Lawyers for Durable Medical Equipment (DME) Providers

Fenton Jurkowitz Law Group represents California durable medical equipment companies (“DME companies”) and other companies that provide prosthetics, orthotics, and supplies. Fenton Jurkowitz Law Group counsels and assists DME companies with a range of business, regulatory, and strategic challenges, including:

Business Transactions

• Formation of entities and business structure
• Purchase and Sale Agreements
• Agreements with wholesalers and other suppliers
• Employment and independent contractor agreements
• Medicare competitive bidding applications

Regulatory Defense

• Reimbursement audits by private and governmental payors and their contractors, including Medicare, Medi-Cal, and Palmetto GBA.
• Fraud and abuse investigations by government payors and their contractors, including Safeguard Services, Office of Inspector General, Federal Bureau of Investigations, Department of Justice, Department of Health Care Services, and Bureau of Medi-Cal Fraud and Elder Abuse
• Zone Program Integrity Contractor (“ZPIC”) audits, Recovery Audit Contractor (“RAC”) audits, and Program Integrity Safeguard (“PSC”) audits.

Compliance

• Licensing, operational, and reimbursement compliance
• Medicare and Medi-Cal enrollment and changes of ownership
• HIPAA and state patient data privacy and security requirements
• Prepayment review corrective action plans
• Documentation solutions for establishing medical necessity
• Marketing practices and business development compliance

Litigation

• Medicare enrollment and claim denial appeals
• Medicare and Medi-Cal overpayment appeals involving power wheelchairs, electric hospital beds, infusion drugs and supplies, and various braces and orthotics
• Exclusion and suspension appeals by government entities, including the Department of Health and Human Services Office of the Inspector General and California Department of Health Care Services
• False Claims Act civil defense
• General business litigation