Medical Fraud Detection

​As a researcher specializing in the application of machine learning techniques within the healthcare sector, I have focused on developing innovative solutions to detect and prevent medical fraud. My research involves analyzing complex datasets and implementing advanced algorithms to identify fraudulent activities, thereby contributing to the integrity and efficiency of healthcare systems.​

In a recent study, I employed various machine learning methodologies to classify provider-side medical fraud using medical claims data. This research demonstrated the effectiveness of artificial intelligence in accurately detecting fraudulent patterns, highlighting the potential of these technologies to enhance fraud prevention efforts in the healthcare industry.