Humanitarian Assistance Authorities: When Disasters and Crises Strike: Tackling Fraud ASMC Conference Orlando,Florida June 3, 2010 KPMG FORENSIC SM.

Slides:



Advertisements
Similar presentations
Planning for the Future Disaster Recovery Plan / Business Continuity Plan Jim Zukowski, Ed.D. Texas State Board of Dental Examiners 2006 Annual ConferenceAlexandria,
Advertisements

Control and Accounting Information Systems
Contractor Code of Business Ethics and Conduct Laura K. Kennedy Senior Vice President, Ethics and Compliance SAIC.
0 © 2009 KPMG LLP, a UK limited liability partnership, is a subsidiary of KPMG Europe LLP and a member firm of the KPMG network of independent member firms.
Introduction to the Investigative Audit Services Group.
Auditing Computer Systems
Sarbanes-Oxley Act. 2 What Is It? Act passed by Congress in response to the recent and continuing corporate scandals. Signed into law July 30, Established.
The Islamic University of Gaza
Managing Fraud Risk in Government 2015 IIA District Conference March 10, 2015 David A. King, CPA, CFE – Director, Special Investigations North Carolina.
KPMG’s Abilities in Motion Network USBLN Annual Conference October 2012 kpmg.com.
OMB Circular A-123 – Management’s Responsibility for Internal Control Policy Applicability Sources of Information Assessment, Documentation and Reporting.
New Audit Risk Standards Are You Ready? John P. Langan, CPA Principal in Charge Public Service Group Metro, DC Office LarsonAllen LLP.
Environmental Management Systems An Overview With Practical Applications.
SAS 112 – The Year After Presented by Chris Ray Partner - KPMG LLP KPMG LLP.
Information Risk Management in the Audit Chapter 9 Presented by Dee Dee Owens, Senior Manager KPMG LLP KPMG LLP.
SAS 112 Update Chapter 9 Presented by Chris Ray, Partner KPMG LLP KPMG LLP.
© 2012 McGladrey LLP. All Rights Reserved.© 2014 McGladrey LLP. All Rights Reserved. © 2012 McGladrey LLP. All Rights Reserved. © 2013 McGladrey LLP. All.
Supplier Ethics: Program Checklist
FRAUD PREVENTION TIPS AND TRAPS 10 Things Contractors Need to Know J. Lester Alexander, III & Misty Decker August 9, 2012.
Fraud Prevention and Investigation Branch. Fraud Prevention- Everyone’s Responsibility.
Elements of Internal Controls Preventing Fraud, Waste, and Abuse in Urban and Rural Transit Systems.
Internal Auditing and Outsourcing
Fraud Examination, 3E Chapter 4: Preventing Fraud
Performance Audit Fraud management in local government Report 19: David Toma Manager 24 July 2015.
UI Integrity/ Improper Payments Joint Federal/ State Task Force October 14, 2011.
Preventing Fraud: What are the central securities depositories doing to mitigate this risk? Cancún, May 21, 2015.
Implementing and Auditing Ethics Programs
1-1 Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
Risk Management Reconstructed Implementing fraud risk intelligence practices July 2011 KPMG FORENSIC SM.
0 © 2010 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member firms affiliated with KPMG.
CORPORATE COMPLIANCE Tim Timmons Vice President Compliance and Regulatory Services Health Future, LLC.
UNM and Health System Internal Audit Departments Internal Audit Department Orientation Manu Patel, Internal Audit Director Purvi Mody, Executive Director,
Focused Assessments and Quick Response Audits Developing an Effective Strategy April 14, 2011 TAX.
