Healthcare Fraud Mining
Listing Websites about Healthcare Fraud Mining
Healthcare Fraud Data Mining Methods: A Look Back and Look …
(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 Look …
(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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Healthcare insurance fraud detection using data mining
(2 days ago) WEBIn this study, a fraud detection methodology is presented that utilizes association rule mining augmented with unsupervised learning techniques to detect …
https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/s12911-024-02512-4
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A New Medicare Advantage Fraud Case Is Taking Aim At Data …
(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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Using Data Mining to Detect Health Care Fraud and Abuse: A …
(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 Fraud Data Mining Methods: A Look Back and Look …
(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 …
(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
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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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Data-Centric AI for Healthcare Fraud Detection - PMC
(4 days ago) WEBThrough the proliferation of electronic health records and advances in data mining and machine learning methods, there is a great opportunity to automate …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10173919/
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A process-mining framework for the detection of healthcare fraud …
(7 days ago) WEBSection 2 examines in more detail the problem of healthcare fraud and abuse. Related research efforts are also reviewed. Section 3 presents the process-mining …
https://www.sciencedirect.com/science/article/pii/S0957417405001892
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Data Mining In Healthcare - USF Health Online
(9 days ago) WEBDetecting Fraud and Abuse. This application of data mining in healthcare involves establishing normal patterns, then identifying unusual patterns of medical …
https://www.usfhealthonline.com/resources/healthcare-analytics/data-mining-in-healthcare/
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Using data mining to detect health care fraud and abuse: a
(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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Big Data as a Big Source of Healthcare Fraud Prosecutions – and …
(Just Now) WEBAs most healthcare providers know, hardly a day goes by without the Department of Justice (DOJ) announcing a new flashy healthcare fraud settlement or …
https://www.americanbar.org/groups/health_law/publications/health_lawyer_home/2019-december/big-dat/
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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 application to healthcare fraud detection: a two-step
(1 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://pubmed.ncbi.nlm.nih.gov/32664923/
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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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Medicare and Medicaid fraudsters continue to steal taxpayer money
(1 days ago) WEBFiscal year 2023 proved to be a high value one for healthcare frauds and settlements, with the DOJ totaling $2 billion dollars in illicit activity. The U.S. Department …
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FICO Launches Payment Integrity Platform to Slash Fraud, Waste …
(4 days ago) WEBFICO is showcasing the Payment Integrity Platform at the National Health Care Anti-Fraud Association annual training conference in Dallas, November 18-20.On November 20, …
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District of New Jersey Announces Charges in Health Care Fraud …
(4 days ago) WEBThe charge of conspiracy to commit health care fraud is punishable by a maximum potential penalty of 10 years in prison and a fine of $250,000, or twice the …
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Doctor And Three Others In Bergen County Charged In $10 Million …
(6 days ago) WEBThe count of conspiracy to commit health care fraud is punishable by a maximum of 10 years in prison; the count of violating the federal anti-kickback statute is …
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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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Improving Fraud and Abuse Detection in General Physician Claims: …
(3 days ago) WEBData mining techniques used in healthcare fraud detection are divided to 2 general approaches of ‘supervised’ and ‘unsupervised’ methods. 13 Supervised data …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4770922/
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U.S. Attorney’s Office announces formation of Multi-Agency …
(1 days ago) WEBIn February 2023, the FBI, U.S. Attorney’s Office for the District of South Carolina, and other federal, state, and local agency partners began meeting as part of a Health Care Fraud …
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Half-a-million stolen via health care fraud, then returned - FOX 2
(5 days ago) WEBUpdated: May 13, 2024 / 05:00 PM CDT. ST. LOUIS – Three people from the St. Louis area appeared in federal court on Monday and admitted to stealing more than …
https://fox2now.com/news/fox-files/trio-admits-550k-medicaid-fraud-conspiracy-in-federal-court/
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Biden blocks Chinese-backed crypto mining firm from land - PBS
(1 days ago) WEBThe order forces the divestment of property operated as a crypto mining facility near the Francis E. Warren Air Force Base. Bankman-Fried sentenced to 25 …
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Florida man sentenced to 10 years in prison and significant fines …
(8 days ago) WEBA Florida man has been sentenced in Pittsburgh to 10 years in prison and ordered to return $97 million, along with an additional $30 million, for committing
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Three Admit Half-Million Dollar Health Care Fraud Conspiracy
(7 days ago) WEBST. LOUIS –The former owner, office manager, and business manager of a St. Louis County, Missouri-based home health care company pleaded guilty to a federal …
https://www.justice.gov/usao-edmo/pr/three-admit-half-million-dollar-health-care-fraud-conspiracy
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Project RADAR: Intelligent Early Fraud Detection System with
(5 days ago) WEBRADAR is an AI fraud detection and mitigation system with humans in the loop. RADAR monitors fine-grained segments of Uber’s marketplace, detects the start of …
https://www.uber.com/blog/project-radar-intelligent-early-fraud-detection./
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Investigations Newsletter: Big Baby’s Big Foul: Former NBA Star …
(9 days ago) WEBEyzaguirre pleaded guilty to one count of health care fraud, which carries a maximum sentence of 10 years in federal prison. Eyzaguirre is awaiting sentencing, …
https://www.jdsupra.com/legalnews/investigations-newsletter-big-baby-s-1573298/
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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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Ex-NBA player Glen 'Big Baby' Davis sentenced to 40 months in …
(1 days ago) WEBScooby Axson. USA TODAY. 0:04. 1:31. Former NBA player Glen "Big Baby" Davis was sentenced to 40 months in prison on Thursday for defrauding the league's …
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Glen ‘Big Baby’ Davis Gets 40 Months In Prison For NBA …
(6 days ago) WEBDavis was found guilty of healthcare fraud, wire fraud, conspiracy to make false statements and conspiracy to commit healthcare and wire fraud in November. He …
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District of South Carolina U.S. Attorney's Office Announces the
(6 days ago) WEBHealth care fraud is an enormous burden on South Carolina taxpayers. In 2023, taxpayer funded healthcare programs spent approximately $23 billion in South …
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CORBF Investors Have Opportunity to Lead Global Cord Blood …
(1 days ago) WEBBENSALEM, Pa., May 13, 2024 /PRNewswire/ -- Law Offices of Howard G. Smith announces that investors with substantial losses have opportunity to lead the …
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Glen 'Big Baby' Davis sentenced to prison time for NBA healthcare …
(4 days ago) WEBMark J. Rebilas-USA TODAY Sports. Former NBA center Glen Davis was sentenced to 40 months in prison on Thursday for defrauding the league’s healthcare …
https://www.si.com/nba/former-nba-player-glen-davis-sentenced-to-prison-01hxf82j40ss
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Central District of California Physician and Owner of Bellflower
(3 days ago) WEBRIVERSIDE, California – The owner and sole physician at a Bellflower medical clinic has pleaded guilty to submitting millions of dollars’ worth of false claims to a Medi …
Category: Medical Show Health
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