I was never implying that the hospital associated company you worked for was anything but legit. Don't take it personally. A lot of large cities have hundred of small hospice and home health agencies with small census's. They do admit patients that are not appropriate or keep patients on service for years. They also give doctors kick backs for recommending hospice service to patients. The stories would shock you. Yes there are plenty of good companies, but to say fraud is rare is naive.
I only bring it up to warn anybody thinking about getting into that side of healthcare to do your due diligence. Yes you are right once you start working for a company it is east to see that the patients you are assigned do not meet criteria, or there is some funny business going on, but then you have to start all over. It's a great job with the right company. I do think it needs better regulation.
https://hospicenews.com/2024/10/11/hospice-fraud-casts-lengthening-shadow-over-future-of-industry/