GLOBAL SERVICE/ INDUSTRY Audit Risk Assessments at Transit Agencies National Fraud Awareness Conference on Transportation Infrastructure Programs July 27, 2010 AUDIT / TAX / ADVISORY / LINE OF BUSINESS Presenter Introductions John (Jack) E. Reagan, III Partner, Audit – KPMG, LLP Kenneth R. Jones Director, Fraud Risk Management – KPMG, LLP Leon Langford Audit Supervisor - Office of Inspector General Washington Metropolitan Area Transit Authority (WMATA) 2 Presentation Outline The Case for Risk Assessments Enterprise-wide vs. Fraud Risk Assessments Fraud Risk Management Fraud Risk Assessments The Value of Risk Assessments to Auditors Case Example: WMATA OIG - Department of Bus Services (BUSV) 3 The Case for Risk Assessments 4 Fraud Enforcement and Recovery Act (FERA) of 2009 Increased Funding for False Claim Act Investigations $330 million over 2 years to DOJ $40 million over 2 years to SEC $60 million over 2 years to Postal Inspection Service $40 million over 2 years to Secret Service 5 Recent Changes Impacting Frauds Against the Government A Brief History of the False Claims Act: The False Claims Act dates back to the Civil War when, in 1863, President Abraham Lincoln and the Congress enacted this law to combat procurement fraud. Unscrupulous defense contractors were billing the Union Army for: dead mules, boots with soles that had been glued on, rather than stitched (and were coming apart in the rain and mud), gunpowder that had been salted down with sawdust. 6 FERA enhancements to the False Claims Act FERA expanded liability to virtually every recipient of federal funding (contractors, sub-contractors, any recipient) FERA expanded the protection of whistle blowers (not just employees, but contractors, competitors, etc.) FERA allows whistle blowers access to information gained from government subpoenas FERA expands the statute of limitations for FCA actions, specifying that government complaints "relate back" to earlier whistleblower complaints. Earlier FCA Provisions Still in Effect: Qui Tam Relators Treble Damages 7 Improper Payments Information Act (IPIA) of 2002 The Improper Payments Information Act (IPIA) of 2002, requires annual estimates of improper payments helped frame the issue and the magnitude of the problem The ensuing efforts to improve the tracking of improper payments and subsequent findings of significant and growing levels of estimated improper payments in turn led to the Presidential Executive Order. 8 Executive Order – Reducing IP and Eliminating Waste in Federal Programs (11/20/09) Purpose of the Executive Order to Reduce Improper Payments Comprehensive set of policies, including transparency and public scrutiny Identifying and eliminating the highest improper payments Accountability for reducing improper payments Federal, State and Local Coordination 99 Improper Payments Executive Order Highlights Establish a Senate Confirmed Accountable Official for each Agency that has High Priority Programs Focus on Improving ability to identify and recover improper payments and to coordinate at the Federal, State and Local level. Establish an Internet-based public reporting of improper payments Establish and report on reduction targets Establish working groups to recommend improving the ability to detect / recovery IP through single audit reporting, State and Local coordination, Data Sharing, enhancing eligibility verification, prepayment scrutiny, forensic accounting and auditing 1010 What does it mean for YOUR agency? Increased Funding for Law Enforcement Increased External Enforcement Activity Increased Protection for Whistle-blowers Significant Compensation for Whistle-blowers Increased Transparency on Government Spending Increased Federal Improper Payments Requirements Uncovering Fraud, Waste and Abuse via the above initiatives may: Point to internal control problems in your agency. 11 Enterprise-wide vs. Fraud Risk Assessments 12 ERM Risk Assessment vs. Fraud Risk Assessment Enterprise Risk Management and Risk Assessments Enterprise Risk Management (ERM) - Operational, Financial, and Strategic Risks - Fraud Risks can be found in all 3 areas Enterprise-wide Risk Assessments - Extensive process, tools and effort involved Fraud usually makes the top 10 risks Fraud Risk Management and Risk Assessments Fraud Risk Assessment across the entire enterprise, or Fraud Risk Assessment of a specific business unit, location or process 13 Fraud Risk Management 14 GAO Recommended Model for Anti-Fraud Programs and Controls 15 KPMG’s Fraud Risk Management Methodology Prevent fraud from occurring in the first place Detect instances when they do occur Respond take action when instances arise We work with clients in their efforts to achieve these objectives through the: Assessment of needs based on the nature of fraud and misconduct risks and existing controls Design programs and controls in a manner consistent with legal and regulatory criteria as well as industry practices Implement programs and controls through assigning roles, building competencies and deploying resources Evaluate program & control design & operational effectiveness in achieving objectives 16 Fraud Risk Management Prevention Detection Response Agency Leadership OIG Internal Audit Compliance and Monitoring Functions Fraud and misconduct risk assessment Hotlines and whistleblower mechanisms Internal investigations and investigative protocols Code of conduct and related standards Auditing and monitoring Enforcement and accountability protocols Retrospective forensic data analysis Disclosure protocols Remedial action protocols Employee and third-party due diligence Communication and training Process-specific fraud risk controls Proactive forensic data analysis 17 Model Fraud Risk Compliance Program Report Results Risk Assessment Identify Improvement Needs Remediation and Corrective Action Policies & Standards Measure Results Continuous Improvement Investigation Auditing and Monitoring Implement Programs and Due Diligence Controls Define Scorecard / Metrics Communication and Training 18 Drivers and Benefits of Continuous Auditing and Continuous Monitoring (CA/CM) A number of drivers influence decisions to implement and refine an organization’s CA/CM capability which benefits the organization in various ways. Transparency Improve Risk Management Optimize Costs and Improve Profitability Monitor for Potential Fraud and Misconduct Address Regulatory Pressures Accountability Greater Efficiency Improved Oversight Enhanced Controls Improved Forecasting Timely Information Reduced Complexity Reduced Cost Improved Performance 19 Fraud Risk Assessments 20 The GAO Improper Payments Executive Guide discusses: The Control Environment: Instilling a Culture of Accountability Risk Assessment: Determining the Extent and Nature of the Problem Control Activities: Taking Action to Address Identified Risk Areas Information and Communications: Using and Sharing Knowledge to Manage Improper Payments Monitoring: Tracking the Success of Improvement Initiatives 21 Fraud Risk Management – KPMG White Paper Fraud Risk Management Developing a Strategy for Prevention, Detection and Response Richard H. Girgenti National Practice Leader KPMG Forensic 22 Fraud Risk Assessment Process Step 1: Identify Business Units, Locations or Processes to Assess Step 2: Inventory and Categorize Fraud / Misconduct Risks or Occurrences Note: Not just the usual fraud – new potential risks Step 3: Rate Risks Based on the Likelihood and Significance of Occurrence Step 4: Remediate Risks Through Control Optimization 23 Overall Risk Rating Table (Adapted from the Australian/New Zealand Standard on Risk Management (AS/NZS:4360) 24 The Value of Risk Assessments to Auditors 25 Case Example: WMATA OIG Department of Bus Services (BUSV) 26 QUESTIONS? 27 Presenter’s contact details Jack Reagan Ken Jones Leon Langford KPMG, LLP KPMG, LLP WMATA Partner Director Audit Supervisory Audit Fraud Risk Mgmt. OIG – Audit 202- 267-495-6855 kennethjones@kpmg.com Copyrights and Disclaimers may vary between applications. 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