Federal Healthcare Fraud
Federal Healthcare Fraud Defense Attorney in Houston
The Law Offices of James Alston
Federal healthcare fraud allegations are among the most aggressively investigated and prosecuted white-collar offenses in the United States.
These cases often involve complex financial records, billing data, regulatory compliance issues, and extensive federal investigations that may continue for months or years before charges are filed. A conviction can lead to significant federal prison sentences, substantial financial penalties, professional license consequences, and long-term reputational harm.
If you are under investigation or charged with federal healthcare fraud in Houston or the Southern District of Texas, experienced legal representation is essential from the earliest stage of the case.
James Alston is a Houston criminal defense attorney with more than 30 years of criminal law experience, including service as a former Assistant United States Attorney. He understands how federal prosecutors investigate healthcare billing practices, analyze financial evidence, and pursue indictments—and he uses that knowledge to provide strategic, discreet, and determined defense representation in serious federal healthcare fraud matters.
Former Federal Prosecutor With Extensive White-Collar Experience
Before entering private practice, James Alston served as an Assistant United States Attorney, prosecuting complex federal criminal cases.
Today, he applies that experience to defending individuals and professionals facing federal healthcare fraud investigations, subpoenas, and indictments.
He brings:
- More than three decades of criminal law experience
- Over 20 years practicing in federal court
- Hundreds of federal criminal cases handled in Houston
- Board Certification in Criminal Law by the Texas Board of Legal Specialization
This background provides valuable insight into:
- how federal healthcare fraud investigations are developed
- how billing data and financial records are analyzed
- how prosecutors evaluate intent, knowledge, and loss calculations
- how defense strategy can influence charging and sentencing outcomes
In complex white-collar investigations, federal-level experience matters.
Common Federal Healthcare Fraud Allegations
Federal healthcare fraud prosecutions may involve allegations such as:
- False or fraudulent medical billing
- Kickback or referral-related violations
- Medicare or Medicaid fraud investigations
- Upcoding, unbundling, or billing for services not rendered
- Durable medical equipment (DME) fraud allegations
- Home health or clinic-related investigations
- Conspiracy or money-laundering allegations tied to healthcare activity
These cases frequently depend on detailed billing analysis, electronic records, witness testimony, and regulatory interpretation, all of which require careful legal scrutiny and strategic defense.
Federal Investigations in Healthcare Fraud Cases
Many healthcare fraud matters begin long before indictment, often involving:
- subpoenas for billing, financial, or patient records
- audits or inquiries from federal agencies
- interviews of employees, patients, or business partners
- search warrants or document seizures
- grand jury investigations or potential target letters
What occurs during this stage can significantly influence:
- whether charges are filed
- the scope of alleged conduct
- potential financial loss calculations
- overall sentencing exposure
Early legal representation may create opportunities to protect rights, manage communications, and shape the direction of the investigation.
Sentencing Exposure in Federal Healthcare Fraud Cases
Federal healthcare fraud convictions may result in:
- multi-year federal prison sentences
- significant restitution or financial penalties
- asset forfeiture proceedings
- exclusion from federal healthcare programs
- professional licensing consequences
Because sentencing often depends heavily on loss calculations and guideline enhancements, experienced legal advocacy is critical.
Strategic Defense in Complex Financial and Regulatory Cases
Effective defense of healthcare fraud allegations may require:
- detailed analysis of billing records and financial data
- examination of regulatory compliance and intent issues
- challenges to loss calculations or sentencing enhancements
- evaluation of witness credibility and investigative methods
- negotiation where appropriate
- preparation for federal trial when necessary
Every case demands a carefully developed, evidence-driven defense strategy tailored to the specific facts and risks involved.
Confidential Representation for Professionals and Businesses
Healthcare fraud investigations often involve physicians, medical providers, clinic owners, executives, and licensed professionals whose careers and reputations are at stake.
Legal representation must therefore be handled with:
- discretion and professionalism
- strategic communication with investigators and prosecutors
- focused protection of professional and personal interests
- strong courtroom advocacy when required
The Law Offices of James Alston is committed to providing serious, respectful, and strategic defense representation in these high-stakes matters.
Speak With a Houston Federal Healthcare Fraud Defense Attorney
If you are under investigation or charged with federal healthcare fraud in Houston, do not delay in seeking experienced legal counsel.
Contact The Law Offices of James Alston
📞 (713) 280-5615
to schedule a confidential consultation.
Early legal intervention can make a critical difference in a federal healthcare fraud case.
