Super Lawyers
Justia Lawyer Rating
The Best Lawyers in America
Avvo Clients' Choice
Avvo Rating 10.0
National College for DUI Defense
National Collage for DUI Defense
American Council Of Second Amendment Lawyers
Avvo Clients Choice Award
Avvo Rating
Trial Lawyers University
Best Lawyers
James Publishing Author
Super Lawyers
Trial Lawyers College

Grand Rapids Durable Medical Equipment (DME) Fraud Lawyer

One common area of health care fraud that affects Medicare, Medicaid, Tricare, and other federal government benefit programs is durable medical equipment (DME) fraud. Federal authorities may accuse you and your business of fraud concerning prescriptions for DME, which may cause losses to the federal government.

There are several variations of DME fraud, which may include giving or receiving kickbacks, or payments in exchange for patient referrals, prescribing DME that is not medically necessary, or forging claims for DME that patients never receive. The penalties for any DME fraud are severe and may stem from the violation of several federal health care fraud statutes.

If federal authorities are investigating you for possible DME fraud, consider seeking legal advice from a Grand Rapids durable medical equipment (DME) fraud lawyer right away. A hard-working health care fraud attorney can defend you against allegations of DME fraud and protect your right throughout any civil or criminal proceedings.

Defining Durable Medical Equipment (DME)

Durable medical equipment, or DME, consists of durable items, medical supplies, and medical products for use at home that shares the following characteristics:

  • Sufficiently durable to withstand repeated usage
  • Used to assist individuals with injuries, illnesses, or medical conditions while they are living at home
  • Necessary for users to complete one or more activities associated with daily living

For programs like Medicare or Medicaid to cover DME, a physician must certify that the DME is medically necessary. The physician then orders the DME through a DME business or supplier, who in turn files a claim with the benefits program to procure payment for the DME.

Some typical examples of DME may include wheelchairs, motorized scooters, walkers, hospital beds, dialysis equipment, canes, diabetic shoes, and body braces. If federal authorities allege that DME suppliers or companies have committed health care fraud, they might benefit from consulting a durable medical equipment (DME) fraud lawyer in Grand Rapids.

DME Fraud in Grand Rapids

One potential DME fraud scheme occurs when DME businesses illegally compensate physicians in exchange for more referrals. This violates the Anti-Kickback Statute, listed in 42 U.S.C. §1320a-7b, which prohibits medical and DME providers from intentionally trading compensation for referrals that will result in reimbursement from federal benefits programs. This may lead to referrals for DME that are not medically necessary, which also violates the False Claims Act (FCA), or those that benefit businesses in which physicians or their immediate family members have a financial interest, which violates the Stark Act.

Another possible violation of the FCA involves DME companies that falsify or forge physician certifications to claim reimbursement for DME unlawfully. These businesses also might violate the FCA by submitting fraudulent claims for DME on behalf of non-existent or “ghost” patients to obtain compensation to which they are not entitled, or on behalf of real patients who never received the DME.

To get compensation from federal benefits programs for DME, companies also must comply with various regulations and certify that they have done so with each claim that they submit to these programs. As an example, some states require that DME technicians be licensed to fit or dispense certain types of DME, and federal benefits program payments are conditioned on compliance with state licensing requirements. For any accusations related to DME fraud, businesses may find it beneficial to speak with a durable medical equipment (DME) fraud attorney in Grand Rapids.

Work with a Grand Rapids Durable Medical Equipment (DME) Fraud Attorney

With health care costs steadily rising, federal government programs also are experiencing tremendous expenses. Consequently, the federal government is continually monitoring health care providers for evidence of fraudulent health care claims.

A Grand Rapids durable medical equipment (DME) fraud lawyer can be an invaluable resource as you are defending yourself against accusations of health care fraud involving DME. With legal experienced and knowledge on your side, you could place yourself in a better position to defeat the charges against you. Call today to schedule an initial consultation.

Call Today! FREE Consultation Lawyer and Receive Immediate Attention for Your Criminal Law Case Patrick T. Barone is a Michigan Super Lawyer, who has maintained continuous top attorney ratings since 2007. In addition, the Michigan native is the author of multiple books on OWI, DUI and criminal law. The OUIL attorney near me has lectured at over 80 legal seminars all over America. He leads Barone Defense Firm in providing aggressive legal warriors for each client's criminal case.

Contact us 24 hours a day at our law firm’s easy to remember toll-free number, 1-877-ALL-MICH or 877-255-6424, for a free criminal case review. The Michigan attorneys near me at Barone Defense Firm travel the entire Great Lakes State, to help citizens in legal trouble in Michigan for alleged criminal law violations.

For your FREE lawyer consultation, call today to learn how to protect yourself from a possible unwarranted conviction. What do you have to lose, when the free legal advice with our litigation team’s criminal lawyers near me can answer many tough questions?

Client Reviews
Patrick Barone is the ONLY choice for DUI defense. He was realistic from the start and made it a point to look at my case before taking my money. As a business owner, when I think of attorneys, I think of the "shark infested waters. Patrick is a shark alright, but his prey is not the client; it's justice for his client. Ten stars Patrick!! Chris F.
Attorney Patrick Barone was very helpful and helped me understand the charge and sentence absolutely clearly. He also guided me through step by step helping me form a statement. His instructions were clear and detailed. It was obvious he cared about me understanding every important detail within my case. I would absolutely recommend this defense firm to anyone in need. Aaron B.
The Barone Defense Firm is the firm I recommend. They are truly concerned about the person, not just the legal issue, but the person as well. They are the most knowledgeable defense firm that I am aware of, having actually written the book on DWI Defense. If you are faced with a DWI you will not find a more professional and skilled law firm. But, most importantly, they care about how the accused individual recovers his or her life when the case is complete. Very remarkable group of lawyers. William H.