new york’s fraud analysis and selection team (fast)fraud analysis & selection team (fast) !...
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New York’s Fraud Analysis and Selection Team (FAST)
Leveraging Business Analytics to Stop Refund Fraud
Nonie Manion Executive Deputy Commissioner
Federation of Tax Administrators Annual Meeting June 9, 2014
Overview
§ Snapshot of the NYS Tax Department
§ Evolution of business analytics
§ Analytics + skilled personnel = scheme detection
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Snapshot - Personnel
4,300 employees § 2,900 in Albany § 1,400 in district offices
Audit Tax Processing Enforcement Tax Administration Agency Administration Property Tax Services
37%
22%
22%
6% 4%
7%
Snapshot - Returns
Income (11.7 million)
Withholding (8.6 million)
Sales (1.8 million)
MCTMT (0.4 million)
Corp (1.3 million)
Other (1.1 million)
47%
35%
7%
5% 4% 2%
24.9 million returns processed in 2013
Snapshot - Collections
Other Local Taxes
NYC Income Tax
Local Sales and Use
Other State Taxes
Corporation and Business
Sales, Excise and User
Personal Income $40.2B
$13.9B
$7.6B
$2.0B
$14.2B
$8.5B
$1.0B
Taxes Collected by DTF in the 2012-13 Fiscal year ($87.4 Billion Total)
State taxes collected
$63.6 Billion
Local taxes collected
$23.8 Billion
All figures represent net collections for period; excludes Stock Transfer Tax (fully eligible for rebate)
Case Identification & Selection System (CISS)
CISS uses predictive intelligence and analytics to determine when to process a refund or set it aside for further review
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As a result, we automa.cally review each of the 10 million PIT returns filed annually – before refunds are issued.
Evolution of Business Analytics
CISS Phase 1- Refunds
§ began in 2003
§ saves $370M annually
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CISS – Refunds
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REFUND SCREENING AUDIT LETTER FRAUD STOP
Department Action
CISS (Case Identification and Selection System) Tax Return
• Taxpayer Filing Histories
• Employer Info • 3rd Party Data
DTF Data Warehouse
Applies business rules that may indicate condi.ons common to ques.onable or fraudulent returns
Predic.ve models are applied to return data to calculate the probability of fraud
Return is classified, given a score for poten.al fraud or audit selec.on, then ranked against other returns
Workflow rules applied to suggest the appropriate ac.on to be taken
1 2 3 4
Volume of Returns • 10 million returns filed • 6M refund requests • $7B in refunds paid out
Fraudulent Filings • fictitious withholding • fictitious business expenses/losses • exaggeration of itemized deductions
Processing System • all returns processed • business rules • validation to third party information
CISS • predictive model • updated by business during season • scored and routed in workflow
Role of CISS
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Accurate refunds paid quickly
Questionable refunds stopped or audited
RESULT PROBLEM SOLUTION
Evolution of Business Analytics
CISS Phase 2 – Withholding
§ Began in 2008
§ Saves $45M annually
CISS Phase 3 – Collections
§ Began in 2009
§ Increased collection of $80M annually
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Fraud Analysis & Selection Team (FAST)
§ CISS limited in its ability to ID patterns among multiple PIT returns
§ In response, we created FAST
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Mission FAST is dedicated to applying analytics to incoming personal income tax filings for the purpose of uncovering and stopping fraud schemes quickly, ensuring the integrity of New York State’s tax program and protecting taxpayer dollars.
Marrying state-of-the-art technology with well-trained human resources
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FAST (Fraud Analysis and Selection Team)
The data attributes of questionable returns are assigned codes using Advanced Query Tool (AQT).
Reports are created using Statistical Analysis System (SAS), stored on SQL servers, and then accessed through Excel spread sheets.
The team reviews the SAS reports using statistical models that look for unusual commonalities shared between multiple returns, an indication of possible fraud.
The additional data from AQT is input back into CISS, making it easier to detect incoming fraudulent returns in the future.
