Lawmakers demand answers, recommendations to crack down on hospice fraud
Summary
Lawmakers held a hearing to address hospice fraud, which is costing taxpayers millions and affecting Medicare hospice programs. They discussed fraud cases involving fake billing and stolen identities and sought ways to improve oversight and protect patients.Key Facts
- Hospice fraud is causing the loss of hundreds of millions of taxpayer dollars.
- Fraudulent operators use fake or stolen names to bill Medicare for hospice care not needed.
- A CBS News investigation found over 700 out of about 1,800 hospices in Los Angeles County showed signs of possible fraud.
- One doctor’s name appeared on Medicare claims for nearly 2,800 patients across 126 hospices in 2024.
- Victims of hospice fraud can struggle to unenroll and lose access to other necessary medical care through Medicare.
- Experts suggest better enforcement when hospices enter the system is needed to prevent fraud.
- Both Republican and Democratic lawmakers agree fraud happens in states led by governors from both parties.
- There is concern about protecting honest hospice providers who offer essential end-of-life care services.
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