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News/Compliance & Enforcement/How Long Can Hospice Patients Live Before Claims Become Fraudulent?
False Claims Act·Compliance & Enforcement Brief

How Long Can Hospice Patients Live Before Claims Become Fraudulent?

A group of hospice providers argued that the government merely disagreed with the clinical judgment of physicians who certified patients for care, but a district court found that allegations of unsupported or outright fraudulent diagnoses, coupled with the long-term survival rate of many “end stage” patients, demonstrated that the government alleged more than a difference of opinion.

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