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Preventing and Detecting Fraud, Waste, and Abuse Premium Content

Wednesday, April 07, 2010 - by John Moore

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The passage and implementation of the American Recovery and Reinvestment Act of 2009 and distribution of more than $700 billion in funds to federal, state, county, and city governments and agencies by the Obama Administration has highlighted the role of public administrators in preventing and detecting fraud, waste, and abuse in government programs.

Now more than ever, public administrators are at the forefront of ensuring that citizens are receiving the most bang for buck for their tax money used by government entities. Public administrators encounter significant challenges to safeguarding taxpayers money: budget constraints, technology developments, and the fertile imagination of those who seek to defraud the system.

Indeed, providing services to the public is challenging enough without negative headlines in the local paper or the latest story on the 6 oclock news trumpeting that someone has defrauded a government agency while its leaders were asleep at the switch. What can you do as a public administrator to prevent and detect fraud, waste, and abuse in the programs you are charged with administering?

Internal Examination

Preventing and detecting fraud, waste, and abuse begins at home. Public administrators must be keenly aware of how these issues are addressed in their own agencies and must lead by example. Agency leaders need to develop a written code of conduct that applies to all employees and addresses ethics; confidentiality of information; conflicts of interest; sexual harassment; and preventing and detecting fraud, waste, and abuse.

In addition to the code of conduct, there must be a separate fraud policy in place that addresses how employees should comply with all laws and regulations, stresses the importance of maintaining accurate books and records, and directs how payments are made to contractors. In addition, the fraud policy should offer guidance on government relationships with the public, including vendors.

Public administrators can also use internal tools, such as the employee handbook and policy manual, to address the importance of preventing and detecting fraud, waste, and abuse to the agency. The employee handbook and policy manual should be part of an overall internal communication plan that stresses the importance of antifraud, waste, and abuse policies and procedures to all employees.

Positive Workplace Environment

Public administrators must be aware that creating and maintaining a positive workplace environment is critical. For example, there needs to be a system in place that recognizes and rewards employees, not only for what they do in preventing and detecting fraud, waste, and abuse, but also in what they do for programs the agency administers. Providing equal opportunities to employees also helps foster a positive workplace environmentthe lack of which can quickly derail many efforts.

Open lines of communication are also important in creating and maintaining a positive workplace environment. They foster loyalty, feelings of ownership, and encourage collaboration. Does your organization allow input, both informal and formal, from employees? Do leaders talk to staff or hide behind their desks and computers?

Additionally, there should be formal venues for employees to report fraud, waste, and abuse. Examples include a whistleblower policy and a system for employees to obtain advice internally before making decisions that have significant legal or ethical implications. There should be a process to encourage employees to communicate or reporton a confidential or anonymous basis without fear of retributionconcerns related to wrong-doings. These formal lines of communication are key to creating the necessary positive workplace environment.

HR Organization

Public administrators should take advantage of the HR function in the fight against fraud, waste, and abuse. The HR department can conduct background investigations on job applicants to verify education, personal references, and employment history. More important, HR can instill values in regular employee performance reviews by implementing an objective evaluation process.

The HR function may also assist by conducting training on these issues. If your agency is lucky enough to have this staff resource in-house, use it to help clarify employees responsibilities and values. Organizations can also use training to examine the code of conduct and fraud policy within the agency.

Agencies can also use HR to clarify employees own accountability for preventing and detecting fraud, waste, and abuse. At a minimum, employees should be asked to sign a conduct statement annually, which acts as a reminder to employees of their roles in the process.

The role of HR in the disciplinary process is also important in combating fraud, waste, and abuse. To create the positive workplace environment and to address internal abuse, a public administrator must take consistent and appropriate disciplinary action against employees. Because it is vital that public administrators investigate incidents thoroughly, HR should develop standard procedures to deal with complaints, protect the rights of the employees, conduct disciplinary interviews, and deliver disciplinary actions. There should also be a policy in place concerning criminal prosecution of employees who break the law, which must be made clear to the employees and applied consistently.

Internal Controls

Performing an agencywide fraud risk assessment is a critical component. When public administrators add fraud, waste, and abuse to the list of potential risks they face and assess that risk, they will be more likely to identify potential incidents and be better able to design effective internal controls to prevent and detect them. The fraud risk assessment should be performed in two steps:

  • Perform an agencywide environmental infrastructure assessment or checkup.
  • Perform a detailed assessment by division, process, or core function, including finance and accounting; purchasing and contracting; information technology; and human resources management.

Use of the fraud risk assessment enables public administrators to assess the internal controls of the agency in preventing and detecting fraud, waste, and abuse. Public administrators must consider whether their internal controls are sufficient, well-designed, and applied properly. In addition, the risk assessment allows public administrators to determine if internal control activities are not only well-documented, but working adequately.

Internal controls are extremely important when identifying instances of technology-enabled fraud, such as unauthorized access and physical intrusion or inappropriate modification to computer programs. Indeed, controls must be in place to address the adequacy of the fraud, waste, and abuse detection and monitoring tools and system override of control features.

Oversight Process

After completing the fraud, waste, and abuse risk assessment, it is necessary that the public administrator have in place a sufficient oversight process to ensure that the internal controls are working properly. Clear oversight roles must be established, and the public administrator must determine the management level at which the risks are considered and the level of likelihood and significance of fraud, waste, and abuse.

For internal controls to work, there has to be a commitment to zero-tolerance. The public administrator must assess the strength of the internal controls. There should be a mechanism for employees to report their concerns, along with adequate documentation and open lines of communication.

Role of Management

Public administrators have their own roles to play to prevent and detect fraud, waste, and abuse. It is imperative to periodically report on the internal control and oversight processes to the board, commission, or executive director. Open lines of communication go up as well as down.

The public administrator also must implement an ongoing process to identify significant fraud, waste, and abuse risks. The fraud risk assessment tool is not a one-time thing, but should occur on an annual basis. In addition, to address the risks identified by an assessment, the organization must be willing to promote a process to reengineer the risks.

Role of Internal Auditors

If an agency has an internal auditor, public administrators have another weapon in their arsenals to address fraud, waste, and abuse. Internal auditors can identify indicators and determine whether there is a proper environment at the agency to address them.

Internal auditors can ensure that there are written policies regarding prohibited activities and follow-up actions to respond to such activities. They can determine authorization policies, ensure mechanisms to safeguard assets, conduct proactive auditing, employ procedures to isolate anomalies, and assess the effectiveness of hotline or whistleblower programs. More importantly, an internal auditor can make certain that the public administrator is aware of risks not being covered by the programs, policies, and procedures of the agency.

In essence, the internal auditor is the eyes and ears of the executive management team overseeing an agency. It is the role of the internal auditor to report directly to the team. The internal auditor should provide team members with an assessment of an agencys process for identifying, assessing, and responding to risks of fraud, waste, and abuse.

Bottom Line

Putting in place these tools does not ensure that fraud, waste, and abuse will not occur in your agency. Public administrators must continue to use these tools as designed and reengineer programs, processes, and procedures to constantly address potential instances of fraud, waste, and abuse. Vigilance is key. Good luck!

Preventing and Detecting Fraud, Waste, and Abuse

Communities of Practice:   Government

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