Concepedia

Billing Pattern Analysis

Billing Pattern Analysis is a methodological framework in healthcare fraud detection that identifies anomalous or suspicious reimbursement claims by systematically examining historical billing data for deviations from established norms or expected clinical practice patterns.

18

Publications

609

Citations

74

Authors

36

Institutions

Publications per year

2017–2026

7

Parents

Publications

18

A scoring model to detect abusive billing patterns in health insurance claims

Hyunjung Shin, Hayoung Park, JunWoo Lee et al. · Expert Systems with Applications · 2012 · 93 citations

, , +14

Accuracy of Medical Claims for Identifying Cardiovascular and Bleeding Events After Myocardial Infarction

Patrícia O. Guimarães, Arun Krishnamoorthy, Lisa A. Kaltenbach et al. · JAMA Cardiology · 2017 · 61 citations · Full text

, , +17

Sensitivity of Billing Claims for Cardiovascular Disease Events among Kidney Transplant Recipients

Krista L. Lentine, Mark A. Schnitzler, Kevin C. Abbott et al. · Clinical Journal of the American Society of Nephrology · 2009 · 42 citations · Full text

, , +15

Peer Review: Impact of a System Based on Billing Claims

Charles R. Buck, Kerr L. White · New England Journal of Medicine · 1974 · 41 citations

, , +17

Validation of the Minimum Data Set in Identifying Hospitalization Events and Payment Source

Shubing Cai, Dana B. Mukamel, Peter J. Veazie et al. · Journal of the American Medical Directors Association · 2010 · 40 citations

, , +15

1–5 of 18

Authors

74

  1. DW
    D. Wayne Murray

    Reef Ecologic, Australia

    2 publications · 44 citations

    2

    h-index

  2. AS
    Alison Sutinen

    Reef Ecologic, Australia

    2 publications · 44 citations

    2

    h-index

  3. YS
    Yin Shan

    Shanghai Sixth People's Hospital, China

    2 publications · 44 citations

    2

    h-index

  4. TE
    Tahir Ekin

    Texas State University, United States

    2 publications · 58 citations

    2

    h-index

  5. LV
    Lisa Valenti

    The University of Sydney, Australia

    1 publications · 30 citations

    1

    h-index

1–5 of 74

Institutions

36

  1. Johns Hopkins University

    Baltimore, United States

    2 h-index

    3 publications

    116 citations

  2. Texas State University

    San Marcos, United States

    2 h-index

    4 publications

    106 citations

  3. Walter Reed Army Institute of Research

    Silver Spring, United States

    1 h-index

    6 publications

    252 citations

  4. NYU Langone Health

    New York, United States

    1 h-index

    1 publications

    34 citations

  5. Clinical Research Institute

    Plymouth, United States

    1 h-index

    8 publications

    488 citations

  6. Claremont Graduate University

    Claremont, United States

    1 h-index

    1 publications

    30 citations

  7. Duke University

    Durham, United States

    1 h-index

    8 publications

    488 citations

  8. Hongik University

    Seoul, South Korea

    1 h-index

    1 publications

    93 citations

1–8 of 36

Venues

  1. Australasian Data Mining Conference

    Conference · 1 publications · 13 citations

    1

    h-index

  2. JAMA Cardiology

    1 publications · 61 citations

    1

    h-index

  3. 1

    h-index

  4. 1

    h-index

  5. Journal of the American Medical Directors Association

    JAMDA · 1 publications · 40 citations

    1

    h-index

1–5