Healthcare compliance risks rise as CMS expands fraud enforcement

Jennifer Evans discusses how increasing CMS oversight and healthcare fraud enforcement are driving providers to strengthen compliance programs and internal controls. The article highlights that regulators are placing greater scrutiny on billing practices, documentation, audits and reporting obligations, creating heightened legal and operational risks for healthcare organizations. Evans emphasizes that providers must take a proactive approach to compliance by improving monitoring, training and governance practices to reduce enforcement exposure and adapt to an increasingly aggressive regulatory environment.