Medicaid Fraud Database Structures

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In Spring of 2010 I was on a Georgetown student consulting team that worked on figuring out if it was possible to detect Medicaid fraud from #opendata in small, medium, and large states. This is the database work behind that project.

Published in: Health & Medicine
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Medicaid Fraud Database Structures

  1. 1. Medicaid FraudThe Database Approach Jessica Jacobs HESY 480 April 26, 2010 Georgetown University
  2. 2. DATA TABLES
  3. 3. Affiliation
  4. 4. Email
  5. 5. Phone
  6. 6. Individual
  7. 7. Notes
  8. 8. State
  9. 9. Source
  10. 10. Reference
  11. 11. Providers
  12. 12. Providers
  13. 13. Tips
  14. 14. Tips
  15. 15. AuditsAudits Lookup
  16. 16. Audits
  17. 17. Audits Lookup
  18. 18. Integrity Integrity Lookup
  19. 19. Integrity
  20. 20. Integrity Lookup
  21. 21. PaymentPayment Lookup
  22. 22. Payment
  23. 23. Payment Lookup
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