Healthcare Fraud Data Mining

Listing Websites about Healthcare Fraud Data Mining

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Healthcare Fraud Data Mining Methods: A Look Back and …

(3 days ago) WebFraud detection in the literature encompasses data mining (rule-based to advanced statistical methods), over-sampling, and extrapolation techniques. The literature concerning overpayment and sampling estimation are important steps in fraud …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9013219/

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Healthcare Fraud Data Mining Methods: A Look Back and …

(1 days ago) WebHealthcare fraud is an expensive, white-collar crime in the United States, and it is not a victimless crime. Costs associated with fraud are passed on to the population …

https://pubmed.ncbi.nlm.nih.gov/35440932/

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A New Medicare Advantage Fraud Case Is Taking Aim At …

(Just Now) WebThe civil complaint of fraud, filed this week, is the first by the federal government to target a data mining company for allegedly helping a Medicare …

https://www.npr.org/sections/health-shots/2021/09/14/1036776812/medicare-advantage-fraud-data-mining

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Healthcare Fraud Data Mining Methods: A Look Back and …

(9 days ago) WebIn this article, healthcare fraud detection systems and methods found in the literature are described and summarized and several research topics are proposed to fill the potential …

https://www.semanticscholar.org/paper/Healthcare-Fraud-Data-Mining-Methods%3A-A-Look-Back-Kumaraswamy-Markey/fbbf5844b1fd242908a4a0aa65c59a8f5f2d4472

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Healthcare Fraud Data Mining Methods: A Look Back and …

(4 days ago) WebAbst rac t. Healthcare fraud is an exp ensive, white-collar crime in the Unite d States, and it is not a victimless. crime. Costs associated with fraud are passed on to the popu lation in the form

https://www.researchgate.net/publication/360086958_Healthcare_Fraud_Data_Mining_Methods_A_Look_Back_and_Look_Ahead

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Healthcare Fraud Data Mining Methods: A Look Back and Look …

(9 days ago) WebHealthcare Fraud Data Mining Methods: A Look Back and Look Ahead. Healthcare fraud is an expensive, white-collar crime in the United States, and it is not a victimless crime. …

https://read.qxmd.com/read/35440932/healthcare-fraud-data-mining-methods-a-look-back-and-look-ahead

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Healthcare insurance fraud detection using data mining

(9 days ago) WebMethodolgy. In this study, a fraud detection methodology is presented that utilizes association rule mining aug-mented with unsupervised learning techniques to detect …

https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-024-02512-4.pdf

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Using data mining to detect health care fraud and abuse: a review …

(1 days ago) WebData mining is a core of the KDD process. Data mining can help third-party payers such as health insurance organizations to extract useful information from …

https://pubmed.ncbi.nlm.nih.gov/25560347/

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How to detect healthcare fraud? “A systematic review”

(7 days ago) Webdetection. Most physicians are detected to act on Abuse and a small portion of more than 2% of doctors take part in fraud practices that harm the healthcare industry. …

https://www.sciencedirect.com/science/article/pii/S0213911121002661

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Data Mining Applications Office of Inspector General U.S

(5 days ago) WebData mining is the process of identifying fraud through the screening and analysis of data. On May 17, 2013, the Department of Health and Human Services (HHS) issued the final …

https://oig.hhs.gov/fraud/medicaid-fraud-control-units-mfcu/data-mining.asp

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Cyberthreats, Data Breaches in the Healthcare Sector Are Rising

(9 days ago) WebRise in Healthcare Data Breaches & the Impact for Healthcare Providers in 2024 by: Alexis M. Buese , Eric Setterlund of Bradley Arant Boult Cummings LLP - …

https://www.natlawreview.com/article/rise-healthcare-data-breaches-impact-healthcare-providers-2024

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Data mining application to healthcare fraud detection: a two-step

(1 days ago) WebThe availability of a great amount of data makes it possible to tackle this issue with the adoption of data mining techniques, making the auditing process more efficient …

https://pubmed.ncbi.nlm.nih.gov/32664923/

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Business Analytics for Managers - Wiley Online Library

(9 days ago) WebBank Fraud: Using Technology to Combat Losses by Revathi Subramanian Big Data, Big Innovation: Enabling Competitive Differentiation through Business Data-Driven …

https://onlinelibrary.wiley.com/doi/pdf/10.1002/9781119302490.fmatter

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Medical Equipment Suppliers Convicted of Health Care Fraud

(6 days ago) WebThe Fraud Section leads the Criminal Division’s efforts to combat health care fraud through the Health Care Fraud Strike Force Program. Since March 2007, this …

https://www.justice.gov/opa/pr/medical-equipment-suppliers-convicted-health-care-fraud

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Intelligent Credit Scoring - Wiley Online Library

(9 days ago) WebThe Wiley & SAS Business Series presents books that help senior-level managers with their critical management decisions. Titles in the Wiley & SAS Business Series include: …

https://onlinelibrary.wiley.com/doi/pdf/10.1002/9781119282396.fmatter

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Policy Experts Call for Easier Access to Healthcare Data for …

(5 days ago) Web<p>Dr. Jeffrey Brenner, a leader in coordinating healthcare initiatives in Camden, said legislation is needed to make data more easily accessible to researchers, …

https://njtechweekly.com/policy-experts-call-for-easier-access-to-healthcare-data-for-research/

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Data Analyst II (Healthcare Analytics), Remote-FL Centene Careers

(1 days ago) WebHealthcare analytics experience preferred. Working knowledge of SQL/query languages. Preferred knowledge of programmatic coding languages such as Python and …

https://jobs.centene.com/us/en/jobs/1498798/data-analyst-ii-healthcare-analytics/

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