The growing healthcare industry is generating a large volume of useful data on patient demographics, treatment plans, payment, and insurance coverage—attracting the attention …
Abstract In the United States, advances in technology and medical sciences continue to improve the general well-being of the population. With this continued progress, programs …
Access to affordable healthcare is a nationwide concern that impacts a large majority of the United States population. Medicare is a Federal Government healthcare program that …
Healthcare is an integral component in people's lives, especially for the rising elderly population, and must be affordable. Medicare is one such healthcare program. Claims fraud …
Training predictive models with class-imbalanced data has proven to be a difficult task. This problem is well studied, but the era of big data is producing more extreme levels of …
Abstract Healthcare in the United States is a critical aspect of most people's lives, particularly for the aging demographic. This rising elderly population continues to demand more cost …
This study evaluates the use of deep learning and data sampling on a class-imbalanced Big Data problem, ie Medicare fraud detection. Medicare offers affordable health insurance to …
The healthcare industry is a complex system with many moving parts. One issue in this field is the misuse of medical insurance systems, such as Medicare. In this paper, we build a …
Abstract The United States healthcare system produces an enormous volume of data with a vast number of financial transactions generated by physicians administering healthcare …