Medicaid fraud detection using data broker services

Utilizing data mining techniques to detect health care fraud has helped detect fraud patterns by providers and reduce the amount of waste spent and abuse in the health care system. However, less attention has been paid on Medicaid eligibility frauds by ...

Fraud, waste, and abuse in the U.S. healthcare system are estimated at $700 billion annually. Predictive analytics offers government and private payers the opportunity to identify and prevent or recover such billings. This paper proposes a data-driven ...

Since the evolution of the internet, many small and large companies have moved their businesses to the internet to provide services to customers worldwide. Cyber credit card fraud or no card present fraud is increasingly rampant in the recent years for ...