Upload
arline-henry
View
220
Download
0
Tags:
Embed Size (px)
Citation preview
Oklahoma Embezzlement Case
Kelly BakerSue Bordeaux
Oklahoma State Department of Health
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Presentation Goals Describe the case
Circumstances What to expect
Problems Solutions
Embezzleme
nt
Not So Happy Days
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Let’s Meet Richie
Trusted employee 17 yrs Loved by staff Front Desk Supervisor
Provide system access Receipt fees Daily deposits $ to Accounting Services Bad checks/refunds
Little oversight
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Hindsight: December 2005
Richie requested mtg with Registrar
Admitted to taking work documents home Catching work up
Divorce pending Wife took documents
Legal Div negotiated return of documents
LWOP 1 wk
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Lingering Questions Returned documents odd assortment
Dates of the documents Types of documents
Envelope’s appearance bulged beyond what contents were returned Question: what was missing?
Upon return, Richie checked to verify he still had access to safe
Brief Audit review No internal controls Would we be able to find anything?
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
New Management Previous Registrar retires Jan 1, 2006 New Registrar begins
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
February 24, 2006 AG approached Commissioner at Capitol
Investigating potential wrong-doing Commissioner remembered previous offense
Richie immediately put on Adm Leave Richie was off that day
• Can’t change records
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
March 2, 2006 Sue’s Birthday
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
February 24, 2006 Sue’s Birthday 2:00 AG/FBI arrive
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
February 24, 2006 Sue’s Birthday 2:00 AG/FBI arrive
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Initial Questions raised
More Questions than Answers $25,000 Refunds/Voids Summer ’05 NO SPECIFIC ALLEGATIONS MADE
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Immediate Actions
Remove door separating front desk from main office
Camera Not working over “Richie’s” desk Agency backup footage
• Not available due to server crash System no search capability
We checked our retirement dates
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Talking to the Staff
Staff questions “Richie’s” well-being
Explained “Richie” on leave Couldn’t discuss specifics why Couldn’t suggest any wrongdoing
Began changing procedures Not how “Richie” did it Can’t wait til “Richie” comes back
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Staff Search for “Richie” Called his home
Richie wasn’t returning calls
Went to his house Richie wasn’t answering his door
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Follow-up by Authorities
They couldn’t share specific concerns Criminal chgs not used
for employment actions >$25,000 Several years Funeral Homes Wanted to inventory
“Richie’s” desk No subpoena
Staff interviews
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Now What? Left to follow logic
Had to do own investigation Pulled applications May-July ’05 Set aside “Richie’s” hard drive for imaging by FBI Pulled copies of receipting system complete with
internal flags Copies of deposited checks Electronic door logs Couldn’t inventory desk
Secured - pending subpoena
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Unpleasant Discoveries
No formal documentation of policies/procedures
All informal, word-of-mouth What policies were there - not in practice
Staff and Supervisor passwords were shared openly among Front Desk staff
Several days no deposits made
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Unpleasant Discoveries
Applications were incompletely documented Date of transaction What fees were due What fees were paid Form of payment Which clerk worked the application Was a cert issued Inappropriate IDs
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Follow-up by Authorities Beginning to realize the complicated
business that is VR Needed our help to prove the case
Share more specific information Specific dates of interest identified Specific receipts issued
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
April 6 “Richie” Leave with pay 2 1/2
months Exoneration Resignation Termination
Money seen hanging out the back of “Richie’s” desk
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Desk inventory ~$6,000 Undeposited checks Returned checks Minimal cash Credit reports Gambling paraphernalia Delinquent bills/Cutoff notices PO Box application
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
April 7 Richie dismissed
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
New Leads from Desk
Compare check issue dates vs deposit dates 1,600 cases of internal flags indicating system
manipulation since 2001 Changes of check to cash
Comparison of T&E to deposit errors Reconciled specific days (Applications to
deposits) Late checks group-deposited - “Court Clerk”
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Lapping Schemes Hold a check back
Don’t receipt it
Add check back to deposit - later date Remove amount of check in cash Maintain roughly correct overall balance
• Check/cash will be off
“Court Clerk” Receipts Richie deposited checks held too long
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Deposit Lag - Sample
300+ days: (11) $9,325
100-199 days: (29) $19,845
30-99 days: (76) $45,965
20-29 days: (58) $27,360
15-19 days: (61) $27,405
8-14 days: (434) $195,760
Total $625,660
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Oct 19-GJ Indictments Issued
18 counts ~$133,373
1. 2001 $37,378.002. 2002 $ 3,385.003. 2003 $ 3,805.004. 2004 $39,160.005. 2005 $49,645.00
