An Intelligent Data Mining System to Detect Healthcare Fraud

An Intelligent Data Mining System to Detect Healthcare Fraud

Giusseppi A. Forgionne (University of Maryland-Baltimore County, USA), Aryya Gangopadhyay (University of Maryland-Baltimore County, USA) and Monica Adya (University of Maryland-Baltimore County, USA)
Copyright: © 2002 |Pages: 21
DOI: 10.4018/978-1-931777-01-8.ch005
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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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