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An Intelligent Data Mining System to Detect Healthcare Fraud

Copyright © 2002. 21 pages.
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DOI: 10.4018/978-1-931777-01-8.ch005
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MLA

Forgionne, Giusseppi A., Aryya Gangopadhyay and Monica Adya. "An Intelligent Data Mining System to Detect Healthcare Fraud." Effective Healthcare Information Systems. IGI Global, 2002. 75-95. Web. 25 May. 2013. doi:10.4018/978-1-931777-01-8.ch005

APA

Forgionne, G. A., Gangopadhyay, A., & Adya, M. (2002). An Intelligent Data Mining System to Detect Healthcare Fraud. In A. Armoni (Ed.), Effective Healthcare Information Systems (pp. 75-95). Hershey, PA: IRM Press. doi:10.4018/978-1-931777-01-8.ch005

Chicago

Forgionne, Giusseppi A., Aryya Gangopadhyay and Monica Adya. "An Intelligent Data Mining System to Detect Healthcare Fraud." In Effective Healthcare Information Systems, ed. Adi Armoni, 75-95 (2002), accessed May 25, 2013. doi:10.4018/978-1-931777-01-8.ch005

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An Intelligent Data Mining System to Detect Healthcare Fraud
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Abstract

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.
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Complete Chapter List

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1.
Ton A.M. Spil (University of Twente, The Netherlands), Robert A. Stegwee (University of Twente, The Netherlands)
It is widely recognized that the healthcare industry does not use information technology to its full potential. This book uncovers many of the reasons why large-scal... Sample PDF | More details...
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Stuart J. Barnes (University of Bath, UK)
Implementing large strategic IS in the UK health sector has recently become the subject of much debate, as hospitals have undergone wide-reaching government-led inst... Sample PDF | More details...
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Grace Johnson (Southern Illinois University at Carbondale, USA), Anand Kumar (Southern Illinois University at Carbondale, USA), Arkalgud Ramaprasad (Southern Illinois University at Carbondale, USA), Madhusudhan Reddy (Southern Illinois University at Carbondale, USA)
In this chapter, we focus on the impact of Web-based technology on marketing practices within the healthcare industry and its impact on the relationships between the... Sample PDF | More details...
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Adi Armoni (Tel-Aviv College of Management, Israel)
In recent years we have witnessed sweeping developments in information technology. Currently, the most promising and interesting domain seemed to be the artificial i... Sample PDF | More details...
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Giusseppi A. Forgionne (University of Maryland-Baltimore County, USA), Aryya Gangopadhyay (University of Maryland-Baltimore County, USA), Monica Adya (University of Maryland-Baltimore County, USA)
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 ch... Sample PDF | More details...
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6.
Francis Lau (University of Alberta, Canada), Marilynne Hebert (University of British Columbia, Canada)
Canada’s Health Informatics Association has been hosting annual conferences since the 1970’s as a way of bringing information systems professionals, health practitio... Sample PDF | More details...
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Crispin R. Coombs (Loughborough University, UK), Neil F. Doherty (Loughborough University, UK), John Loan-Clarke (Loughborough University, UK)
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P. J. Blignaut (University of the Orange Free State, Republic of South Africa), T. McDonald (University of the Orange Free State, Republic of South Africa)
The manual paper-based system for keeping track of patient history was replaced with a computerized system in a Primary Health Care clinic in a traditionally Black u... Sample PDF | More details...
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Linda Roberge (Syracuse University, USA)
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Carmine Sellitto (Victoria University of Technology, Australia)
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Pamela E. Paustian (University of Alabama at Birmingham, USA), Donna J. Slovensky (University of Alabama at Birmingham, USA), Jacqueline W. Kennedy (University of Alabama at Birmingham, USA)
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Jonathan Wareham (Georgia State University, USA), Richard Klein (Georgia State University, USA)
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Dongsong Zhang (University of Arizona, USA), Ralph Martinez (University of Arizona, USA)
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Stephen L. Chan (Hong Kong Baptist University, Hong Kong)
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Nathalie Mitev (The London School of Economics, UK), Sharon Kerkham (Salford University, UK)
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