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Validating a Novel Health Insurance Fraud Detection Method
Validating a Novel Health Insurance Fraud Detection Method This article describes methodologies for detection and deterrence of Medicare fraud. It also describes the validation of PRIDIT for ...- Authors: Robert D Lieberthal, Elias
- Date: Aug 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Risk Management
- Topics: Economics>Health economics; Enterprise Risk Management; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Data mining; Predictive Analytics
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Validating the PRIDIT method for determining hospital quality with outcomes data
Validating the PRIDIT method for determining hospital quality with outcomes data Presented at August 2011 46th Actuarial Research Conference. Discussion of research in progress which examines ...- Authors: Robert D Lieberthal, ANDREA KATHERINE OCONNELL, Application Administrator
- Date: Aug 2011
- Competency: Technical Skills & Analytical Problem Solving>Innovative solutions
- Topics: Health & Disability>Health care quality