The health care regulatory space realized significant regulatory and enforcement developments in 2024 that are influencing how providers and industry stakeholders approach various compliance measures and enforcement priorities in 2025. In light of these developments, health care providers and industry stakeholders continue to find ways to improve care delivery and patient access to care and services while maintaining compliance with federal fraud and abuse laws.
Our health care regulatory team reviews recent legal developments in fraud, compliance, and enforcement and delivers an overview of key developments in this space, including:
- Changes to the Overpayment Rule;
- Enforcement Action;
- OIG Advisory Opinions;
- OIG Compliance Program Guidance for Nursing Facilities;
- OIG Consumer Alert involving RPM; and
- OIG FAQ Process.