Chapter 01 The Role of the Public Accountant in the American Economy McGraw-Hill/IrwinCopyright © 2014 by The McGraw-Hill Companies, Inc. All rights reserved.
Developing and Implementing an Effective Compliance Program Mary Sacilotto,BA,CHC Chief Compliance Officer Alliance, Inc.
Introduction to Internal Control Systems
Compliance and Ethics Training Overview
OMB Circular A-123 Lessons Learned OMB Circular A-123 Lessons Learned FEDERAL ADVISORY Sean Hoffman Partner KPMG LLP.
Establishing A Compliance Program: It Makes Sense
Considering Internal Control
© 2013 Cengage Learning. All Rights Reserved. 1 Part Four: Implementing Business Ethics in a Global Economy Chapter 9: Managing and Controlling Ethics.
0 ©2009 KPMG LLP, a U.S. limited liability partnership and a member firm of the KPMG network of independent member firms affiliated with KPMG International,
AUDITS What you should know - a campus perspective. Franz Lozano Director/Budget Officer (former Internal Auditor) San Francisco State University Academic.
What we are going to be speaking about
North American Accounting Society Developing the Auditor of the Future.
Implementing and Auditing Ethics Programs
DEPARTMENT OF MANAGEMENT SERVICES OFFICE OF INSPECTOR GENERAL.
Why the Office of Compliance and Ethics was Created
Health Budgets & Financial Policy 1. Objectives Introduce the TRICARE Program Integrity (PI) office Explain PI role in DoD Direct Care & Purchased Care.
State Presentation:VIRGINIA October 14,  Separations (SEPs): Root Causes Identified:  Agency Causes  Communication Deficiencies / Internal and.
Medicaid Program Integrity A View from the States National Medicaid Audioconference Combating Medicaid Fraud and Abuse October 24, 2006 Kathryn Kuhmerker,
SAI India Country Report
The Audit as a Management Tool Vermont State Auditor’s Office – April 2009.
Webinar for FY 2011 i3 Grantees February 9, 2012 Fiscal Oversight of i3 Grants Erin McHughJames Evans, CPA, CGFM, CGMA Office of Innovation and Improvement.
ANTI-MONEY LAUNDERING COMPLIANCE PROGRAM FCM TRAINING
Enhancing Integrity in Public Procurement FIDIC seminar, Brussels, 26 June 2012 Elodie Beth, Head of Procurement Unit, OECD Public Sector Integrity Division.
Indiana Regional Sewer District Association October 26, 2015.
Welcome….!!! CORPORATE COMPLIANCE PROGRAM Presented by The Office of Corporate Integrity 1.
IS 630 : Accounting Information Systems Auditing Computer-based Information Systems Lecture 10.
Tax Administration Diagnostic Assessment Tool MODULE 11 “POA 9: ACCOUNTABILITY AND TRANSPARENCY”
Who is the typical fraudster? Michael Peer Partner 16 June 2011.
An Overview THE AUDIT PROCESS. MAJOR PHASES IN AN AUDIT Client acceptance and retention Establish terms of the engagement Plan the audit Consider internal.
Trade Compliance Considerations April 13, © 2016 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network.
Ensuring Test Data Integrity Tracy Cerda Cheryl Alcaya Minnesota Assessment Conference August 5, 2015 “Leading for educational excellence and equity. Every.
Oregon DMV Fraud Prevention Program Tom McClellan, DMV Administrator.
TNK-BP:Fraud Risk management process International Business Leaders Forum Feb 28, 2007.
Fraud Awareness Audit, Business & Technology Committee September 23, 2004.
CPA Gilberto Rivera, VP Compliance and Operational Risk
Fy18-19 Compliance Plan Review & Board Member Training
Kenya Mann Faulkner Chief Ethics & Compliance Officer April 2019
Presentation transcript:

