In response to increasing indicators of fraud and abuse in Hospice settings, including unusually long lengths of stay, high rates of live discharges, and clusters of newly enrolled hospices in certain states, the Centers for Medicare and Medicaid Services (CMS) has implemented multiple program integrity and oversight strategies.

Background:

Hospice utilization continues to grow, with more than 1.8 million beneficiaries receiving hospice in FY 2024 and Medicare spending exceeding $27 billio…

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