There’s a car pulling up to your facility loaded up with a patient and a trunk full of risk.
With a rising focus on value-based care, and a new program seeking to make the approach mandatory, we spoke with Ed White (LinkedIn), Partner at Nelson Mullins.
Despite being a Civil War era statute, the False Claims Act (FCA) always has something new going on. To find out what’s hot these days, we spoke with Joshua Drew (LinkedIn), a former federal prosecutor and chief compliance officer and currently a Member at Miller & Chevalier.
Lately, he explains, there has been a steady stream of activity.
Immigration compliance in healthcare has traditionally been associated with back-office functions such as Form I-9 completion and record retention. Recently, however, Immigration and Customs Enforcement (ICE) agents have entered hospital facilities seeking specific individuals, which underscores a more immediate reality for healthcare organizations: immigration enforcement can occur unannounced, on-site, and in the midst of patient care.
Jeff Segal, and Madelaine Lane
By Sai Charan
In the landscape of 2026 hospice compliance, the nature of the “audit threat” has undergone a fundamental shift. For years, compliance officers focused on clinical eligibility—the “is the patient terminal?” question. However, as Medicare Administrative Contractors (MACs) refine their oversight, we are seeing a surge in denials rooted not in clinical judgment, but in structural documentation integrity.
By Colin May, M.S., CFE, 3CE, INCI
Durable medical equipment (DME) compliance has long been fertile ground for government scrutiny, but bone growth stimulators present a particularly nuanced—and risky—intersection of reimbursement rules, medical necessity, and marketing practices. A review of enforcement actions, civil litigation, and regulatory guidance reveals recurring compliance failures that should be top of mind for compliance officers overseeing providers, DME suppliers, manufacturers, and clinical relationships.
By Jamie Darch
Jamie Darch (jamie.darch@ropesgray.com, linkedin.com/in/jamie-darch-b646a064) is a Partner in Ropes & Gray’s health care practice in Chicago, IL.