According to this article the first fraud occurred in 1994 and revealed widespread fraud with 1000's of cases investigated nationwide seeking 100 million dollars. Written in 1998, this focuses on Joseph A. Kerschenbaum, a lawyer and financial analyst who paid nursing homes for access to their patients. He paid doctors to fraudulently certify patients as terminal to qualify for hospice. He was charged with obtaining 28.5 million dollars from Medicare and others. The FBI said this case demonstrates how easy it is to commit multimillion dollar fraud. In the last 20 years there is no way to calculate how many lives were ended early. From being denied treatments, the withdrawal of regular medications, to the inappropriate use and over medicating with Morphine, Ativan, and Haldol, which is called comfort care. Read the article at this link: https://www.nytimes.com/1998/05/10/us/hospice-boom-is-giving-rise-to-new-fraud.html