Brief introduction of medical database and data mining technology in big data era

J Yang, Y Li, Q Liu, L Li, A Feng, T Wang… - Journal of Evidence …, 2020 - Wiley Online Library
Data mining technology can search for potentially valuable knowledge from a large amount
of data, mainly divided into data preparation and data mining, and expression and analysis …

A systematic review on healthcare analytics: application and theoretical perspective of data mining

MS Islam, MM Hasan, X Wang, HD Germack… - Healthcare, 2018 - mdpi.com
The growing healthcare industry is generating a large volume of useful data on patient
demographics, treatment plans, payment, and insurance coverage—attracting the attention …

Big data fraud detection using multiple medicare data sources

M Herland, TM Khoshgoftaar, RA Bauder - Journal of Big Data, 2018 - Springer
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 …

Medicare fraud detection using neural networks

JM Johnson, TM Khoshgoftaar - Journal of Big Data, 2019 - Springer
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 …

Medicare fraud detection using machine learning methods

RA Bauder, TM Khoshgoftaar - 2017 16th IEEE international …, 2017 - ieeexplore.ieee.org
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 …

The effects of data sampling with deep learning and highly imbalanced big data

JM Johnson, TM Khoshgoftaar - Information Systems Frontiers, 2020 - Springer
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 …

The effects of varying class distribution on learner behavior for medicare fraud detection with imbalanced big data

RA Bauder, TM Khoshgoftaar - Health information science and systems, 2018 - Springer
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 …

Deep learning and data sampling with imbalanced big data

JM Johnson, TM Khoshgoftaar - 2019 IEEE 20th international …, 2019 - ieeexplore.ieee.org
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 …

Predicting medical provider specialties to detect anomalous insurance claims

RA Bauder, TM Khoshgoftaar, A Richter… - 2016 IEEE 28th …, 2016 - ieeexplore.ieee.org
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 …

The effects of class rarity on the evaluation of supervised healthcare fraud detection models

M Herland, RA Bauder, TM Khoshgoftaar - Journal of Big Data, 2019 - Springer
Abstract The United States healthcare system produces an enormous volume of data with a
vast number of financial transactions generated by physicians administering healthcare …