home › event - fraud detection for healthcare

EVENT:

Fraud Detection for Healthcare
Conferences & Talks

KDD2013 Workshop on Data Mining for Healthcare

11 August 2013

 

description

Fraud detection in healthcare is an important yet dificult problem. We present a fraud screening solution to identify suspicious pharmacies from a large dataset of pharmacy claims. Our solution has stemmed from collaboration with medical claim investigators and proven usefulness to investigators by discovering real fraud cases. We focus on a concrete problem of probabilistic outlier detection from a feature set designed for pharmacy claims. Although the reported results are specifi c to pharmacy claims, this work is not restricted to pharmacy claims. We are currently extending the solution to fraud screening of more general medical claims and fraud detection in other verticals.

 

upcoming events   view all 

A Low-cost and Innovative Radar “Digital Eye”
Bernard Casse
20 September 2016 - 22 September 2016 | Brussels, Belgium
Conferences & Talks  

Stanford and PARC host Digital Cities Summit 2016
Victoria Bellotti, Panel Facilitator, Bernard Casse, Panelist, Sean Garner, Panelist, Stephen Hoover, Keynote Speaker, Matthew Klenk, Tolga Kurtoglu, Panel Facilitator, Markus Larsson, Speaker, Ersin Uzun, Panelist
3 October 2016 - 4 October 2016 | Stanford, CA
Conferences & Talks