Humanitarian Assistance Authorities: When Disasters and Crises Strike: Tackling Fraud ASMC Conference Orlando,Florida June 3, 2010 KPMG FORENSIC SM

© 2009 KPMG LLP, a U.S. limited liability partnership and a member firm of the KPMG network of independent member firms affiliated with KPMG International, a Swiss cooperative. All rights reserved. Printed in the U.S. KPMG and the KPMG logo are registered trademarks of KPMG International, a Swiss cooperative. 2 Fraud Risk Management Three core objectives: Prevent instances of fraud and misconduct from occurring in the first place Detect instances when they do occur and Respond appropriately and take corrective action when instances arise.

© 2009 KPMG LLP, a U.S. limited liability partnership and a member firm of the KPMG network of independent member firms affiliated with KPMG International, a Swiss cooperative. All rights reserved. Printed in the U.S. KPMG and the KPMG logo are registered trademarks of KPMG International, a Swiss cooperative. 3 Sample Antifraud Program Elements PreventionDetectionResponse Board/audit committee oversight Executive and line management functions Internal audit, compliance, and monitoring functions Fraud and misconduct risk assessment Code of conduct and related standards Employee and third-party due diligence Communication and training Process-specific fraud risk controls Hotlines and whistle- blower mechanisms Auditing and monitoring Proactive forensic data analysis Internal investigation protocols Enforcement and accountability protocols Disclosure protocols Remedial action protocols

4 Antifraud Program Objectives Prevent fraud and misconduct Detect occurrence Respond appropriately once discovered

© 2009 KPMG LLP, a U.S. limited liability partnership and a member firm of the KPMG network of independent member firms affiliated with KPMG International, a Swiss cooperative. All rights reserved. Printed in the U.S. KPMG and the KPMG logo are registered trademarks of KPMG International, a Swiss cooperative. 5 GAO Summary Report Graphic

© 2009 KPMG LLP, a U.S. limited liability partnership and a member firm of the KPMG network of independent member firms affiliated with KPMG International, a Swiss cooperative. All rights reserved. Printed in the U.S. KPMG and the KPMG logo are registered trademarks of KPMG International, a Swiss cooperative. 6 Hurricanes Katrina and Rita – January 2007 "Prevention Is the Key to Minimizing Fraud, Waste and Abuse in Recovery Efforts“ – GAO. “A fundamental concept -- that fraud prevention is the most effective and efficient means of minimizing fraud, waste, and abuse.” At a minimum, include the following preventative controls: 1.Validate data against other government or third party sources 2.Inspection and physical validation prior to payment 3.System edit checks to identify problems before payment 4.Provide fraud awareness training

© 2009 KPMG LLP, a U.S. limited liability partnership and a member firm of the KPMG network of independent member firms affiliated with KPMG International, a Swiss cooperative. All rights reserved. Printed in the U.S. KPMG and the KPMG logo are registered trademarks of KPMG International, a Swiss cooperative. 7 Hurricanes Katrina and Rita – January 2007 – Lessons Learned "These examples highlight lessons learned with respect to the importance of federal and state governments establishing effective prevention programs in order to minimize such fraud, waste, and abuse.” “An effective program would include fraud prevention controls, fraud detection, monitoring adherence to controls throughout the entire program life, collection of improper payments, and aggressive prosecution of individuals committing fraud.” “These controls are crucial whether dealing with programs to provide housing and other needs assistance, or other recovery efforts.” “With effective planning, relief agencies should not have to make a choice between speedy delivery of disaster recovery assistance and effective fraud prevention.”

© 2009 KPMG LLP, a U.S. limited liability partnership and a member firm of the KPMG network of independent member firms affiliated with KPMG International, a Swiss cooperative. All rights reserved. Printed in the U.S. KPMG and the KPMG logo are registered trademarks of KPMG International, a Swiss cooperative. 8 King Report August 2006 "An Examination of Federal 9/11 Assistance to New York: Lessons Learned in Preventing Waste, Fraud, Abuse and Lax Management“ – House Committee on Homeland Security, Peter King, Chair. The major systemic problems, common to disaster response, identified by the Subcommittee include: 1.Lack of information sharing and cooperation 2.Inadequate verification prior to disbursing funds 3.Duplicative payments 4.Relaxed or ineffective controls 5.Weak oversight of procurement

