Hospice Fraud: Predicting Ability and Intent

Abstract

Hospice fraud is a growing concern around the world. Yet, little attention has been given to the study of hospice fraud in the extant literature. Existing literature highlights fraud exposure related to hospice payment structures, the factors that contribute to fraud, and the innate personality traits of fraudsters. Typically, however, the traits of fraudsters do not align with the public image of hospice professionals. This misalignment suggests the need for valid and reliable instruments designed to measure fraud ability and intent. In this article, the psychometric properties of two valid and reliable tools are examined, one designed to measure fraud rationalization, and the other was designed to measure fraud intent. Both tools are psychometrically sound, but further investigation into the phenomenon of hospice fraud using these tools is warranted as they are newly developed. Investigation into the use of the tools in practice settings is also an avenue for further inquiry.