Detecting hospital fraud and claim abuse through diabetic outpatient services

Health Care Management Science

Volumn 11, Issue 4, 2008, Pages 353-358

  Liou, Fen May ^a   Tang, Ying Chan ^b   Chen, Jean Yi ^a  

^a YUANPEI UNIVERSITY   (Taiwan)

^b NATIONAL CHIAO TUNG UNIVERSITY   (Taiwan)

Author keywords

Classification trees; Data mining; Diabetes mellitus; Logistic regression; Medical insurance fraud; National health insurance; Neural networks

Indexed keywords

AMBULATORY CARE; ARTICLE; ARTIFICIAL NEURAL NETWORK; DIABETES MELLITUS; ECONOMICS; FORGERY; HUMAN; INSURANCE; PUBLIC HEALTH; STATISTICAL MODEL; TAIWAN;

AMBULATORY CARE; DIABETES MELLITUS; FRAUD; HUMANS; INSURANCE CLAIM REPORTING; LOGISTIC MODELS; NATIONAL HEALTH PROGRAMS; NEURAL NETWORKS (COMPUTER); TAIWAN;

EID: 58149196988     PISSN: 13869620     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10729-008-9054-y     Document Type: Article

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