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• Figure 2: Examples of Data Sources Used to Detect Improper Insurance Payments

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  • License: United States Government Work
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  • Date uploaded: 2017-04-26
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao17339sp, dataanalytics, cdac, consolidateddataanalysiscenter, cia, centralintelligenceagency, cms, centersformedicaremedicaidservices, cpi, centerforprogramintegrity, dod, departmentofdefense, fema, federalemergencymanagementagency, fha, federalhousingadministration, fns, foodandnutritionservice, hfpp, healthcarefraudpreventionpartnership, hhs, departmentofhealthandhumanservices, hud, departmentofhousingandurbandevelopment, idr, integrateddatarepository, oig, officeofinspectorgeneral, omb, officeofmanagementandbudget, snap, supplementalnutritionassistanceprogram, usda, unitedstatesdepartmentofagriculture, usps, unitedstatespostalservice, improperinsurancepayments
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• Figure 2: The Fraud Risk Management Framework

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  • License: United States Government Work
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  • Date taken: 2015-07-30 11:22:05
  • Date uploaded: 2015-07-30
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15593sp, aframeworkformanagingfraudrisksinfederalprograms, acfe, associationofcertifiedfraudexaminers, cms, centersformedicaremedicaidservices, coso, committeeofsponsoringorganizationsofthetreadwaycommission, cpi, centerforprogramintegrity, doe, departmentofenergy, erm, enterpriseriskmanagement, far, federalacquisitionregulation, fps, fraudpreventionsystem, framework, gao’sfraudriskmanagementframework, hhs, departmentofhealthandhumanservices, ipera, improperpaymentseliminationandrecoveryactof2010, iperia, improperpaymentseliminationandrecoveryimprovementactof2012, ipia, improperpaymentsinformationactof2002, irs, internalrevenueservice, liheap, lowincomehomeenergyassistanceprogram, oecd, organisationforeconomiccooperationanddevelopment, oig, officeofinspectorgeneral, omb, officeofmanagementandbudget, ssa, socialsecurityadministration, ssn, socialsecuritynumber
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• Figure 1: Examples of Analytic Techniques

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  • 3,166 views
  • Date uploaded: 2017-04-26
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao17339sp, dataanalytics, cdac, consolidateddataanalysiscenter, cia, centralintelligenceagency, cms, centersformedicaremedicaidservices, cpi, centerforprogramintegrity, dod, departmentofdefense, fema, federalemergencymanagementagency, fha, federalhousingadministration, fns, foodandnutritionservice, hfpp, healthcarefraudpreventionpartnership, hhs, departmentofhealthandhumanservices, hud, departmentofhousingandurbandevelopment, idr, integrateddatarepository, oig, officeofinspectorgeneral, omb, officeofmanagementandbudget, snap, supplementalnutritionassistanceprogram, usda, unitedstatesdepartmentofagriculture, usps, unitedstatespostalservice, analytictechniques
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• Figure 3: Visualization of Federal Housing Administration (FHA) Mortgage Insurance Claims

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  • License: United States Government Work
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  • 3,162 views
  • Date uploaded: 2017-04-26
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao17339sp, dataanalytics, cdac, consolidateddataanalysiscenter, cia, centralintelligenceagency, cms, centersformedicaremedicaidservices, cpi, centerforprogramintegrity, dod, departmentofdefense, fema, federalemergencymanagementagency, fha, federalhousingadministration, fns, foodandnutritionservice, hfpp, healthcarefraudpreventionpartnership, hhs, departmentofhealthandhumanservices, hud, departmentofhousingandurbandevelopment, idr, integrateddatarepository, oig, officeofinspectorgeneral, omb, officeofmanagementandbudget, snap, supplementalnutritionassistanceprogram, usda, unitedstatesdepartmentofagriculture, usps, unitedstatespostalservice, mortgageinsuranceclaims
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• Figure 4: Hurricane Sandy Storm Surge and Department of Housing and Urban Development (HUD) Public-Housing Assets around Atlantic City, New Jersey

