A survey on the state of healthcare upcoding fraud analysis and detection

Volume: 17, Issue: 1, Pages: 31 - 55
Published: Jul 28, 2016
Abstract
From its infancy in the 1910s, healthcare group insurance continues to increase, creating a consistently rising burden on the government and taxpayers. The growing number of people enrolled in healthcare programs such as Medicare, along with the enormous volume of money in the healthcare industry, increases the appeal for and risk of fraudulent activities. One such fraud, known as upcoding, is a means by which a provider can obtain additional...
Paper Details
Title
A survey on the state of healthcare upcoding fraud analysis and detection
Published Date
Jul 28, 2016
Volume
17
Issue
1
Pages
31 - 55
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