Improving Fraud and Abuse Detection in General Physician Claims: A Data Mining Study

Improving Fraud and Abuse Detection in General Physician Claims: A Data Mining Study

Background We aimed to identify the indicators of healthcare fraud and abuse in general physicians’ drug prescription claims, and to identify a subset of general physicians that were more likely to have committed fraud and abuse. Methods We applied data mining approach to a major health in...

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Bibliographic Details
Main Authors: Hossein Joudaki, Arash Rashidian, Behrouz Minaei-Bidgoli, Mahmood Mahmoodi, Bijan Geraili, Mahdi Nasiri, Mohammad Arab
Format: Article
Language:English
Published: Kerman University of Medical Sciences 2016-03-01
Series:International Journal of Health Policy and Management
Subjects:
Healthcare
Fraud
Abuse
Insurance
Data Mining
General Physician
Online Access:http://www.ijhpm.com/pdf_3127_3e4792d84fde50fbb5afb2c8e6a207b2.html

Internet

http://www.ijhpm.com/pdf_3127_3e4792d84fde50fbb5afb2c8e6a207b2.html

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