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.

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Medicaid Fraud The Database Approach

Jessica JacobsHESY 480

April 26, 2010Georgetown University

DATA TABLES

Affiliation

Email

Phone

Individual

Notes

State

Source

Reference

Providers

Providers

Tips

Tips

Audits

Audits Lookup

Audits

Audits Lookup

Integrity

Integrity Lookup

Integrity

Integrity Lookup

Payment

Payment Lookup

Payment

Payment Lookup

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