The regulatory landscape for Medicare overpayments is evolving rapidly, and the risks for healthcare providers are growing — especially when it comes to repayments and potential liability under the False Claims Act (FCA).
Our latest whitepaper, “Voluntary Medicare Extrapolated Overpayments: Legal and Compliance Considerations in 2025”, sheds light on what healthcare attorneys can do to guide their clients.
Key Takeaways
- The clarified “knowledge” standard by the Centers for Medicare & Medicaid Services (CMS) that now plays a pivotal role in triggering the 60-day repayment rule.
- The United States Department of Justice’s renewed focus on extrapolated overpayments increases FCA exposure for providers.
- Guidance for attorneys on how to help clients mitigate risk through timely investigations, defensible statistical methods, and privilege-protected audit processes.
Why This Matters
Providers across the continuum are under significant pressure—regulatory, legal, and operational. If you represent healthcare providers or work in legal/compliance advisory, this whitepaper is a valuable resource to help you move from reactive to proactive in managing the overpayment and FCA risk environment. Download the whitepaper now and equip yourself with the insights your clients need to stay ahead.
LW Consulting, Inc. (LWCI) offers a comprehensive range of services to assist your organization in maintaining compliance, identifying trends, providing education and training, or conducting documentation and coding audits. For more information, contact LWCI to connect with one of our experts!
