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 insuran...
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Main Authors: | Hossein Joudaki (Author), Arash Rashidian (Author), Behrouz Minaei-Bidgoli (Author), Mahmood Mahmoodi (Author), Bijan Geraili (Author), Mahdi Nasiri (Author), Mohammad Arab (Author) |
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Format: | Book |
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Kerman University of Medical Sciences,
2016-03-01T00:00:00Z.
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