Enhancing Medicare Fraud Detection Through Machine Learning: Addressing Class Imbalance With SMOTE-ENN
Rayene Bounab,
Karim Zarour,
Bouchra Guelib
et al.
Abstract:The healthcare fraud detection field is constantly evolving and faces significant challenges, particularly when addressing imbalanced data issues. Previous studies mainly focused on traditional machine learning (ML) techniques, often struggling with imbalanced data. This problem arises in various aspects. It includes the risk of overfitting with Random Oversampling (ROS), noise introduction by the Synthetic Minority Oversampling Technique (SMOTE), and potential crucial information loss with Random Undersamplin… Show more
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