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Title: Fraud Detection in Healthcare

We discuss the problem of fraud detection in healthcare in this chapter. Given the recent scrutiny of the ineciencies in the US healthcare system, identifying fraud has been on the forefront of the eorts towards reducing the healthcare costs. In this chapter we will focus on understanding the issue of healthcare fraud in detail, and review methods that have been proposed in the literature to combat this issue using data driven approach.
Authors:
 [1] ;  [1] ;  [1]
  1. ORNL
Publication Date:
OSTI Identifier:
1150881
DOE Contract Number:
DE-AC05-00OR22725
Resource Type:
Book
Publisher:
CRC Press, Not available, FL, USA
Research Org:
Oak Ridge National Laboratory (ORNL)
Sponsoring Org:
ORNL LDRD Director's R&D
Country of Publication:
United States
Language:
English
Subject:
fraud detection; data analytics; healthcare; health data