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Using Data Mining to Detect Health Care Fraud and Abuse: A Review of Literature

Inappropriate payments by insurance organizations or third party payers occur because of errors, abuse and fraud. The scale of this problem is large enough to make it a priority issue for health systems. Traditional methods of detecting health care fraud and abuse are time-consuming and inefficient....

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Detalles Bibliográficos
Autores principales: Joudaki, Hossein, Rashidian, Arash, Minaei-Bidgoli, Behrouz, Mahmoodi, Mahmood, Geraili, Bijan, Nasiri, Mahdi, Arab, Mohammad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Canadian Center of Science and Education 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4796421/
https://www.ncbi.nlm.nih.gov/pubmed/25560347
http://dx.doi.org/10.5539/gjhs.v7n1p194