An intelligent unsupervised technique for fraud detection in health care systems

2021 ◽  
Vol 15 (1) ◽  
pp. 127-139
Author(s):  
Kanksha ◽  
Aman Bhaskar ◽  
Sagar Pande ◽  
Rahul Malik ◽  
Aditya Khamparia

Healthcare is an essential part of people’s lives, particularly for the elderly population, and also should be economical. Medicare is one particular healthcare plan. Claims fraud is a significant contributor to increased healthcare expenses, though the effect of it could be lessened by fraud detection. In this paper, an analysis of various machine learning techniques was done to identify Medicare fraud. The isolated forest an unsupervised machine learning algorithm which improves overall performance while detecting fraud based upon outliers. The goal of this specific paper is generally to show probable dishonest providers on the ground of their allegations. Obtained results were found more promising compared to existing techniques. Around 98.76% accuracy is obtained using an isolated forest algorithm.

2021 ◽  
Vol 4 (3) ◽  
pp. 139-143
Author(s):  
Mariana Vlad ◽  
◽  
Sorin Vlad ◽  

Machine learning (ML) is a subset of artificial Intelligence (AI) aiming to develop systems that can learn and continuously improve the abilities through generalization in an autonomous manner. ML is presently all around us, almost every facet of our digital and real life is embedding some ML related content. Customer recommendation systems, customer behavior prediction, fraud detection, speech recognition, image recognition, black & white movies colorization, accounting fraud detection are just some examples of the vast range of applications in which ML is involved. The techniques that this paper investigates are mainly focused on the use of neural networks in accounting and finance research fields. An artificial neural network is modelling the brain ability of learning intricate patterns from the information presented at its inputs using elementary interconnected units, named neurons, grouped in layers and trained by means of a learning algorithm. The performance of the network depends on many factors like the number of layers, the number of each neurons in each layer, the learning algorithm, activation functions, to name just a few of them. Machine learning algorithms have already started to replace humans in jobs that require document’s processing and decision making.


2021 ◽  
Author(s):  
Praveeen Anandhanathan ◽  
Priyanka Gopalan

Abstract Coronavirus disease (COVID-19) is spreading across the world. Since at first it has appeared in Wuhan, China in December 2019, it has become a serious issue across the globe. There are no accurate resources to predict and find the disease. So, by knowing the past patients’ records, it could guide the clinicians to fight against the pandemic. Therefore, for the prediction of healthiness from symptoms Machine learning techniques can be implemented. From this we are going to analyse only the symptoms which occurs in every patient. These predictions can help clinicians in the easier manner to cure the patients. Already for prediction of many of the diseases, techniques like SVM (Support vector Machine), Fuzzy k-Means Clustering, Decision Tree algorithm, Random Forest Method, ANN (Artificial Neural Network), KNN (k-Nearest Neighbour), Naïve Bayes, Linear Regression model are used. As we haven’t faced this disease before, we can’t say which technique will give the maximum accuracy. So, we are going to provide an efficient result by comparing all the such algorithms in RStudio.


2020 ◽  
Vol 7 (10) ◽  
pp. 380-389
Author(s):  
Asogwa D.C ◽  
Anigbogu S.O ◽  
Anigbogu G.N ◽  
Efozia F.N

Author's age prediction is the task of determining the author's age by studying the texts written by them. The prediction of author’s age can be enlightening about the different trends, opinions social and political views of an age group. Marketers always use this to encourage a product or a service to an age group following their conveyed interests and opinions. Methodologies in natural language processing have made it possible to predict author’s age from text by examining the variation of linguistic characteristics. Also, many machine learning algorithms have been used in author’s age prediction. However, in social networks, computational linguists are challenged with numerous issues just as machine learning techniques are performance driven with its own challenges in realistic scenarios. This work developed a model that can predict author's age from text with a machine learning algorithm (Naïve Bayes) using three types of features namely, content based, style based and topic based. The trained model gave a prediction accuracy of 80%.


2020 ◽  
pp. 1314-1330 ◽  
Author(s):  
Mohamed Elhadi Rahmani ◽  
Abdelmalek Amine ◽  
Reda Mohamed Hamou

Botanists study in general the characteristics of leaves to give to each plant a scientific name; such as shape, margin...etc. This paper proposes a comparison of supervised plant identification using different approaches. The identification is done according to three different features extracted from images of leaves: a fine-scale margin feature histogram, a Centroid Contour Distance Curve shape signature and an interior texture feature histogram. First represent each leaf by one feature at a time in, then represent leaves by two features, and each leaf was represented by the three features. After that, the authors classified the obtained vectors using different supervised machine learning techniques; the used techniques are Decision tree, Naïve Bayes, K-nearest neighbour, and neural network. Finally, they evaluated the classification using cross validation. The main goal of this work is studying the influence of representation of leaves' images on the identification of plants, and also studying the use of supervised machine learning algorithm for plant leaves classification.


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