The Evaluation of Distributed Topic Modeling Paradigms for Detection Of Fraudulent Insurance Claims In Healthcare Forum [PDF]
Healthcare fraud is the deliberate misrepresentation of the healthcare industry for the purpose of obtaining unjustified financial gain. There are many different types of healthcare fraud, which can influence patients, healthcare professionals, insurers,
Subbarayudu Yerragudipadu +5 more
doaj +1 more source
Deep Learning for Credit Card Fraud Detection: A Review of Algorithms, Challenges, and Solutions
Deep learning (DL), a branch of machine learning (ML), is the core technology in today’s technological advancements and innovations. Deep learning-based approaches are the state-of-the-art methods used to analyse and detect complex patterns in large ...
Ibomoiye Domor Mienye, N. Jere
semanticscholar +1 more source
Spectrum-based deep neural networks for fraud detection
In this paper, we focus on fraud detection on a signed graph with only a small set of labeled training data. We propose a novel framework that combines deep neural networks and spectral graph analysis. In particular, we use the node projection (called as
Li, Jun +3 more
core +1 more source
Trauma‐Informed Practice in Welfare‐to‐Work and Employment Services: A Scoping Review
ABSTRACT There is increasing recognition within welfare services, including employment services, that many participants may have histories of trauma. Research suggests that experiences of trauma not only impact individuals' psychosocial health but also vocational elements such as job performance, employability, career progression, and financial ...
Emily Corbett +3 more
wiley +1 more source
Comparative analysis of binary and one-class classification techniques for credit card fraud data
The yearly increase in incidents of credit card fraud can be attributed to the rapid growth of e-commerce. To address this issue, effective fraud detection methods are essential. Our research focuses on the Credit Card Fraud Detection Dataset, which is a
Joffrey L. Leevy +2 more
doaj +1 more source
Financial Fraud Detection Based on Machine Learning: A Systematic Literature Review
Financial fraud, considered as deceptive tactics for gaining financial benefits, has recently become a widespread menace in companies and organizations. Conventional techniques such as manual verifications and inspections are imprecise, costly, and time ...
Abdulalem Ali +8 more
semanticscholar +1 more source
Electronic fraud detection in the U.S. Medicaid Healthcare Program: lessons learned from other industries [PDF]
It is estimated that between $600 and $850 billion annually is lost to fraud, waste, and abuse in the US healthcare system,with $125 to $175 billion of this due to fraudulent activity (Kelley 2009).
Hillegersberg, Jos van +3 more
core +3 more sources
ABSTRACT The Robodebt scheme issued thousand‐dollar debts to an estimated half a million people who had received social security. The debts were largely inaccurate and illegal, with the aim of improving the federal government's budget. The 2023 Royal Commission into the Robodebt Scheme found that the stigmatising political and public language about ...
Ella Kruger, Phillipa Evans
wiley +1 more source
The Impact of Insurance Fraud Detection Systems [PDF]
The purpose of this paper is to characterize the impact of fraud detection systems on the auditing procedure and the equilibrium insurance contract, when a policyholder can report a loss that never occurred.
Jörg Schiller
core +3 more sources
A Deep Learning Ensemble With Data Resampling for Credit Card Fraud Detection
Credit cards play an essential role in today’s digital economy, and their usage has recently grown tremendously, accompanied by a corresponding increase in credit card fraud.
Ibomoiye Domor Mienye, Yanxia Sun
semanticscholar +1 more source

