We propose a simple, but effective, tool to detect possible anomalies in the services prescribed by a health care provider (HP) compared to his/her colleagues in the same field and environment. Our method is based on the concentration function that is an extension of the Lorenz curve widely used in describing uneven distribution of wealth in a population. The proposed tool provides a graphical illustration of a possible anomalous behavior of the HPs and it can be used as a prescreening device for further investigations of potential medical fraud.
On the use of the concentration function in medical fraud assessment
F Ruggeri;
2017
Abstract
We propose a simple, but effective, tool to detect possible anomalies in the services prescribed by a health care provider (HP) compared to his/her colleagues in the same field and environment. Our method is based on the concentration function that is an extension of the Lorenz curve widely used in describing uneven distribution of wealth in a population. The proposed tool provides a graphical illustration of a possible anomalous behavior of the HPs and it can be used as a prescreening device for further investigations of potential medical fraud.File in questo prodotto:
| File | Dimensione | Formato | |
|---|---|---|---|
|
prod_382202-doc_130938.pdf
non disponibili
Descrizione: On the use of the concentration function in medical fraud assessment
Tipologia:
Versione Editoriale (PDF)
Dimensione
870.13 kB
Formato
Adobe PDF
|
870.13 kB | Adobe PDF | Visualizza/Apri Richiedi una copia |
|
prod_382202-doc_149175.pdf
accesso aperto
Descrizione: On the Use of the Concentration Function in Medical Fraud Assessment
Tipologia:
Versione Editoriale (PDF)
Dimensione
179.81 kB
Formato
Adobe PDF
|
179.81 kB | Adobe PDF | Visualizza/Apri |
I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
