care Enforcement Action Defense Lawyers

As 18 USC 1347 federal New Hampshire Healthcare fraud defense lawyers, we represent clients and federal courts in New Hampshire cases under 18 USC 1347,. Please contact our medical fraud lawyers to schedule a FREE initial consultation. Speak to our lead attorney, Theodore Watson, directly.

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