A Political Guide to Fraud: What the Numbers and Labels Mean

A reference table for distinguishing fraud, improper payments, waste, abuse, allegations, convictions, restitution and settlements.

Last updated: August 20, 2026#fraud#improper payments#waste#abuse#court records#political claims

Fraud

What It MeansObtaining something of value through willful misrepresentation; intent or knowing/reckless falsity matters.
What It Does Not Automatically ProveA fraud-risk estimate or suspicious payment does not by itself prove a particular person committed fraud.
Question to AskWas fraud adjudicated, admitted in a plea, proven at trial, or only alleged?

Improper payment

What It MeansA payment that should not have been made or was made in the wrong amount; certain payments with insufficient documentation are also counted.
What It Does Not Automatically ProveIt does not automatically mean fraud. Errors and documentation failures can create improper payments.
Question to AskHow much was attributed to fraud versus error, documentation, eligibility or another cause?

Waste

What It MeansCareless, extravagant or purposeless use of government resources; program-specific definitions can vary.
What It Does Not Automatically ProveWaste does not automatically establish intentional deception or a crime.
Question to AskWas this inefficient spending, or is there evidence of intentional deception?

Abuse

What It MeansImproper or unreasonable conduct or misuse of authority/resources; program definitions may be more specific.
What It Does Not Automatically ProveAbuse is not automatically criminal fraud.
Question to AskWhich rule or standard defines the conduct as abuse?

Amount alleged

What It MeansA dollar figure asserted by prosecutors or another government authority in an allegation or charging document.
What It Does Not Automatically ProveIt is not necessarily an adjudicated or actual loss.
Question to AskDid a court later determine an actual loss amount?

Charged / indicted

What It MeansProsecutors have formally accused a defendant of violating criminal law.
What It Does Not Automatically ProveAn indictment is not evidence of guilt and is not a conviction.
Question to AskWhat is the current case status—pending, plea, trial verdict, dismissal or sentencing?

Convicted

What It MeansGuilt has been established by a guilty plea or verdict.
What It Does Not Automatically ProveA conviction does not mean every dollar alleged at charging was necessarily proven as actual loss.
Question to AskWhat offense and loss amount were established in the plea, verdict or sentencing record?

Restitution ordered

What It MeansA court orders a convicted defendant to reimburse victims for qualifying losses caused by the offense.
What It Does Not Automatically ProveIt does not mean the full amount has actually been collected or returned.
Question to AskHow much was ordered, and how much has actually been recovered?

Civil settlement

What It MeansCivil allegations or claims are resolved by agreement, often involving payment and other terms.
What It Does Not Automatically ProveA settlement is not automatically a criminal conviction or admission of liability.
Question to AskDoes the agreement contain an admission, denial, or no-admission clause?

Fraud estimate

What It MeansA statistical estimate of probable fraud loss across a program or government activity.
What It Does Not Automatically ProveIt does not mean every estimated dollar has been individually detected, charged or adjudicated.
Question to AskWhat methodology, confidence range and programs were included?

Notes

Definitions are simplified for public understanding and should be read with the cited source material. Exact legal definitions can vary by statute and program.

Sources

[179]U.S. Government Accountability Office

Improper Payments: Agency Actions Needed to Help Save Taxpayer Dollars

Primarygovernment report
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[180]U.S. Government Accountability Office

Federal Employees Health Benefits Program: OPM Should Take Timely Action to Mitigate Persistent Fraud Risks

Primarygovernment report
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[181]U.S. Government Accountability Office

Improper Payments: Key Concepts and Information on Programs with High Rates or Lacking Estimates

Primarygovernment report
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[182]Centers for Medicare & Medicaid Services

Fraud, Waste, and Abuse Toolkit

Primarygovernment report
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[183]U.S. Department of Justice

Justice Department Indictment Disclaimer: Indictment Is an Allegation, Not Evidence of Guilt

Primarygovernment
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[184]U.S. Department of Justice

Restitution Process

Primarygovernment
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[185]U.S. Department of Justice

Settlement Agreement — Independent Health and DxID

Primarygovernment
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