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An Intelligent Data Mining System To Detect Health Care Fraud, Guisseppi Forgionne, Aryya Gangopadhyay, Monica Adya
An Intelligent Data Mining System To Detect Health Care Fraud, Guisseppi Forgionne, Aryya Gangopadhyay, Monica Adya
Monica Adya
The chapter begins with an overview of the types of healthcare fraud. Next, there is a brief discussion of issues with the current fraud detection approaches. The chapter then develops information technology based approaches and illustrates how these technologies can improve current practice. Finally, there is a summary of the major findings and the implications for healthcare practice.