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Privacy and Security

Healthcare Fraud Data Mining Methods: A Look Back and Look Ahead

By Nishamathi Kumaraswamy, MS; Mia K. Markey, PhD; Tahir Ekin, PhD; Jamie C. Barner, PhD, FAACP, FAPhA; and Karen Rascati, PhD

Healthcare fraud is an expensive, white-collar crime in the United States, and it is not a victimless crime. Costs associated with fraud are passed on to the population in the form of increased premiums or serious harm to beneficiaries. In this article, healthcare fraud detection systems and...
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