Data processing: financial – business practice – management – or co – Automated electrical financial or business practice or... – Health care management
Reexamination Certificate
2007-08-28
2007-08-28
Morgan, Robert (Department: 3626)
Data processing: financial, business practice, management, or co
Automated electrical financial or business practice or...
Health care management
C705S003000
Reexamination Certificate
active
10076961
ABSTRACT:
Transition probability sequencing models and metrics are derived from healthcare claims data to identify potentially fraudulent or abusive practices, providers, doctors, clients, or other entities. Healthcare reimbursement claims from hospitals, skilled nursing facilities, doctors, etc., are processed to identify sequences of states, and transition probability metrics are determined from frequency information pertaining to the states. The metrics can these be further analyzed in predictive or rule based models, or other tools.
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de Traversay Jean
Gollamudi Hyma
Ianakiev Krassimir G
Pathria Anu K
Suresh Nallan C
Fair Isaac Corporation
Glenn Michael A.
Glenn Patent Group
Morgan Robert
Sachs Robert
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