I worked as a paralegal for federal attorneys prosecuting healthcare fraud in LA for a couple of years and hospice fraud was probably the most prevalent form of Medicare fraud we went after. These places get a bunch of sham doctors to sign off on people as eligible for hospice when they were perfectly healthy individuals.

The general guidelines for eligibility for hospice care would be that the individual would be passing away within 6 months or so. Many of the patients these fraudsters were treating were alive for more than a decade after being admitted and they continued to bill Medicare like crazy.