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Unmasking the True Scale of Medicare Fraud

Medicare faces periodic compromises from fraudulent insurance claims according to the National Health Care Anti-Fraud Association.

United statesStella batalamaJohnt hancockTaghi khoshgoftaarFraud associationUnited states office of the inspector generalCollege of engineeringComputer science at florida atlantic universityDepartment of electrical engineeringNational health care antiNational health care anti fraud associationAgainst system exploitationComputer scienceFlorida atlantic universityExcluded individualsUnited states office

New AI Technique Significantly Boosts Medicare Fraud Detection

In Medicare insurance fraud detection, handling imbalanced big data and high dimensionality remains a significant challenge. Systematically testing two imbalanc

United statesTaghi khoshgoftaarJohnt hancockStella batalamaHuanjing wangQianxin liangKentucky universityFraud associationCollege of engineeringUnited states office of the inspector generalDepartment of electrical engineeringNational health care antiComputer science at florida atlantic universityNational health care anti fraud associationComputer scienceFlorida atlantic university

New AI technique significantly boosts Medicare fraud detection

New AI technique significantly boosts Medicare fraud detection
medicalxpress.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from medicalxpress.com Daily Mail and Mail on Sunday newspapers.

United statesJohnt hancockCollege of engineeringComputer science at florida atlantic universityNational health care antiFraud associationUnited states office of the inspector generalBig dataNational health care anti fraud associationComputer scienceFlorida atlantic universityExcluded individualsUnited states officeRandom undersampling

New AI tool hunts down Medicare fraud in the vast sea of big data

Medicare is sporadically compromised by fraudulent insurance claims. These illicit activities often go undetected, allowing full-time criminals and unscrupulous health providers to exploit weaknesses in the system.

United statesStella batalamaTaghi khoshgoftaarJohnt hancockQianxin liangHuanjing wangComputer science at florida atlantic universityFraud associationNational health care antiCollege of engineeringFlorida atlantic universityUnited states office of the inspector generalDepartment of electrical engineeringKentucky universityNational health care anti fraud associationComputer science

Avera St Mary s Hospital names new President and CEO

Avera St Mary s Hospital names new President and CEO
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United statesSouth dakotaDakota state universityMikel hollandShantel krebsAvera academyAdministrator of the avera academyUnited states office of the inspector generalDakota legislatureHuman servicesMiss america organizationDakota news nowRegional presidentSouth dakotanSouth dakota legislatureUnited states office