© 2009 KPMG LLP, a U.S. limited liability partnership and a member firm of the KPMG network of independent member firms affiliated with KPMG International, a Swiss cooperative. All rights reserved. Printed in the U.S. KPMG and the KPMG logo are registered trademarks of KPMG International, a Swiss cooperative. 9 King Report August 2006 – Best Practices 1. Private integrity monitors 2. Database searches to screen contractors 3. Mandatory regular audits 4. Dedicated temporary oversight office 5. Full-time Independent Coordination Agency that prevents fraud 6. Temporary Fraud Prevention Task Force 7. Fraud awareness training 8. Fraud tip lines 9. Controlled electronic access to disaster sites 10. Contractor employee screening

© 2009 KPMG LLP, a U.S. limited liability partnership and a member firm of the KPMG network of independent member firms affiliated with KPMG International, a Swiss cooperative. All rights reserved. Printed in the U.S. KPMG and the KPMG logo are registered trademarks of KPMG International, a Swiss cooperative. 10 Anti-Fraud, Waste and Abuse Tasks 1.Assess policies, procedures and processes from anti-fraud, waste, and abuse perspective and embed anti-fraud components in each. 2.Develop recommendations on application and data verification processes and procedures. 3.Develop fraud deterrence procedures for application process, e.g. Require personal appearance by the applicant at an intake center to sign the original application Require government issued photo ID Take a digital picture and thumbprint of each applicant while at the intake center Verification of identity through state driver's license records, commercial data bases and credit checks

© 2009 KPMG LLP, a U.S. limited liability partnership and a member firm of the KPMG network of independent member firms affiliated with KPMG International, a Swiss cooperative. All rights reserved. Printed in the U.S. KPMG and the KPMG logo are registered trademarks of KPMG International, a Swiss cooperative. 11 Anti-Fraud, Waste and Abuse Tasks 4.Verification of program eligibility and information provided by applicants, third parties and external sources, including: real property records tax assessor and homestead exemption records mortgage company records insurance company records utility company records FEMA claims/payment records SBA claims/payment records

© 2009 KPMG LLP, a U.S. limited liability partnership and a member firm of the KPMG network of independent member firms affiliated with KPMG International, a Swiss cooperative. All rights reserved. Printed in the U.S. KPMG and the KPMG logo are registered trademarks of KPMG International, a Swiss cooperative. 12 Anti-Fraud, Waste and Abuse Tasks 5.Use data mining and data analysis tools and techniques to identify anomalies for follow up, e.g. multiple applications associated with a single address, invalid social security numbers, and property damage estimates following an inappropriate pattern. 6.Analyze paper application files for anomalies, through data analytics supplemented by judgmental sampling. 7.Liaison with Federal, State and local law enforcement authorities; membership in Hurricane Fraud Task Force. 8.Conduct select internal controls, including IT controls, assessments and testing. 9.Develop and deliver anti-fraud awareness training to program personnel.

© 2009 KPMG LLP, a U.S. limited liability partnership and a member firm of the KPMG network of independent member firms affiliated with KPMG International, a Swiss cooperative. All rights reserved. Printed in the U.S. KPMG and the KPMG logo are registered trademarks of KPMG International, a Swiss cooperative. 13 Anti-Fraud, Waste and Abuse Tasks 10.Assist with development of content for anti-fraud brochures and posters, including hotline information. 11.Assist in developing standards of ethical conduct, conflict of interest policies, investigative protocols, whistleblower and hotline procedures, and process to refer matters to local, state and federal authorities, i.e., a compliance program. 12.Develop anti-fraud, waste, and abuse program focused on the property damage evaluation process. Track overall statistical trends and ratios on pre-storm value and cost of repair by individual and geography, and test based on random and judgmental sampling.

© 2009 KPMG LLP, a U.S. limited liability partnership and a member firm of the KPMG network of independent member firms affiliated with KPMG International, a Swiss cooperative. All rights reserved. Printed in the U.S. KPMG and the KPMG logo are registered trademarks of KPMG International, a Swiss cooperative. 14 Contact Information Michael B. Schwartz Principal KPMG LLP 700 Louisiana, Suite 3100 Houston, Texas (713)