Healthcare Fraud Detection Research Paper
Listing Websites about Healthcare Fraud Detection Research Paper
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 …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9013219/
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Data mining application to healthcare fraud detection: a …
(2 days ago) WebThe healthcare sector is an interesting target for fraudsters. The availability of a great amount of data makes it possible to tackle this issue with the adoption of data …
https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/s12911-020-01143-9
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Medical Fraud and Abuse Detection System Based on …
(3 days ago) WebAbstract. It is estimated that approximately 10% of healthcare system expenditures are wasted due to medical fraud and abuse. In the medical area, the …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7579458/
Category: Medical Show Health
Fraud detection: A systematic literature review of graph …
(7 days ago) WebFramework for the literature analysis and classification of GBAD fraud detection papers. Note: Assessing healthcare fraud risk to detect fraudulent …
https://www.sciencedirect.com/science/article/pii/S0167923620300580
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Data-Centric AI for Healthcare Fraud Detection SN …
(Just Now) WebData-Centric AI for Healthcare Fraud Detection. Original Research; there is a great opportunity to automate healthcare fraud detection. However, there are …
https://link.springer.com/article/10.1007/s42979-023-01809-x
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A Systematic Review and Qualitative Assessment of Fraud …
(5 days ago) WebThis paper is specific to reviewing upcoding fraud analysis and detection research providing an overview of healthcare, upcoding, and a review of the current data …
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Unsupervised Machine Learning for Explainable Health …
(4 days ago) WebUnsupervised Machine Learning for Explainable Health Care Fraud Detection. Shubhranshu Shekhar, Jetson Leder-Luis & Leman Akoglu. Working Paper 30946. DOI …
https://www.nber.org/papers/w30946
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Machine Learning Based Approaches for Healthcare Fraud …
(8 days ago) WebJan 2023. Keshav Kaushik. Several studies have employed machine learning methods to detect fraudulent claims by health facility providers, e.g., the decision tree, Support Vector Machine (SVM
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Unsupervised Machine Learning for Explainable Health …
(2 days ago) WebThe US federal government spends more than a trillion dollars per year on health care, largely provided by private third parties and reimbursed by the government. …
https://arxiv.org/abs/2211.02927
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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
Category: Medical Show Health
Combating Health Care Fraud and Abuse: Conceptualization and
(3 days ago) WebAlthough several companies are exploring blockchain to enhance health care reimbursement and revenue cycle management, few have explicitly assessed …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7516680/
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Risks Free Full-Text Fraud Detection in Healthcare Insurance …
(9 days ago) WebFeature papers represent the most advanced research with significant potential for high impact in the field. A Feature Paper should be a substantial original …
https://www.mdpi.com/2227-9091/11/9/160
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(PDF) Fraud Detection for Healthcare - ResearchGate
(1 days ago) WebMedicine (IOM) estimates the annual loss to due to fraud. in the healthcare domain to b e $75Billion [3]. The magni-. tude of the fraud problem has attracted many …
https://www.researchgate.net/publication/264622353_Fraud_Detection_for_Healthcare
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[PDF] A Comprehensive Study of Healthcare Fraud Detection …
(8 days ago) WebThis paper aims to provide a comprehensive survey of the statistical methods applied to health care fraud detection, with focuses on classifying fraudulent behaviors, …
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Healthcare Fraud Detection Based on Trustworthiness of Doctors
(4 days ago) WebThis paper develops a healthcare fraud detection approach based on the trustworthiness of doctors to distinguish fraud cases from normal records. Compared to …
https://ieeexplore.ieee.org/abstract/document/7846931/
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Detecting Medical Insurance Fraud Using a Heterogeneous
(2 days ago) WebAiming at the specific task of medical insurance fraud detection, this paper introduces a multi-behavior pattern model with a single-layer attention mechanism to …
https://link.springer.com/chapter/10.1007/978-981-99-2443-1_60
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Heath care fraud detection methods and new approaches
(4 days ago) WebFraud and abuse have caused significant cost in the health care systems of many countries. This paper aims to provide a review on health care fraud detection, based on big data approach. For this reason, available articles in the literature were reviewed with focuses on classifying techniques, identifying the major sources and …
https://ieeexplore.ieee.org/document/8093544
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Fraudulent Detection in Healthcare Insurance SpringerLink
(1 days ago) WebThis paper compares the performance of five unsupervised algorithms in health insurance fraud detection. The five algorithms are “isolation forest (IF), …
https://link.springer.com/chapter/10.1007/978-981-15-9019-1_1
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Blockchain and AI-Empowered Healthcare Insurance Fraud …
(5 days ago) WebMotivated by these facts, we present a systematic survey for Artificial Intelligence (AI) and blockchain-enabled secure health insurance fraud detection in this …
https://ieeexplore.ieee.org/document/9843995/
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Financial Fraud Detection Based on Machine Learning: A - MDPI
(1 days ago) WebThe paper finally presents main issues, gaps, and limitations in financial fraud detection areas and suggests possible areas for future research. Financial fraud, …
https://www.mdpi.com/2076-3417/12/19/9637
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Using Big Data Analytics to Detect Fraud in Healthcare Provision
(4 days ago) WebBig Data technologies can contribute to medical fraud detection. The aim of this paper is to present by an example, the methodological approach of the Hellenic National …
https://ieeexplore.ieee.org/document/9265118
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Health insurance fraud detection based on multi-channel
(2 days ago) WebHealth insurance fraud is becoming more common and impacting the fairness and sustainability of the health insurance system. Traditional health insurance fraud …
https://ui.adsabs.harvard.edu/abs/2024Heliy..1030045H/abstract
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(PDF) Fraud Detection in Healthcare Insurance Claims
(Just Now) Weba health model that automatically detects fraud from health insurance claims in Saudi Arabia. The model indicates the greatest contributing factor to fraud with …
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Full article: Financial statements fraud identifiers
(6 days ago) Web3.1. Research questions. The main objective of the research is to test the significance of some financial statements positions’ relations that has not been used in …
https://www.tandfonline.com/doi/full/10.1080/1331677X.2023.2218916
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Viewpointe and Mitek announce partnership to strengthen check …
(4 days ago) WebNew partnership targets rising check fraud in the banking industry CHARLOTTE, N.C., May 14, 2024 /PRNewswire/ -- Viewpointe ®, a leading managed …
https://finance.yahoo.com/news/viewpointe-mitek-announce-partnership-strengthen-132700331.html
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