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 insurance...

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Detalhes bibliográficos
Publicado no:Int J Health Policy Manag
Main Authors: Joudaki, Hossein, Rashidian, Arash, Minaei-Bidgoli, Behrouz, Mahmoodi, Mahmood, Geraili, Bijan, Nasiri, Mahdi, Arab, Mohammad
Formato: Artigo
Idioma:Inglês
Publicado em: Kerman University of Medical Sciences 2015
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Original Article
Acesso em linha:https://ncbi.nlm.nih.gov/pmc/articles/PMC4770922/
https://ncbi.nlm.nih.gov/pubmed/26927587
https://ncbi.nlm.nih.govhttp://dx.doi.org/10.15171/ijhpm.2015.196
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