What are the penalties for health care fraud?

In Virginia, the penalties for health care fraud can vary drastically depending on the severity of the crime and how it was committed. Generally, convictions for health care fraud can lead to jail time, fines, and restitution. If someone is found guilty of health care fraud, they can face jail time lasting up to a year and a maximum fine of $2,500. If they are charged with a felony health care fraud charge, the penalties can be substantially more severe. Felony fraud charges can carry jail sentences of up to 40 years in prison with a fine reaching up to $500,000. In addition to these punishments, those convicted of health care fraud are expected to pay restitution in full for any money that has been obtained illegitimately. Restitution is determined by the court and can be quite significant. In some cases, restitution fees can reach into the millions of dollars. Finally, those convicted of health care fraud may also face other punishments, including a revoking of their license or professional accreditation, disqualification from certain government programs, or the permanent inability to work with certain businesses.

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