18 U.S.C. § 1347 Healthcare Fraud: Elements, Defenses, and Federal Enforcement

18 U.S.C. § 1347 is the lead charge in nearly every federal healthcare fraud case. Former DOJ Fraud Section prosecutors Scott Armstrong and Drew Bradylyons break down the four elements the government must prove, why a Medicare rule violation is not a crime, why good faith is a complete defense, and how prosecutors pair the statute with 18 U.S.C. § 1035 and the Anti-Kickback Statute.