3 1 2 4
DTF Data Warehouse
CISS (Case Identification and Selection System)
Melissa Data
(third party service)
provides validation data for addresses listed on the
return
Tax Return Data
BAD RETURNS STOPPED
Volume of Returns • 10 million returns filed • 6M refund requests • $7B in refunds paid out
Fraudulent Filings • fictitious withholding • fictitious business expenses/losses • exaggeration of itemized deductions
Refundable Credit Schemes • fictitious wages • fictitious business income/loss • illegitimate dependents
Processing System • all returns processed • business rules • validation to third party information
CISS • predictive model • updated by business during season • scored and routed in workflow
FAST Builds on CISS
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Accurate refunds paid quickly
FAST • identify, stop, and prevent • detect suspicious patterns or
similarities between returns • real time stops/changes to rules
and selection
Questionable refunds stopped or audited
Schemes stopped
RESULT PROBLEM SOLUTION
FAST Return on Investment
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* year to date
Next Step
§ Representatives from all business units § Data analytics and predictive modeling
• improving business processes • maximizing efficiency • increasing voluntary compliance
§ Fraud prevention • automating pattern analysis & refund stops • provide FAST team members with tools
- SPSS modeler - additional data sources
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Tax Analytics Solution Center (TASC)
Fraud Prevention Evolution
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Case Identification and Selection System
(CISS)
§ Cost: $3.8 Million
§ Now $350+ Million per year
Fraud Analysis and Selection Team (FAST)
§ Limited cost
Tax Analytics Solution Center
(TASC)
§ Center of Excellence
§ Department-wide expertise
§ Expanded analytics 10 years over $2 B $150 Million 1 year
2004 2013 2014
The Compliance Continuum
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§ FAST shut down a Bronx preparer who falsely claimed over $7M in refunds that either • claimed the exact same credits • or fictitious business income for seniors
§ Pled guilty to felony charges
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Case Study
Tax Preparer Filing Fraudulent Returns
Case Study
§ We ran a report on debit card refunds over $5,000 • business losses (for EITC “sweet spot”) • similar names (Eastern European) • same neighborhood (Brighton Beach area of Brooklyn)
§ Audits revealed fraudulent claims by home attendants, health aides, and street vendors
§ Documentation requested but not provided § Refunds denied – bills issued for those who
owed tax
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Home Attendant Business Losses
FAST Finds Schemes by Identifying …
§ Same paid preparer
§ Common IP address
§ Physical/mailing address
§ Bank accounts
§ Similar refund amounts claimed
§ Other return commonalities
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Tools Used for Detecting Fraud
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IP Address
num
retu
rns
num
203
retu
rns
num
EIC
dep
ende
nts
avg
num
eic
dep
% H
OH
% S
ING
LE
% J
OIN
T
% D
IR D
EP
% rf
nd g
t 150
% c
lm e
ic
% c
lm d
cc
% e
ic b
us in
c
% S
TAR
cre
dit
% H
H c
redi
t
% re
fund
s
% n
ot in
WR
S
Avg
dpdn
t_ra
ting
% d
pdnt
ratin
g <
0
% d
pdnt
ratin
g =
0
% It
emiz
ed
avg
% d
ed/a
gi
pct_
faile
d_au
dit
pct_
non_
resp
onde
rs
pct_
audi
ted
10.204.184.144 707 0 177 0.2 22 54 21 80 63 22 9 3 0 40 85 5 2 3 1 12 35.46 2 1 2
173.3.169.133 694 14 379 0.5 52 37 10 80 81 37 15 7 0 46 90 9 2 3 2 18 42.57 5 3 5
184.77.191.13 663 0 27 0 0 100 0 100 100 4 0 0 0 88 100 86 1 0 0 0 0 0 0
67.244.2.101 562 17 424 0.7 66 28 4 82 79 54 31 9 0 60 89 5 1 11 7 9 26.06 7 6 8
§ SAS Enterprise Guide § Specialty reports
• weekly PIT complete report • IPA stats
• preparer stats • individual reports
Tools Used for Detecting Fraud (cont.)
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Row Labels Count of MAIL_LN_2_ADR 426 NEW KARNER RD 138
701 5TH AVE APT BSMT 66
678 5TH AVE # 1 57
213 NAGLE AVE APT 5A 43
2502 AVENUE D APT E8 41
TB REFUND IDA PARK RING RD 39
701 5TH AVE BSMT 35
2485 MORRIS AVE APT 3G 31
PO BOX 1802 25
1086 KELLY ST APT 4B 22
275 SUNRISE HWY 22
2569 ADAM CLAYTON POWELL JR BL 19
701 5 AVE APT BSMT 18
507B E 163RD ST # 123/BASICS 17
17 OAK HILL RD 17
PO BOX 1065 16
160 W KINGSBRIDGE RD APT 1A 16
§ Pivot Tables
Tools Used for Detecting Fraud (cont.)
§ Referrals • from criminal investigations
• Taxpayer Contact Center
§ Supplemental Information • LexisNexis
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