The Centers for Medicare and Medicaid Services (CMS) on July 23 posted a new Hospice Fast Facts sheet to inform the public about significant enhancements to address hospice fraud.
The one page document defines hospice fraud, explains how CMS is enhancing oversight of hospice providers, and the actions the agency is taking to stop fraud. It also includes specific numbers on hospices subject to the medical review under the Period of Enhanced Oversight (PPEO) in four states including Arizona, California, Nevada, and Texas. As of June 2025, 668 hospices were subject to medical review under the PPEO, with CMS revoking the enrollment of 122 hospices.
One of the major concerns with hospice fraud is the unknowing enrollment of beneficiaries in hospice which can prevent those individuals from accessing necessary treatments and services. Often when beneficiaries attempt to disenroll, they meet unresponsive fraudulent hospice providers which slows disenrollment. CMS has streamlined the hospice disenrollment process from 6 months to less than 12 days. Additionally, CMS’ Rapid Response Team has reversed the enrollments of 358 hospice elections for Medicare beneficiaries to date.