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Other people simply want to live beyond their means and see committing fraud as the way to receive extra money so they can continue to live a lifestyle they would otherwise not be able to afford. If they are angry at their managers or hate their jobs, there is also the possibility of committing fraud simply to "get back at" the person or persons they feel have slighted them. While none of these are good reasons to commit a fraudulent act, they are some of the most common reasons that have been offered when people who are committing fraud in the workplace have been caught.
Focusing on ethics can help prevent fraud, but it will not stop everyone. Additionally, more than ethics are needed in order to make sure procedures are followed properly. Often, there is no intended fraud or financial mistakes - only carelessness and misunderstandings left unchecked. Swift punishment of unethical actions along with strong information about procedures and policies can help healthcare institutions avoid financial problems. The Sarbanes-Oxley Act of 2002 helped with that...
By taking that into account, emphasizing ethics, and making policies and procedures clear, an accounting department in a healthcare institution can have strong and valuable internal controls.
References
Carruthers, B.G., & Espeland, W.N. (1992). Accounting for rationality: Double-entry bookkeeping and the rhetoric of economic rationality. American Journal of Sociology, 97(1).
Dey, a. & Lys, T.Z. (2005). Trends in earnings management and informativeness of earnings announcements in the Pre- and Post-Sarbanes-Oxley Periods. Evanston, IL: Kellogg School of Management.
Elliot, B. & Elliot, J. (2004). Financial accounting and reporting. London: Prentice Hall.
Friedlob, G.T. & Plewa, F. J (1996). Understanding balance sheets. New York, NY: John Wiley & Sons.
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