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Medicaid Fraud The Database Approach Jessica Jacobs HESY 480 April 26, 2010 Georgetown University

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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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Page 1: Medicaid Fraud Database Structures

Medicaid Fraud The Database Approach

Jessica JacobsHESY 480

April 26, 2010Georgetown University

Page 2: Medicaid Fraud Database Structures

DATA TABLES

Page 3: Medicaid Fraud Database Structures

Affiliation

Page 4: Medicaid Fraud Database Structures

Email

Page 5: Medicaid Fraud Database Structures

Phone

Page 6: Medicaid Fraud Database Structures

Individual

Page 7: Medicaid Fraud Database Structures

Notes

Page 8: Medicaid Fraud Database Structures

State

Page 9: Medicaid Fraud Database Structures

Source

Page 10: Medicaid Fraud Database Structures

Reference

Page 11: Medicaid Fraud Database Structures

Providers

Page 12: Medicaid Fraud Database Structures

Providers

Page 13: Medicaid Fraud Database Structures

Tips

Page 14: Medicaid Fraud Database Structures

Tips

Page 15: Medicaid Fraud Database Structures

Audits

Audits Lookup

Page 16: Medicaid Fraud Database Structures

Audits

Page 17: Medicaid Fraud Database Structures

Audits Lookup

Page 18: Medicaid Fraud Database Structures

Integrity

Integrity Lookup

Page 19: Medicaid Fraud Database Structures

Integrity

Page 20: Medicaid Fraud Database Structures

Integrity Lookup

Page 21: Medicaid Fraud Database Structures

Payment

Payment Lookup

Page 22: Medicaid Fraud Database Structures

Payment

Page 23: Medicaid Fraud Database Structures

Payment Lookup


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