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
18 counts6. Oct 00 – knowingly, willfully, fraudulently and
feloniously misappropriate or prevent, interfere with and prohibit from presentation for deposit
7. Nov 008. Dec 009. Oct 0210. Nov 02
15. Apr 0316. May 0317. June 0318. July 03
11. Dec 0212. Jan 0313. Feb 03 14. Mar 03
Penality: Not less than one (1) year nor more than Twenty (20) years imprisonment in the State Penitentiary and a fine not to exceed five hundred dollars ($500.00)
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Oct 19-Media inquiries
Open Record requests Dates of employment Job title Salary Letter of Termination
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Grand Jury Time Constraint
Near the end of 18 month term GJ heard previous related testimony
from AG in order to issue subpoenas If process not completed, then start
over with newly seated Grand Jury
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Grand Jury Testimony Sept 21, 06 (7 months)
Judge issued Gag Order on individual testimonies AG FBI OSDH (VR and Audit) Wife “Richie”
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Public Statements Be prepared (AG, GJ, editorials)
Often emphasize negative In general Historical events
Time factor Delay from initial event to conclusion Not always reflective of current state
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Grand Jury Statement - Nov 06
“The fact that a third grand jury has conducted yet another investigation … underscores the fact that it is time for … the Oklahoma State Dept of Health to clean…[it’s] own house rather than rely on law enforcement to reveal criminal conduct being carried out on a routine basis.
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Grand Jury Statement
“In each of the … investigations, the culprits were long time employees … who held positions long enough to realize vulnerability within their systems and the glaring fact that there were few safeguards in place to assure accountability.
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Court Proceedings Preliminary Hearing
Delayed multiple times Ultimately waived
Plea recommendation 5-yr deferred sentence for felony conviction Supervised probation 200 hours of community service Pay full restitution $139,077.75 $3,600 Fines and Court costs
Sentenced June 5, 2007 16 months from beginning to end
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Public Record
After 5 yrs, public court records will be wiped
Still be on OSBI Could be completely expunged
• Clean record for 10 yrs • Pardon by Governor
Criminal history not available to review for licensing, hiring, etc.
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Problems Inadequate segregation of duties
Single Person• Control of cash funds• Prepare/change receipts• Prepare/change deposit• Refunds• Prepare/issue system passwords• System override codes (flags)
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Problems Lack of Oversight
No routine audits No routine comparison of receipts/drawer/apps
Confused Priorities Balance Customer Service vs Accountability
• Don’t be so tight you can’t do business• Don’t be so relaxed you’re fiscally irresponsible
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Problems Implementing Segregation of Duties
Staffing• Had limited number staff trained on front desk• Many no longer issue certificates
• Supervisors: override approval• Lead Cashier: reconcile, refund/voids• “Richie”
Rely on Back office/Amendment staff to cover• Put them behind
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Recommendations
Conduct routine audits to validate policies and procedures Appropriate & Adequate vs. In Use
Separate functions Receipting Issuance Daily Reconciliation Refunds/Voids
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Recommendations Assure audit logs are included in
receipting system Who changed what when What was the specific change
Get away from Access and into SQL Back-end security
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Recommendations Maintain professional distance
Urge staff to report concerns Investigate all concerns Formal/informal
Document Policies/Procedures Historical record Personal accountability
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Policies and Procedures DETAIL, DETAIL, DETAIL
Certificate issuance Receipting system use Receipting process Application reconciliation Discrepancy review Required Reports
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Policies and Procedures Continued
Cash drawers Access to safe Spot audits by supervisor Password abuse
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Background Checks Not a perfect solution “Richie” not have criminal history
when he was hired Will not have a public criminal history
after 5 yrs Reliable
Potential Liability to Company to admit Can’t confirm if not pursued legally
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
In the Long Run Cannot stop everyone all the time
No foolproof solution Stop doing business
Goal: Catch any problems ASAP Identify who did what when
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Communicating with Peers Active Investigation
Couldn’t share internal information due to public record• Picked up by Media• Used by Defense
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
If you can’t be a good example- then you’ll just have to be a horrible warning
Catherine Aird
A Long Story Short
2008 NAPHSIS Annual MeetingCelebrating 75 Years of ExcellenceOrlando, FL June 1st – 5th, 2008
Contact Information
Sue [email protected](405) 271-8552
Kelly [email protected](405) 271-6217
Oklahoma State Department of HealthVital Records Division1000 NE 10th Street, Room 114Oklahoma City, OK 73117