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Durable medical equipment suppliers operate in one of the most heavily scrutinized areas of healthcare. Federal regulators closely monitor DME billing, supplier relationships, and Medicare reimbursement claims.
When your business is targeted by investigators or auditors, trust the defense team at Lowther | Walker to protect your company, your reputation, and your freedom.
Book a free consultation with a DME supplier fraud defense attorney to explore your next steps.
No-obligation. Fully confidential.
Call Us Today: (404) 496-4052
Investigation terminated; no prosecution. DOJ notified our client, the CEO of a major hospital network, that he was the target of a multi-million-dollar healthcare fraud investigation related to “Medicare upcoding” that the FBI and HHS-OIG […]
The FBI and the HHS-OIG investigated our client for Health Care Fraud based on the client’s submitting over $7 million in alleged false claims to Medicare. The Government indicted our client on Conspiracy to commit […]
HHS-OIG investigated our client for Healthcare Fraud and Aggravated Identity Theft based on the client’s allegedly participating in a “telemedicine” kickback scheme that defrauded Medicare of approximately $30 million in reimbursements for not-medically-necessary durable medical […]
A private insurance company discovered that our client, a dentist, fraudulently billed it, various other insurance companies, and federal health care benefit programs for approximately $400,000 of services that our client did not provide. We […]
The Department of Justice’s Criminal Division, Fraud Section charged our client and nine other individuals in a $1.4 Billion health care fraud, wire fraud, and money laundering conspiracy (the largest health care fraud case that […]
Investigation terminated; no prosecution. DOJ notified our client, the CEO of a major hospital network, that he was the target of a multi-million-dollar healthcare fraud investigation related to “Medicare upcoding” that the FBI and HHS-OIG […]
The FBI and the HHS-OIG investigated our client for Health Care Fraud based on the client’s submitting over $7 million in alleged false claims to Medicare. The Government indicted our client on Conspiracy to commit […]
HHS-OIG investigated our client for Healthcare Fraud and Aggravated Identity Theft based on the client’s allegedly participating in a “telemedicine” kickback scheme that defrauded Medicare of approximately $30 million in reimbursements for not-medically-necessary durable medical […]
A private insurance company discovered that our client, a dentist, fraudulently billed it, various other insurance companies, and federal health care benefit programs for approximately $400,000 of services that our client did not provide. We […]
The Department of Justice’s Criminal Division, Fraud Section charged our client and nine other individuals in a $1.4 Billion health care fraud, wire fraud, and money laundering conspiracy (the largest health care fraud case that […]
Lowther | Walker’s defense lawyers bring decades of experience defending DME suppliers and distributors against allegations of fraud and billing violations. We represent clients at every stage of a case, from pre-audit compliance reviews to defending against criminal charges in federal courtrooms nationwide.
We provide strategic defense in matters relating to:
Federal agencies such as CMS, HHS-OIG, and the DOJ aggressively target DME businesses for alleged fraudulent billing practices. Understanding why your company is under investigation is critical to developing a strong defense strategy.
Lowther | Walker can audit your billing systems, review supplier contracts, and identify potential vulnerabilities before investigators escalate their case.
Common triggers for DME fraud investigations include:
Phantom billing refers to billing Medicare or Medicaid for equipment that was never delivered or used. Investigators view these claims as intentional fraud and may pursue both financial recoupments and criminal charges.
Reimbursement requires proof that the equipment was medically necessary. If auditors determine your records don’t meet CMS standards, they may allege fraud and pursue penalties.
Complex practice relationships, referral arrangements, and compensation structures require careful structuring. We navigate these regulatory concerns to protect legitimate business operations while preventing costly violations.
Federal law prohibits financial arrangements between suppliers, physicians, and marketers that influence referrals. Many DME companies face investigations under the Anti-Kickback Statute for marketing relationships or referral-based compensation structures.
Missing physician orders, delivery records, or patient documentation often serve as the foundation for fraud investigations. Even simple errors can escalate into major liability if not addressed promptly.
DME companies often face scrutiny under the Anti-Kickback Statute (AKS) and the False Claims Act (FCA), which are two of the most aggressively enforced federal laws.
If your company is accused of paying marketers, physicians, or third parties for referrals, federal prosecutors may attempt to prove criminal intent. Our attorneys can challenge the government’s interpretation of your business arrangements and protect your rights.
Whistleblowers and investigators often use the FCA to pursue DME companies for alleged fraudulent claims. These cases can result in treble damages and exclusion from federal healthcare programs. Lowther | Walker provides aggressive FCA defense to mitigate these risks
Our attorneys have represented DME owners, distributors, and medical businesses nationwide, helping them navigate audits, regulatory reviews, and fraud prosecutions.
Federal investigations don’t wait. You can speak with a defense lawyer immediately to assess your risks, preserve evidence, and protect your DME business from aggressive investigators.
From administrative hearings to federal trials, Lowther | Walker’s attorneys have defended providers at every stage of enforcement. We know how to challenge auditor assumptions and weaken the government’s case.
The stakes in a DME fraud case are extremely high. Financial penalties, criminal exposure, and federal program exclusion can end a business permanently. If you’re under audit or investigation, you need an experienced DME defense attorney immediately.
Call Lowther | Walker at (404) 496-4052 or request a free confidential consultation online today.
No-obligation. Fully confidential.
Call Us Today: (404) 496-4052
Bring physician orders, delivery documentation, invoices, patient communications, supplier contracts, and billing records. Comprehensive documentation helps your lawyer identify compliance gaps and prepare a robust defense.
Red flags include sudden audit requests, subpoenas for records, whistleblower complaints, or unusual scrutiny from CMS contractors. Early intervention by a defense lawyer can often contain the scope of an investigation.
Penalties may include repayment demands, civil fines, exclusion from Medicare and Medicaid, and even criminal charges with potential prison time if prosecutors allege intentional fraud.
Yes. We offer compliance reviews, billing audits, and training for DME companies to reduce exposure to investigations and strengthen defenses before problems arise.
