This paper is in the following e-collection/theme issue:

Blockchain, Distributed Ledger Apps for Health and Medicine (85)

Published on in Vol 22, No 9 (2020): September

Preprints (earlier versions) of this paper are available at https://preprints.jmir.org/preprint/18623, first published .
Combating Health Care Fraud and Abuse: Conceptualization and Prototyping Study of a Blockchain Antifraud Framework

Combating Health Care Fraud and Abuse: Conceptualization and Prototyping Study of a Blockchain Antifraud Framework

Combating Health Care Fraud and Abuse: Conceptualization and Prototyping Study of a Blockchain Antifraud Framework

Authors of this article:

Tim Ken Mackey1, 2, 3, 4 Author Orcid Image ;   Ken Miyachi2, 5, 6 Author Orcid Image ;   Danny Fung2 Author Orcid Image ;   Samson Qian2 Author Orcid Image ;   James Short2 Author Orcid Image
Article Authors Cited by (36) Tweetations (13) Metrics

Journals

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  11. Ismail L, Zeadally S. Healthcare Insurance Frauds: Taxonomy and Blockchain-Based Detection Framework (Block-HI). IT Professional 2021;23(4):36 View
  12. Kamišalić A, Kramberger R, Fister I. Synergy of Blockchain Technology and Data Mining Techniques for Anomaly Detection. Applied Sciences 2021;11(17):7987 View
  13. Kordestani A, Oghazi P, Mostaghel R. Smart contract diffusion in the pharmaceutical blockchain: the battle of counterfeit drugs. Journal of Business Research 2023;158:113646 View
  14. Kaafarani R, Ismail L, Zahwe O. An Adaptive Decision-Making Approach for Better Selection of Blockchain Platform for Health Insurance Frauds Detection with Smart Contracts: Development and Performance Evaluation. Procedia Computer Science 2023;220:470 View
  15. Nalluri V, Chang J, Chen L, Chen J. Building prediction models and discovering important factors of health insurance fraud using machine learning methods. Journal of Ambient Intelligence and Humanized Computing 2023;14(7):9607 View
  16. Nabrawi E, Alanazi A. Fraud Detection in Healthcare Insurance Claims Using Machine Learning. Risks 2023;11(9):160 View
  17. Liang X, Zhao J, Chen Y, Bandara E, Shetty S. Architectural Design of a Blockchain-Enabled, Federated Learning Platform for Algorithmic Fairness in Predictive Health Care: Design Science Study. Journal of Medical Internet Research 2023;25:e46547 View
  18. El-Samad W, Atieh M, Adda M. Transforming Health Insurance Claims Adjudication with Blockchain-based Solutions. Procedia Computer Science 2023;224:147 View
  19. Haque M, Tozal M. Identification of Fraudulent Healthcare Claims Using Fuzzy Bipartite Knowledge Graphs. IEEE Transactions on Services Computing 2023;16(6):3931 View
  20. Mahapatra S, Sinha D. Smart h‐Chain: A blockchain based healthcare framework with insurance fraud detection. Transactions on Emerging Telecommunications Technologies 2024;35(4) View
  21. Settipalli L, Gangadharan G. QFBN: Quorum-Based Federated Blockchain Network for Healthcare System to Avoid Multiple Benefits and Data Breaches. IEEE Consumer Electronics Magazine 2024;13(2):24 View
  22. Ilkic J, Milovanovic M, Marinkovic V. Prospective systematic risk analysis of the digital technology use within pharmaceutical care. Journal of the American Pharmacists Association 2024;64(4):102081 View
  23. Liang X, Alam N, Sultana T, Bandara E, Shetty S. Designing A Blockchain-Empowered Telehealth Artifact for Decentralized Identity Management and Trustworthy Communication: Interdisciplinary Approach. Journal of Medical Internet Research 2024;26:e46556 View
  24. El-Samad W, Adda M, Atieh M. AI -Driven Data Aggregation Level Smart Contracts for Blockchain Healthcare Insurance Claims Adjudication. Procedia Computer Science 2024;241:63 View
  25. Mallick S, Sobhanayak S, Lenka R. Blockchain-enhanced IoT ecosystem for healthcare: Transformative potentials, applications, challenges, solutions, and future perspectives. Computers & Industrial Engineering 2024;197:110538 View
  26. Naderi H, Shojaei A. Digital twin non-fungible token (DT-NFT): Enabling data ownership in the AEC industry. Automation in Construction 2024;168:105777 View
  27. Singh N, Panigrahi R, Panigrahi R, Meher J. Unraveling blockchain adoption in the insurance sector: a comprehensive TOE framework with knowledge management practices. VINE Journal of Information and Knowledge Management Systems 2024 View
  28. Carlos Ferreira J, Elvas L, Correia R, Mascarenhas M. Enhancing EHR Interoperability and Security through Distributed Ledger Technology: A Review. Healthcare 2024;12(19):1967 View
  29. Kaafarani R, Ismail L, Zahwe O. Automatic Recommender System of Development Platforms for Smart Contract–Based Health Care Insurance Fraud Detection Solutions: Taxonomy and Performance Evaluation. Journal of Medical Internet Research 2024;26:e50730 View
  30. Chen X, Cao F, Wang Q, Ye Z. 2024 Chinese guideline on the construction and application of medical blockchain. Intelligent Medicine 2024 View

Books/Policy Documents

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