Data Centered Healthcare Fraud Detection

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Data-Centric AI for Healthcare Fraud Detection - PMC

(4 days ago) WebThis study presents a data-centric approach to improving healthcare fraud classification rates within the U.S. Medicare program. The U.S. Medicare program …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10173919/

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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 …

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

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AI and machine learning – an intelligent approach to …

(9 days ago) WebThe National Health Care Anti-Fraud Association estimated (on a conservative basis) that healthcare fraud costs the U.S. about $68 billion annually — …

https://www.hfma.org/cost-effectiveness-of-health/ai-and-machine-learning-an-intelligent-approach-to-healthcare-fraud-prevention/

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

(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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Data-Centric AI for Healthcare Fraud Detection

(9 days ago) Web1. Morris L Combating fraud in health care: an essential component of any cost containment strategy Health Aff. (Project Hope) 2009 28 1351 6 …

https://dl.acm.org/doi/10.1007/s42979-023-01809-x

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Data-Centric AI for Healthcare Fraud Detection

(6 days ago) WebA data-centric approach to improve healthcare fraud classification performance and reliability using Medicare claims data is presented and a strong …

https://www.semanticscholar.org/paper/Data-Centric-AI-for-Healthcare-Fraud-Detection-Johnson-Khoshgoftaar/9c840db2efeb8f335a1bf3c581056fb2d555efe4

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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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Artificial Intelligence Solutions to Detect Fraud in …

(1 days ago) WebAbstract. Over the past decade, Artificial Intelligence (AI) technologies have quickly become implemented in protecting data, including detecting fraud in healthcare …

https://pubmed.ncbi.nlm.nih.gov/35773795/

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Feature engineering to detect fraud using healthcare …

(7 days ago) WebPrevious studies have been conducted by several research groups in healthcare fraud detection using publicly available claims (Public Use Files – PUF) data …

https://www.sciencedirect.com/science/article/pii/S0957417422015330

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Big Data fraud detection using multiple medicare data sources

(6 days ago) WebIn the United States, advances in technology and medical sciences continue to improve the general well-being of the population. With this continued progress, …

https://journalofbigdata.springeropen.com/articles/10.1186/s40537-018-0138-3

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Data-Centric AI for Healthcare Fraud Detection Request PDF

(7 days ago) WebAbstract. Automated methods for detecting fraudulent healthcare pro viders have the potential to sa ve billions of dollars in healthcare. costs and improve the o verall …

https://www.researchgate.net/publication/370687782_Data-Centric_AI_for_Healthcare_Fraud_Detection

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How AI Is Playing a Role in Healthcare Fraud Prevention

(9 days ago) WebJan. 22, 2020. AI will be a valuable tool for preventing healthcare fraud as more data makes its way into the industry, but it isn't foolproof. Kayla Matthews, Industry Voice. Artificial …

https://www.hcinnovationgroup.com/analytics-ai/article/21122363/how-ai-is-playing-a-role-in-healthcare-fraud-prevention

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An Intelligent Approach to Healthcare Fraud Prevention

(9 days ago) WebGiven that healthcare’s most widely used technology providers, such as Epic and Cerner, serve thousands of hospitals and payers and maintain healthcare data on …

https://guidehouse.com/insights/healthcare/2023/intelligent-approach-to-healthcare-fraud-prevention

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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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Data visualization and AI for healthcare fraud detection

(9 days ago) WebUse AI in your healthcare fraud detection applications. Our customers have been using data visualization technology to gain insight into fraud cases for years. AI …

https://cambridge-intelligence.com/medical-fraud-detection/

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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 …

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

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Fraud Detection in Healthcare - Towards Data Science

(3 days ago) WebIn summary, view 1 of the dashboard aims at educating an analyst or viewer of the data and overall healthcare situation in the US. After becoming familiar with the …

https://towardsdatascience.com/fraud-detection-in-healthcare-1801bf19d36c

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

(9 days ago) WebAbstract Healthcare 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 in …

https://perspectives.ahima.org/page/healthcare-fraud-data-mining-methods-a-look-back-and-look-ahead

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Combating Health Care Fraud and Abuse: Conceptualization and

(3 days ago) WebConclusions. The proposed framework and the initial prototype have the potential to improve the health care claims process by using blockchain technology for …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7516680/

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Big data analytics can prevent health care fraud. Here’s how

(2 days ago) WebData analytics prevent health care data breaches. The past year was dim for cybersecurity with major data breaches like those at Sony, Target and eBay reinforcing …

https://venturebeat.com/business/big-data-analytics-can-prevent-health-care-fraud-heres-how/

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