What Is Fraud, Waste, and Abuse? Definitions, Red Flags, and Reporting

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What Is Fraud, Waste, and Abuse? Definitions, Red Flags, and Reporting

Kevin Henry

Risk Management

November 07, 2024

5 minutes read
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What Is Fraud, Waste, and Abuse? Definitions, Red Flags, and Reporting

Fraud Definition

Fraud is intentional deception used to obtain an unauthorized benefit—money, property, services, or influence. It relies on false statements, concealment, or schemes designed to mislead decision makers and defeat controls.

  • Falsifying invoices or timesheets; creating ghost vendors or employees to divert funds.
  • Procurement schemes such as bid rigging, kickbacks, procurement irregularities, or technical specification manipulation that steers an award.
  • Asset misappropriation, including diversion of refunds, theft of inventory, or misuse of corporate cards and reimbursements.
  • Financial reporting fraud that deliberately misstates results to trigger bonuses or financing.

Fraud differs from waste and abuse because it requires intent; poor judgment alone does not constitute fraud.

Waste Definition

Waste is the unnecessary or extravagant expenditure of funds or other resources caused by inefficiency, poor planning, or mismanagement. It may occur without fraudulent intent but still erodes value and public trust.

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  • Overbuying supplies, maintaining excessive inventory, or paying for shelfware software licenses.
  • Using premium shipping or rush fees due to inadequate planning or avoidable rework.
  • Operating underused facilities or equipment; paying for redundant tools or subscriptions.
  • Process bottlenecks that produce scrap, rework, or excessive idle labor.

Abuse Definition

Abuse is the improper use of resources, authority, or position that violates policy or norms—even if it falls short of fraud. It confers a personal or organizational advantage at others’ expense.

  • Charging personal items to purchase cards or using vehicles and staff for nonbusiness tasks—an improper use of resources.
  • Nepotism or favoritism in hiring, assignments, or evaluations; bypassing competitive processes.
  • Claiming perks, upgrades, or overtime without valid justification.
  • Circumventing required approvals to push through a pet project or vendor.

Fraud Red Flags

Transaction and documentation anomalies

  • Missing or altered documentation, unusual rounding, sequential invoice numbers across vendors, or duplicate payments.
  • Inconsistent supporting evidence for expenses, reimbursements, or inventory movements.
  • Access to create and approve transactions concentrated in one person, reflecting weak separation of duties.

Procurement and contracting risks

  • Procurement irregularities such as sudden vendor rotations, close bidding patterns, or related parties winning repeatedly.
  • Technical specification manipulation that narrows competition to a favored supplier.
  • Unexplained change orders, price increases after award, or excessive sole-source justifications.

Behavioral indicators

  • Employees living beyond apparent means, resisting oversight, or guarding duties excessively.
  • Frequent policy exceptions granted to the same person, team, or vendor.

Waste Red Flags

Spending and utilization patterns

  • Large budget variances without documented drivers; consistent “use-it-or-lose-it” spending surges at period end.
  • Underutilized equipment, facilities, or software licenses; low output relative to inputs.
  • Recurring expedite fees, premium shipping, or other avoidable costs.

Process efficiency signals

  • High scrap or rework rates, repetitive manual re-entry, or long idle queues between steps.
  • Redundant vendors or overlapping subscriptions performing the same function.

Abuse Red Flags

Policy and privilege misuse

  • Personal errands on company time, vehicles, or cards; resources used for side businesses.
  • Repeated violations of travel, gift, or expense policies with minimal consequences.
  • Approvals consistently routed around required reviewers or thresholds.

Authority and favoritism

  • Nepotism, preferential scheduling, or exclusive training opportunities for favored individuals.
  • Assignments or purchases directed to a specific vendor without transparent rationale.

Reporting Fraud Waste and Abuse

Act promptly and in good faith. Do not conduct your own covert investigation; instead, preserve evidence and follow established channels. Maintain confidentiality and avoid alerting suspected individuals.

  • Document who, what, when, where, how, and the value at risk; keep original records and note locations of digital evidence.
  • Report through your supervisor, compliance, internal audit, or an ethics hotline as applicable.
  • For matters involving public funds or federal programs, report to the Office of Inspector General; contractors may also have OIG obligations.
  • Request guidance if you fear retaliation; many organizations provide anonymous reporting and anti-retaliation protections.

Conclusion

Fraud involves intent, waste reflects inefficiency, and abuse violates policy or norms. By recognizing red flags—especially around procurement, approvals, and separation of duties—and reporting concerns promptly, you help protect resources, integrity, and public trust.

FAQs.

What constitutes fraud in organizational processes?

Fraud is an intentional deception that secures an unauthorized benefit. In practice, this includes falsifying records, concealing conflicts, colluding with vendors, and procurement irregularities such as bid rigging or designing technical specifications to steer awards.

How can waste be identified and prevented?

Track utilization, unit costs, rework, and end‑of‑period spending spikes to spot waste. Prevent it by planning demand, standardizing purchases, right‑sizing inventory and licenses, fixing process bottlenecks, and monitoring exceptions that trigger premium fees or redundant spend.

What are common indicators of abuse in resource management?

Look for personal use of assets, recurring policy overrides, favoritism in assignments or hiring, circumvention of approval thresholds, and excessive perks or upgrades without justification—signals of an improper use of resources or authority.

How should employees report suspected fraud waste and abuse?

Preserve evidence, document the facts, and use internal channels such as supervisors, compliance, internal audit, or the ethics hotline. If public funds or federal programs are involved, contact the appropriate Office of Inspector General. Report in good faith and avoid alerting suspected parties.

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