Concepedia

Predictive Fraud Analytics

Predictive Fraud Analytics is a data-driven methodological framework within health care fraud detection that employs statistical modeling and machine learning techniques to identify anomalous patterns and forecast potential Medicare fraud prior to human investigation.

46

Publications

2K

Citations

138

Authors

68

Institutions

Publications per year

2017–2026

33

Parents

Publications

46

How Artificial Intelligence and machine learning research impacts payment card fraud detection: A survey and industry benchmark

Nick Ryman‐Tubb, Paul Krause, Wolfgang Garn · Engineering Applications of Artificial Intelligence · 2018 · 216 citations

, , +17

Finding Needles in a Haystack: Using Data Analytics to Improve Fraud Prediction

Johan Perols, Robert M. Bowen, Carsten Zimmermann et al. · The Accounting Review · 2016 · 210 citations

, , +17

A survey on statistical methods for health care fraud detection

Jing Li, Kuei-Ying Huang, Jionghua Jin et al. · Health Care Management Science · 2008 · 169 citations

, , +14

TimeSHAP: Explaining Recurrent Models through Sequence Perturbations

2021 · 93 citations · Full text

, , +17

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

Richard A. Bauder, Taghi M. Khoshgoftaar · Health Information Science and Systems · 2018 · 91 citations

, , +17

1–5 of 46

Authors

138

  1. TM
    Taghi M. Khoshgoftaar

    Florida Atlantic University, United States

    4 publications · 229 citations

    5

    h-index

  2. JH
    John Hancock

    Florida Atlantic University, United States

    1 publications · 53 citations

    2

    h-index

  3. JV
    Jos van Hillegersberg

    University of Twente, Netherlands

    2 publications · 97 citations

    2

    h-index

  4. DT
    Dallas Thornton

    University of Twente, Netherlands

    2 publications · 97 citations

    2

    h-index

  5. RM
    Roland M. Mueller

    Berlin School of Economics and Law, Germany

    2 publications · 97 citations

    2

    h-index

1–5 of 138

Institutions

68

  1. Florida Atlantic University

    Boca Raton, United States

    4 h-index

    6 publications

    400 citations

  2. Berlin School of Economics and Law

    Berlin, Germany

    2 h-index

    2 publications

    97 citations

  3. University of Twente

    Enschede, The Netherlands

    2 h-index

    3 publications

    134 citations

  4. San Diego Supercomputer Center

    San Diego, United States

    2 h-index

    4 publications

    194 citations

  5. University of Lisbon

    Lisbon, Portugal

    1 h-index

    1 publications

    93 citations

  6. Monash University

    Melbourne, Australia

    1 h-index

    1 publications

    86 citations

  7. Sogei (Italy)

    Rome, Italy

    1 h-index

    1 publications

    14 citations

  8. Maharshi Dayanand University

    Rohtak, India

    1 h-index

    1 publications

    21 citations

1–8 of 68

Venues

  1. SN Computer Science

    1 publications · 56 citations

    2

    h-index

  2. Expert Systems with Applications

    2 publications · 56 citations

    2

    h-index

  3. Wireless Personal Communications

    1 publications · 32 citations

    1

    h-index

  4. Health Care Management Science

    HCMS · 1 publications · 169 citations

    1

    h-index

  5. Soft Computing

    1 publications · 25 citations

    1

    h-index

1–5