FOCUS ON: Occupational fraud


4 3 2


Fraud frequency based on perpetrator’s position, 2014


Employee 42% Manager 36.2% Owner/Executive 18.6% Other 3.2%


Cases referred to law enforcement


60.9% Referred 39.1% Not referred


$175,000 ILLUSTRATIONS BY JASON LEE


SMALL BUSINESSES with fewer than 100 employees, including medical practices, suffered a fraud rate of about 29 percent and a median loss of $154,000 last year. These numbers and the data presented below come from the Association of Certified Fraud Examiners’ 2014 Report to the Nations on Occupational Fraud and Abuse.


TOP 5 PERPETRATOR BEHAVIORAL RED FLAGS


1 Living beyond means (43.8%) Financial dificulties (33%) Unusually close association with vendor/customer (21.8%) Control issues, unwilling to share duties (21.1%) 5 “Wheeler-dealer” attitude (18.4%)


TMA FRAUD PREVENTION RESOURCES


Fraud and Abuse publication: www.texmed.org/fraudandabuse


Avoiding Fraud and Abuse on-demand webinar:


www.texmed.org/fraudedu


Median loss in 100 health care fraud cases


November 2015 TEXAS MEDICINE 11


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