Detection of Healthcare Insurance Claim Fraud in Connection with Multiple Patient Admissions
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United States of America Patent
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Nov 29, 2012
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Nov 29, 2012
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Abstract
A scoring model is provided that is trained using historical patient readmission data. The scoring model is used to analyze patient insurance claim data for which patients were readmitted to a healthcare facility in order to characterize whether the corresponding insurance claims are potentially fraudulent or erroneous. Related techniques, apparatus, systems, and articles are also described.
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