Auditing health insurance reimbursement by constructing association rules

I-Jen Chiang

研究成果: 書貢獻/報告類型會議貢獻

摘要

Two months of reimbursement claim data of the admission patients from National Taiwan University Hospital have been used to be the training set (200 MB or so), a quick method has been used to find out the association rules among the illness, the examinations and treatments, the drugs, and the equipment. The filtered rules by setting the minimum support and the minimum confidence are used to screen out a month claimed data from the other hospital. Some unproper orders to the patients are able to checked out. In this paper, we will discuss the algorithm for generalizing association rules and the experiments of using the association rules to screen out the unproper orders in the health reimbursement claims.
原文英語
主出版物標題Proceedings of SPIE - The International Society for Optical Engineering
發行者SPIE
頁面130-137
頁數8
4057
出版狀態已發佈 - 2000
事件Data Mining and Knowledge Discovery: Theory, Tools, and Technology II - Orlando, FL, USA
持續時間: 四月 24 2000四月 25 2000

其他

其他Data Mining and Knowledge Discovery: Theory, Tools, and Technology II
城市Orlando, FL, USA
期間4/24/004/25/00

ASJC Scopus subject areas

  • Electrical and Electronic Engineering
  • Condensed Matter Physics

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