Contribution to Book
Format of Original
Healthcare Information Systems: Challenges of the New Millennium
The chapter begins with an overview of the types of healthcare fraud. Next, there is a brief discussion of issues with the current fraud detection approaches. The chapter then develops information technology based approaches and illustrates how these technologies can improve current practice. Finally, there is a summary of the major findings and the implications for healthcare practice.
Forgionne, Guisseppi A.; Gangopadhyay, Aryya; and Adya, Monica, "An Intelligent Data Mining System to Detect Health Care Fraud" (2000). Management Faculty Research and Publications. 81.