In 2018 alone, the US Department of Justice collected more than $2.5 billion from healthcare providers under the federal False Claims Act (FCA). This continues a decade-long trend of multibillion-dollar recoveries. ASCs have been no stranger to government enforcement. In particular, ASCs have to contend with a multitude of federal regulations as well as federal statutes such as the FCA and the Anti-Kickback Statute. Discuss these federal laws and regulations, review examples of enforcement in the ASC space and get advice on how to structure relationships in order to avoid government scrutiny and the possibility of a costly government investigation.