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  • 3,119 views
  • Date uploaded: 2017-04-26
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao17339sp, dataanalytics, cdac, consolidateddataanalysiscenter, cia, centralintelligenceagency, cms, centersformedicaremedicaidservices, cpi, centerforprogramintegrity, dod, departmentofdefense, fema, federalemergencymanagementagency, fha, federalhousingadministration, fns, foodandnutritionservice, hfpp, healthcarefraudpreventionpartnership, hhs, departmentofhealthandhumanservices, hud, departmentofhousingandurbandevelopment, idr, integrateddatarepository, oig, officeofinspectorgeneral, omb, officeofmanagementandbudget, snap, supplementalnutritionassistanceprogram, usda, unitedstatesdepartmentofagriculture, usps, unitedstatespostalservice, hurricanesandystormsurge
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• Figure 4: Key Elements of the Fraud Risk Assessment Process

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  • 2,559 views
  • Date taken: 2015-07-30 11:22:03
  • Date uploaded: 2015-07-30
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15593sp, aframeworkformanagingfraudrisksinfederalprograms, acfe, associationofcertifiedfraudexaminers, cms, centersformedicaremedicaidservices, coso, committeeofsponsoringorganizationsofthetreadwaycommission, cpi, centerforprogramintegrity, doe, departmentofenergy, erm, enterpriseriskmanagement, far, federalacquisitionregulation, fps, fraudpreventionsystem, framework, gao’sfraudriskmanagementframework, hhs, departmentofhealthandhumanservices, ipera, improperpaymentseliminationandrecoveryactof2010, iperia, improperpaymentseliminationandrecoveryimprovementactof2012, ipia, improperpaymentsinformationactof2002, irs, internalrevenueservice, liheap, lowincomehomeenergyassistanceprogram, oecd, organisationforeconomiccooperationanddevelopment, oig, officeofinspectorgeneral, omb, officeofmanagementandbudget, ssa, socialsecurityadministration, ssn, socialsecuritynumber
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• Figure 7: Examples of Controls and Activities to Prevent, Detect, and Respond to Fraud

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  • 2,335 views
  • Date taken: 2015-07-30 11:22:00
  • Date uploaded: 2015-07-30
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15593sp, aframeworkformanagingfraudrisksinfederalprograms, acfe, associationofcertifiedfraudexaminers, cms, centersformedicaremedicaidservices, coso, committeeofsponsoringorganizationsofthetreadwaycommission, cpi, centerforprogramintegrity, doe, departmentofenergy, erm, enterpriseriskmanagement, far, federalacquisitionregulation, fps, fraudpreventionsystem, framework, gao’sfraudriskmanagementframework, hhs, departmentofhealthandhumanservices, ipera, improperpaymentseliminationandrecoveryactof2010, iperia, improperpaymentseliminationandrecoveryimprovementactof2012, ipia, improperpaymentsinformationactof2002, irs, internalrevenueservice, liheap, lowincomehomeenergyassistanceprogram, oecd, organisationforeconomiccooperationanddevelopment, oig, officeofinspectorgeneral, omb, officeofmanagementandbudget, ssa, socialsecurityadministration, ssn, socialsecuritynumber, prevention, response, detection
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• Figure 6: Incorporating Feedback to Continually Adapt Fraud Risk Management Activities

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  • 2,159 views
  • Date taken: 2015-07-30 11:22:01
  • Date uploaded: 2015-07-30
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15593sp, aframeworkformanagingfraudrisksinfederalprograms, acfe, associationofcertifiedfraudexaminers, cms, centersformedicaremedicaidservices, coso, committeeofsponsoringorganizationsofthetreadwaycommission, cpi, centerforprogramintegrity, doe, departmentofenergy, erm, enterpriseriskmanagement, far, federalacquisitionregulation, fps, fraudpreventionsystem, framework, gao’sfraudriskmanagementframework, hhs, departmentofhealthandhumanservices, ipera, improperpaymentseliminationandrecoveryactof2010, iperia, improperpaymentseliminationandrecoveryimprovementactof2012, ipia, improperpaymentsinformationactof2002, irs, internalrevenueservice, liheap, lowincomehomeenergyassistanceprogram, oecd, organisationforeconomiccooperationanddevelopment, oig, officeofinspectorgeneral, omb, officeofmanagementandbudget, ssa, socialsecurityadministration, ssn, socialsecuritynumber
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• Figure 1: Interdependent and Mutually Reinforcing Categories of Fraud Control Activities

