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.

Salud y medicina

Medicaid Fraud
The Database Approach

Jessica Jacobs
HESY 480
April 26, 2010
Georgetown University

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Medicaid Fraud Database Structures

1. Medicaid Fraud The 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. Audits Audits Lookup

16. Audits

17. Audits Lookup

18. Integrity Integrity Lookup

19. Integrity

20. Integrity Lookup

21. Payment Payment Lookup

22. Payment

23. Payment Lookup