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Weighted risk models for dynamic healthcare fraud detection

Recurso electrónico / Electronic resource
Registro MARC
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100  ‎$0‎MAPA20210030017‎$a‎Rolfe, Alyssa J
24510‎$a‎Weighted risk models for dynamic healthcare fraud detection‎$c‎Alyssa J. Rolfe
520  ‎$a‎Despite efforts to prevent it, fraud in the United States healthcare system remains a serious and pressing issue. Since healthcare fraud is a complex and multi-faceted problem, fraud-fighting solutions must be flexible enough to address the ever-evolving nature of the crime. Here, we present a method to identify healthcare fraud in such a manner that incorporates both potential fraud as well as risky provider behavior. The proposed weighted risk model provides a framework for creating a dynamic fraud detection database that can be easily scaled up to incorporate emerging fraud schemes.
650 4‎$0‎MAPA20080539771‎$a‎Salud
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650 4‎$0‎MAPA20080591052‎$a‎Fraude en el seguro
650 4‎$0‎MAPA20080588953‎$a‎Análisis de riesgos
651 1‎$0‎MAPA20080638337‎$a‎Estados Unidos
7730 ‎$w‎MAP20077001748‎$t‎Risk management & insurance review‎$d‎Malden, MA : The American Risk and Insurance Association by Blackwell Publishing, 1999-‎$x‎1098-1616‎$g‎03/05/2021 Tomo 24 Número 2 - 2021 , p. 143-150