Healthcare DIVE August 24, 2023
The crackdown comes after media reports found fraudulent hospice activity and spurred bipartisan interest in industry reforms.
Dive Brief:
- The CMS continued its crackdown on hospice fraud on Tuesday, announcing nearly 400 hospice facilities may be removed from Medicare if the practices cannot prove they’re legitimate enterprises through address verification.
- The agency identified the potentially fraudulent operations by making unannounced visits to more than 7,000 hospice providers to determine whether practices were operational at listed addresses following media investigations into hospice schemes.
- The CMS announced it will implement a provisional period of enhanced oversight in states where fraudulent activity is particularly pervasive — like in Arizona, California, Nevada and Texas — and begin a nationwide pilot program to review...
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