Statistical Medical Fraud Assessment: Exposition to an Emerging Field

DOI10.1111/INSR.12269MaRDI QIDQ6086592zbMATH OpenOpenAlexFDO

Authors Tahir Ekin, Francesca Ieva, Fabrizio Ruggeri, Refik Soyer

Publication date 10 November 2023

Published in International Statistical Review (Search for Journal in Brave)

Full work available at URL http://hdl.handle.net/11311/1087065

zbMATH Keywords

data miningdecision analysisfraudfraud analyticsfraud detectionmedical auditssampling

Mathematics Subject Classification ID

Statistics (62-XX)

Cites work

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• Statistical fraud detection: a review

Cited in

(9)

• An evolutionary approach to fraud management
• An explainable attention network for fraud detection in claims management
• An unsupervised Bayesian hierarchical method for medical fraud assessment
• Multicriteria decision frontiers for prescription anomaly detection over time
• Integrated statistical and decision models for multi-stage health care audit sampling
• Discussion of: ``Machine learning applications in nonlife insurance
• Health care fraud classifiers in practice
• A forensic statistical analysis of fraud in the federal food stamp program
• A cost of misclassification adjustment approach for estimating optimal cut-off point for classification

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