Medicaid Fraud Database Structures
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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 ...

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.

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Medicaid Fraud Database Structures Presentation Transcript

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