{"title":"使用数据代理服务的医疗补助欺诈检测","authors":"R. Agrawal, Naser El-Bathy, Cameron Seay","doi":"10.1145/2180796.2180817","DOIUrl":null,"url":null,"abstract":"In this paper, we propose an integrated architecture to detect Medicaid fraud at the time of application approval process. This architecture takes the advantages of several public databases available through different government or private organizations. These databases are used to verify applicant's information and discover any undeclared assets. We also propose a customizable weighting scheme to determine eligibility for Medicaid services.","PeriodicalId":120498,"journal":{"name":"SIGHIT Rec.","volume":"30 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"3","resultStr":"{\"title\":\"Medicaid fraud detection using data broker services\",\"authors\":\"R. Agrawal, Naser El-Bathy, Cameron Seay\",\"doi\":\"10.1145/2180796.2180817\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"In this paper, we propose an integrated architecture to detect Medicaid fraud at the time of application approval process. This architecture takes the advantages of several public databases available through different government or private organizations. These databases are used to verify applicant's information and discover any undeclared assets. We also propose a customizable weighting scheme to determine eligibility for Medicaid services.\",\"PeriodicalId\":120498,\"journal\":{\"name\":\"SIGHIT Rec.\",\"volume\":\"30 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2012-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"3\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"SIGHIT Rec.\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1145/2180796.2180817\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"SIGHIT Rec.","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1145/2180796.2180817","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Medicaid fraud detection using data broker services
In this paper, we propose an integrated architecture to detect Medicaid fraud at the time of application approval process. This architecture takes the advantages of several public databases available through different government or private organizations. These databases are used to verify applicant's information and discover any undeclared assets. We also propose a customizable weighting scheme to determine eligibility for Medicaid services.