In the health care setting for example, there are numerous forms of predicaments and this includes health care fraud. Health care fraud is viewed seriously in most countries and most providers who indulge in these practices need to face stringent “legal consequences.” The consequences of such malpractices would be that such tainted providers would be debarred from carrying out any health care activities. Even settings who encourage such providers would risk debarment, and thus the punishment is really onerous. Besides the usual debarment, there are also fears that practicing licenses may be cancelled, in which case the punishment would become a permanent one. Besides, such providers are also susceptible to “substantial civil and administrative penalties and fines.” (Bucy, 1996, p.20). Thus, it is very important that health care specialists and practitioners practice within their Code of Ethics and necessary professional conduct. The consequence of legal and criminal action notwithstanding, it is seen that the risk of sentencing is also a distinct possibility in the case of errant health care providers.
The sapping of financial resources in the health care system, along with several other consequences, problems associated with personnel development plans and shortage of competent staff are just few of the magnified issues. The concerns on fraud and abuse greatly affected the everyday life of health care personnel particularly the nurse practitioners; since these professionals are the “front liners” in terms of delivery of care. Nurse practitioners (NPs) can hardly go away from working in clinical environments; and this expose them further to fiscal issues of billing, reimbursement and revenue production issues. In other words, the described situation is somewhat stressful for them. Fraud is actually described as “any act, omission, expression, or concealment calculated to delude another individual,” Merriam-Webster Dictionary of Law