Fraud detection in healthcare claims using machine learning: A systematic review
Objective: Identifying fraud in healthcare programs is crucial, as an estimated 3%–10% of
the total healthcare expenditures are lost to fraudulent activities. This study presents a …
the total healthcare expenditures are lost to fraudulent activities. This study presents a …
RETRACTED ARTICLE: Exploring asymmetric pruning evolution for detecting anomalies in health monitoring time series
F Yu, S Li, W Yu - Soft Computing, 2023 - Springer
The healthcare datasets are used in machine intelligence-based systems to predict the
ailments. The robotic surgeries and robotic procedures also use the healthcare datasets for …
ailments. The robotic surgeries and robotic procedures also use the healthcare datasets for …
A Cost of Misclassification Adjustment Approach for Estimating Optimal Cut‐Off Point for Classification
OA Ampomah, R Minkah… - Journal of Probability …, 2024 - Wiley Online Library
Classification is one of the main areas of machine learning, where the target variable is
usually categorical with at least two levels. This study focuses on deducing an optimal cut …
usually categorical with at least two levels. This study focuses on deducing an optimal cut …
Blockchain-based intelligent monitored security system for detection of replication attack in the wireless healthcare network
J Warraich, C Singh, P Thapa - European Journal of Engineering and …, 2021 - ej-eng.org
Wireless sensor networks have revolutionized the way healthcare works replacing the
traditional methods with sensor-enabled IoT devices that help in monitoring the data. The …
traditional methods with sensor-enabled IoT devices that help in monitoring the data. The …
Unsupervised learning for anomaly detection in Australian medical payment data
J Kemp - 2023 - unsworks.unsw.edu.au
Fraudulent or wasteful medical insurance claims made by health care providers are costly
for insurers. Typically, OECD healthcare organisations lose 3-8% of total expenditure due to …
for insurers. Typically, OECD healthcare organisations lose 3-8% of total expenditure due to …
Artificial intelligence for secured cybersecurity in emerging healthcare systems
A Musa, AO Abdulfatai - 2024 - IET
The healthcare industry rapidly adopts digital technologies to improve patient care and
outcomes. However, this digital transformation has also made healthcare systems more …
outcomes. However, this digital transformation has also made healthcare systems more …
Predicting Health Insurance Claim Costs: A Data-Driven Approach Using Machine Learning
F Khela - 2024 - search.proquest.com
Determining appropriate premiums for policyholders is a challenge faced by the healthcare
insurance industry. Policyholders' judgments about their healthcare are negatively impacted …
insurance industry. Policyholders' judgments about their healthcare are negatively impacted …
[PDF][PDF] Highly Automated Corner Cases Extraction: Using Gradient Boost Quantile Regression for AI Quality Assurance.
N Heller, N Gurung - DATA, 2022 - pdfs.semanticscholar.org
This work introduces a method for Quality Assurance of Artificial Intelligence (AI) Systems,
which identifies and characterizes “corner cases”. Here, corner cases are intuitively defined …
which identifies and characterizes “corner cases”. Here, corner cases are intuitively defined …
Sensor modelling for anomaly detection in time series data
Z JALIL POUR - 2022 - diva-portal.org
Mechanical devices in industriy are equipped with numerous sensors to capture the health
state of the machines. The reliability of the machine's health system depends on the quality …
state of the machines. The reliability of the machine's health system depends on the quality …
Daten-Monitoring für Roboteranwendungen: Vergleich regelbasierter Methoden mit Methoden des maschinellen Lernens für die Anomalieerkennung/eingereicht von …
M Vukadinovic - 2024 - epub.jku.at
Zusammenfassung Der Einsatz von Robotersystemen hat in den letzten Jahren in
verschiedenen Anwendungsbereichen zunehmend an Bedeutung gewonnen. Dies erfordert …
verschiedenen Anwendungsbereichen zunehmend an Bedeutung gewonnen. Dies erfordert …