Speaker: Tahir Ekin
Brandon Dee Roberts Professor and an Assistant Professor of Quantitative Methods in McCoy College of Business, Texas State University
Join us for our February 2017 lunch meeting to earn 1 hour of CPE and enjoy lunch.
Medical expenditures are a significant part of the governmental budgets. It is reported by U.S. governmental agencies that three to ten percent of the annual health care spending is lost to fraud, waste and abuse. These overpaid transactions have direct cost implications to the government and to the taxpayers, in addition to diminishing the ability of the medical systems to provide quality care to the deserving patients. In this talk, I will provide an overview of statistical approaches that are used for medical fraud assessment. Firstly, the use of statistical sampling and estimation methods for medical fraud assessment will be discussed. The heterogeneity of the payment and overpayment populations make estimation a challenging task. Secondly, I will discuss the use of data mining approaches for medical fraud detection with an emphasis on unsupervised methods. The main objective of these approaches is to identify the billing patterns and detect unusual behaviors in order to help medical auditors.
11:30 a.m. - 12:00 p.m. - Registration and Lunch
12:00 p.m. - 1:00 p.m. - Statistical Approaches for Medical Fraud Assessment
About the Speaker
Tahir Ekin is the Brandon Dee Roberts Professor and an Assistant Professor of Quantitative Methods in McCoy College of Business, Texas State University. His research interests include statistical applications in medical fraud assessment and decision making models under uncertainty. His work was the recipient for ASA/NISS y-Bis 2016 Best Paper Award. He is currently writing a book on statistical approaches for medical fraud assessment for ASA-CRC Series on Statistical Reasoning in Science and Society. He holds a Ph.D. in Decision Sciences from The George Washington University and a B.S. in Industrial Engineering from Bilkent University, Turkey. He has been a member of Institute for Operations Research and Management Science, International Society of Bayesian Analysis and The International Society for Business and Industrial Statistics.
Program Level: Basic
Advanced Preparation: None required
Maggiano’s Little Italy Restaurant
10910 Domain Dr #100, Austin, TX 78759
From MoPac and Braker Lane, turn East on Braker Lane, drive 0.4 miles to Domain Drive on the left. In 0.1 miles, turn left onto Feathergrass Court, and park in the D2 South Parking Garage (free parking) on the right. Walk East about 400 feet to Maggiano's restaurant.
Chapter Members: $25.00
Registration includes a lunch service.
The Austin Area Chapter of The Association of Certified Fraud Examiners is a non-profit organization formed in the State of Texas and registered as a 501 (C) (6) Organization with the IRS.
The Austin Area Chapter of The Association of Certified Fraud Examiners is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.learningmarket.org
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