Medical Device Legal News with Sam Bernstein: Episode 8
Hospice Audit Series: Beyond Part D, OIG Scrutinizes the Hospice Industry to the Tune of $6.6 Billion
The Next Wave From OIG: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Audits
Grounded in the OIG’s General Compliance Program Guidance and DOJ’s Evaluation of Corporate Compliance Programs, our immersive, three-and-a-half-day, classroom-style Healthcare Basic Compliance Academy equips compliance...more
The Issue: As part of a broader effort from the Trump Administration to identify excessive spending and ways to reduce waste and abuse, Medicaid fraud has come under particular scrutiny in Florida....more
Key Takeaways - Florida’s Agency for Healthcare Administration (AHCA) has implemented a six-month moratorium on the enrollment of new Durable Medical Equipment (DME) providers, effective March 20, 2026....more
Palladium Equity Partners has announced it will acquire a majority equity interest in DME Express from WayPoint Capital Partners. DME Express, founded in 2006 and based in The Woodlands, Texas, is a provider of durable...more
The Centers for Medicare and Medicaid Services (“CMS”) recently announced new healthcare fraud measures that include the imposition of a six-month moratorium on provider enrollments of new durable medical equipment,...more
On February 27, 2026, the Centers for Medicare & Medicaid Services (CMS) published a Notice that it is using its ACA-provided authority to impose a temporary (six-month) nationwide moratorium on the Medicare enrollment of...more
The Centers for Medicare and Medicaid Services (CMS) issued a Request for Information (RFI) to solicit stakeholder feedback regarding regulatory changes impacting fraud, waste, and abuse in the healthcare industry as part of...more
Our Health Care Group examines the Centers for Medicare & Medicaid Services’ (CMS) six-month nationwide moratorium affecting certain durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) companies and the...more
On February 26, 2026, the Centers for Medicare & Medicaid Services (CMS) issued a Federal Register notice imposing a six-month nationwide temporary moratorium on the enrollment into the Medicare program of new medical supply...more
In a Notice to be published in the Federal Register on February 27, 2026, the Centers for Medicare and Medicaid Services (CMS) is imposing a nationwide (including all states, territories and the District of Columbia)...more
On February 25, 2026, the Centers for Medicare & Medicaid Services (CMS) announced, among other actions, a six-month nationwide moratorium on Medicare enrollment for certain Durable Medical Equipment, Prosthetics, Orthotics,...more
On Jan. 1, 2026, several significant changes from the Centers for Medicare & Medicaid Services (CMS) took effect for suppliers of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS). A key change is the...more
One year into the second Trump administration, we have seen a continuation of some evergreen enforcement priorities as well as new fonts of potential risk and exposure. As in years past, the investigation and prosecution of...more
Durable Medical Equipment (DME) owners and prospective purchasers need to be aware of a new Medicare rule that significantly restricts the transfer of ownership in these types of companies. Failure to be aware of the new...more
The Centers for Medicare & Medicaid Services (CMS) finalized its proposed rule and published the calendar year (CY) 2026 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program...more
Providers and suppliers participating in the Medicare program should take note of new requirements and compliance considerations related to Medicare enrollment, information updates, changes of ownership, and increased risk...more
Effective January 1, 2026, all Durable Medical Equipment, Prosthetic Devices, Prosthetics, Orthotics, and Supplies (DMEPOS) suppliers will be subject to the Centers for Medicare & Medicaid Services (CMS) 36-month rule...more
On October 28, 2025, HHS Office of Inspector General (OIG) posted an audit report finding that Medicare improperly paid suppliers $22.7 million over seven years for durable medical equipment, prosthetics, orthotics, and...more
As a follow-up to our October 3, 2025 alert, another court, this time the US Court of Appeals for the Seventh Circuit, held that percent-based compensation is not per se a kickback. In the matter of United States of America...more
On July 9, 2025, Dr. Mohammed Ahmad of Avon, Ohio, pleaded guilty to making false statements related to health care matters in connection with a telemedicine scheme involving durable medical equipment (DME). ...more
Comments are due in less than a month on the Centers for Medicare & Medicaid Services (“CMS”) proposals to make significant structural reforms to Medicare’s Competitive Bidding Program (“CBP”) for Durable Medical Equipment,...more