Facing federal charges for healthcare fraud is a serious situation that can result in long-term consequences, including prison time, fines, loss of licensure, and exclusion from federal healthcare programs. Federal prosecutors take these allegations seriously and dedicate extensive resources to investigating and pursuing cases. If you have learned you are under investigation or have already been charged, you need to act quickly and strategically with the help of a Wisconsin federal criminal defense lawyer.

This blog explains what healthcare fraud looks like under federal law, how investigations usually unfold, what penalties you may face, and what to do next if you are being targeted.

How Does Federal Law Define Healthcare Fraud?

Federal healthcare fraud laws prohibit knowingly submitting false information to obtain money or benefits through a healthcare program. Most charges involve claims submitted to Medicare, Medicaid, or private insurance companies. These cases often fall under one or more federal statutes, including: