Data Mining For Healthcare Fraud
Listing Websites about Data Mining For Healthcare Fraud
Healthcare Fraud Data Mining Methods: A Look Back and …
(3 days ago) WebSeveral articles discussed healthcare fraud data-mining methods in the literature with similar goals but from different perspectives. Li et al. (2008) 20 categorized the three different actors in healthcare fraud—namely, providers, patients, and the …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9013219/
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Using Data Mining to Detect Health Care Fraud and …
(3 days ago) WebData mining is the core of the KDD process. Data mining can help third-party payers such as health insurance organizations to extract useful knowledge from …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4796421/
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Healthcare insurance fraud detection using data mining
(2 days ago) WebHealthcare programs and insurance initiatives play a crucial role in ensuring that people have access to medical care. There are many benefits of healthcare …
https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/s12911-024-02512-4
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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) WebA New Medicare Advantage Fraud Case Is Taking Aim At Data Mining : Shots - Health News In a civil suit filed this week, the Justice Department accuses a …
https://www.npr.org/sections/health-shots/2021/09/14/1036776812/medicare-advantage-fraud-data-mining
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Using data mining to detect health care fraud and abuse: …
(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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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 …
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Healthcare Fraud Data Mining Methods: A Look Back and Look …
(9 days ago) WebAdd to saved papers. Healthcare Fraud Data Mining Methods: A Look Back and Look Ahead. Nishamathi Kumaraswamy, Mia K Markey, Tahir Ekin, Jamie C Barner, Karen …
https://read.qxmd.com/read/35440932/healthcare-fraud-data-mining-methods-a-look-back-and-look-ahead
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(PDF) Using Data Mining to Detect Health Care Fraud and …
(9 days ago) Web194. Using Data Mining to Detect Health Care Fraud and Abuse: A Review. of Literature. Hossein Joudaki, Arash Rashidian, Behrouz Minaei-Bidgoli, Mahmood Mahmoodi3, Bijan Geraili4, Mahdi. Nasiri
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Data-Centric AI for Healthcare Fraud Detection SN Computer …
(Just Now) WebThrough the proliferation of electronic health records and advances in data mining and machine learning methods, there is a great opportunity to automate …
https://link.springer.com/article/10.1007/s42979-023-01809-x
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Using Data Mining to Detect Health Care Fraud and Abuse: A …
(8 days ago) WebThis work reviewed studies that performed data mining techniques for detecting health care fraud and abuse, using supervised and unsupervised data mining …
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Analyses and Detection of Health Insurance Fraud Using Data …
(1 days ago) WebFraud can be witnessed in all insurance types including health insurance. In health insurance industry, fraud is committed by intentional dissimulation or …
https://link.springer.com/chapter/10.1007/978-981-10-5699-4_5
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Data-Centric AI for Healthcare Fraud Detection - Springer
(8 days ago) WebFor example, health-care providers may provide patients with medically unneces-sary or inappropriate services that increase the risk of patient harm. Through the proliferation of …
https://link.springer.com/content/pdf/10.1007/s42979-023-01809-x.pdf
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Data mining application to healthcare fraud detection: a two-step
(3 days ago) WebThis research has the objective of developing a novel data mining model devoted to fraud detection among hospitals using Hospital Discharge Charts (HDC) in …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7362640/
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An Intelligent Data Mining System to Detect Health Care Fraud
(9 days ago) WebAn Intelligent Data Mining System to Detect Health Care Fraud Guisseppi A. Forgionne University of Maryland - Baltimore County Data Mining System to Detect Healthcare …
https://epublications.marquette.edu/cgi/viewcontent.cgi?article=1080&context=mgmt_fac
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Data Mining Applications Office of Inspector General U.S
(5 days ago) WebData Mining Applications. Data mining is the process of identifying fraud through the screening and analysis of data. On May 17, 2013, the Department of Health and Human …
https://oig.hhs.gov/fraud/medicaid-fraud-control-units-mfcu/data-mining.asp
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Healthcare Data Mining: Identify & Reduce False Positives
(Just Now) WebOne of the key goals of healthcare data mining is to reduce false positives. In health care fraud data mining, a false positive occurs when your model identifies a …
https://integritym.com/blog/healthcare-data-mining-fraud-detection-reduce-false-positives/
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UnitedHealth says hackers possibly stole large number of …
(4 days ago) WebThe intrusion at its Change Healthcare unit, which processes about 50% of U.S. medical claims, was one of the worst hacks to hit American healthcare and caused …
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What we know about the hacking attack that targeted the U.S.
(9 days ago) WebSCOTT SIMON, HOST: Major hacking attack threw parts of the U.S. health care system into chaos a couple of months ago. The hackers breached the Change …
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Change Healthcare Finally Admits It Paid Ransomware Hackers
(Just Now) WebChange Healthcare's confirmation of its ransom payment now appears to show that much of that catastrophic fallout for the US health care system unfolded after it had …
https://www.wired.com/story/change-healthcare-admits-it-paid-ransomware-hackers/
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Data Mining Algorithm in the Identification of Accounting Fraud …
(9 days ago) WebThe identification of accounting fraud is an important measure to safeguard the interests of stakeholders and ensure the long-term development of the company. The …
https://www.cell.com/heliyon/fulltext/S2405-8440(24)06079-1
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Using data mining to detect health care fraud and abuse: a review …
(1 days ago) WebTraditional methods of detecting health care fraud and abuse are time-consuming and inefficient. Combining automated methods and statistical knowledge lead …
https://europepmc.org/articles/PMC4796421
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UnitedHealth Confirms Data Theft From Change Healthcare - CRN
(4 days ago) WebThe data stolen from prescription processor Change Healthcare includes “files containing protected health information (PHI) or personally identifiable information (PII),” …
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Healthcare insurance fraud detection using data mining - PMC
(4 days ago) WebThis section presents the results and discussion of research on healthcare insurance fraud detection using data mining techniques. The study utilized the open …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11046758/
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Combating Health Care Fraud and Abuse: Conceptualization and
(3 days ago) WebHealth care fraud and abuse involve all sectors of the health care industry, including drug and device manufacturers, hospitals, pharmacies, physicians, …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7516680/
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Using Data Mining to Detect Health Care Fraud and Abuse: A …
(8 days ago) Web1.2 Emerging Data Mining for Better Detection of Health Care Fraud and Abuse In traditional methods of health care fraud and abuse detection, a few auditors handle …
https://pdfs.semanticscholar.org/b6f7/439fe287dbd5a58e27476e1053d393d81adc.pdf
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UnitedHealth says Change hackers stole health data on …
(6 days ago) WebThe health tech giant reportedly paid $22 million to a Russia-based criminal gang called ALPHV in March, which then disappeared, stiffing the affiliate that carried out …
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The Change Healthcare cyberattack is a 'catastrophe' for American
(Just Now) WebSeventy-four percent of hospitals reported in March direct impacts to patient care as a result of the cyberattack, and 94% said they felt financial impacts. And the …
https://fortune.com/2024/04/23/change-healthcare-cyberattack-unitedhealth-hack-ransomware/
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Data Mining in Healthcare: Applying Strategic Intelligence …
(3 days ago) Web1. Introduction. Deriving from Industry 4.0 that pursues the expansion of its autonomy and efficiency through data-driven automatization and artificial intelligence …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8002654/
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