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But Charles Gonzales, a Vitas physician in Los Angeles for seven years, alleges in a lawsuit filed last year that Vitas systematically submitted false certifications and recertifications” — that means enrolled people who did not belong and didn't discharge individuals who didn't qualify anymore for hospice care.

Many days, she spent time after college speaking to Curtner and the other academics in what grew to become informal remedy sessions where they talked about the feelings and fears. Prosecutors accuse these firms of overbilling for care that is not required, refusing to discharge patients who improve and enrolling people who aren't dying.