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  • License: United States Government Work
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  • 1,969 views
  • Date taken: 2015-07-30 11:22:06
  • Date uploaded: 2015-07-30
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15593sp, aframeworkformanagingfraudrisksinfederalprograms, acfe, associationofcertifiedfraudexaminers, cms, centersformedicaremedicaidservices, coso, committeeofsponsoringorganizationsofthetreadwaycommission, cpi, centerforprogramintegrity, doe, departmentofenergy, erm, enterpriseriskmanagement, far, federalacquisitionregulation, fps, fraudpreventionsystem, framework, gao’sfraudriskmanagementframework, hhs, departmentofhealthandhumanservices, ipera, improperpaymentseliminationandrecoveryactof2010, iperia, improperpaymentseliminationandrecoveryimprovementactof2012, ipia, improperpaymentsinformationactof2002, irs, internalrevenueservice, liheap, lowincomehomeenergyassistanceprogram, oecd, organisationforeconomiccooperationanddevelopment, oig, officeofinspectorgeneral, omb, officeofmanagementandbudget, ssa, socialsecurityadministration, ssn, socialsecuritynumber, prevention, response, detection
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• Figure 3: Example of Two-Dimensional Risk Matrices

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  • 1,955 views
  • Date taken: 2015-07-30 11:22:04
  • Date uploaded: 2015-07-30
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15593sp, aframeworkformanagingfraudrisksinfederalprograms, acfe, associationofcertifiedfraudexaminers, cms, centersformedicaremedicaidservices, coso, committeeofsponsoringorganizationsofthetreadwaycommission, cpi, centerforprogramintegrity, doe, departmentofenergy, erm, enterpriseriskmanagement, far, federalacquisitionregulation, fps, fraudpreventionsystem, framework, gao’sfraudriskmanagementframework, hhs, departmentofhealthandhumanservices, ipera, improperpaymentseliminationandrecoveryactof2010, iperia, improperpaymentseliminationandrecoveryimprovementactof2012, ipia, improperpaymentsinformationactof2002, irs, internalrevenueservice, liheap, lowincomehomeenergyassistanceprogram, oecd, organisationforeconomiccooperationanddevelopment, oig, officeofinspectorgeneral, omb, officeofmanagementandbudget, ssa, socialsecurityadministration, ssn, socialsecuritynumber
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• Figure 1: Example of How a Part D Plan Sponsor Contracts with Other Entities

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  • License: United States Government Work
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  • 1,846 views
  • Date uploaded: 2014-12-03
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao1566, medicareprogramintegrity, medicare, cms, centersformedicaremedicaidservices, cpars, contractorperformanceassessmentreportssystem, cpi, centerforprogramintegrity, dm, detectionandmonitoring, dea, drugenforcementadministration, dur, drugutilizationreview, fdr, firsttierdownstreamorrelatedentity, hhs, departmentofhealthandhumanservices, ip, investigationandprosecution, medic, medicaredrugintegritycontractor, mma, medicareprescriptiondrugimprovementandmodernizationactof2003, nbi, nationalbenefitintegrity, oe, outreachandeducation, oig, officeofinspectorgeneral, oms, overutilizationmonitoringsystem, pdmp, prescriptiondrugmonitoringprogram, rac, recoveryauditcontractor, siu, specialinvestigationunit
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• Figure 5: Potential Responses to Fraud Risks Based on Assessed Likelihood, Impact, and Risk Tolerance

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  • 1,698 views
  • Date taken: 2015-07-30 11:22:02
  • Date uploaded: 2015-07-30
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15593sp, aframeworkformanagingfraudrisksinfederalprograms, acfe, associationofcertifiedfraudexaminers, cms, centersformedicaremedicaidservices, coso, committeeofsponsoringorganizationsofthetreadwaycommission, cpi, centerforprogramintegrity, doe, departmentofenergy, erm, enterpriseriskmanagement, far, federalacquisitionregulation, fps, fraudpreventionsystem, framework, gao’sfraudriskmanagementframework, hhs, departmentofhealthandhumanservices, ipera, improperpaymentseliminationandrecoveryactof2010, iperia, improperpaymentseliminationandrecoveryimprovementactof2012, ipia, improperpaymentsinformationactof2002, irs, internalrevenueservice, liheap, lowincomehomeenergyassistanceprogram, oecd, organisationforeconomiccooperationanddevelopment, oig, officeofinspectorgeneral, omb, officeofmanagementandbudget, ssa, socialsecurityadministration, ssn, socialsecuritynumber
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