Posted June 14, 2023
The U.S. Department of Justice (DOJ) is prioritizing hospice as the agency cracks down on health care fraud. Increased reimbursement oversight could be on the horizon, leading to a potential rise in whistleblower cases.
DOJ considers hospice claims among the root causes of rising Medicare costs in recent years, according to Lisa Miller, deputy assistant attorney general overseeing the department’s Crime Fraud Section.
“The Health Care Fraud Unit and its partners are prioritizing the investigation and prosecution of schemes that affect vulnerable populations, including, but by no means limited to, sober homes fraud, illegal prescribing of controlled substances and hospice fraud,” Miller said. “In recent years, data has shown an increase in costs to the Medicare program resulting from claims for hospice care.”
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