Professional Security Management and Investigation for the New Competitive Advantage

Button, Mark; Lee, Julak; Hakkyong, Kim

doi:10.5392/ijoc.2011.7.3.071

Cited by 8 publications

(1 citation statement)

References 15 publications

(10 reference statements)

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“…Domains included in the interview were pro and reactive measures, policies, and fraud-detection methods. 31 A checklist was created after the documents were reviewed; key issues were analyzed methodologically using document analysis and semi-structured interviews. 27…”

Section: Data Processmentioning

confidence: 99%

Fraud and Abuse in the Saudi Healthcare System: A Triangulation Analysis

Alonazi

2020

INQUIRY

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In the insurance industry, the majority of fraud and abuse cases fall into a limited number of patterns, yet false claims normally lead to negative national, local, and organizational effects. Through monitoring the exploitative and abusive behavior commonly found in healthcare services, this paper aims to analyze initiatives implemented by governmental and related healthcare insurance agencies in Saudi Arabia to reduce moral offenses. To accomplish this objective, major governmental health insurance policy documents were analyzed at the macro-level. At the meso-level, semi-structured interviews were conducted with five health insurance professionals on measures undertaken to prevent such incidents. At the micro-level, the critical factors of fraudulent behaviors were analyzed using a retrospective analysis. Data were retrieved from anti-fraud records of ten leading health insurance companies and the focus was mainly on individuals involved in unethical practices between 2014 and 2019. After a full audit was completed, the results concluded that the Saudi healthcare system is composed of twenty-six cooperative health insurance agencies and over 5,202 health services providers. The official documents contain the details of various moral hazard measures. On annual average, more than 196 fraudulent cases were reported with a claim rejection rate of approximately 15%. The majority of fraud cases were reported in dental services with invalid card usage, followed by obstetrics-gynecology services (47 and 113 cases, respectively). Females tended to make up most deceit cases in obstetrics-gynecology with a high level of abuse (95% confidence interval: −83.398 to −24.202; P < .003 and −28 > 638 to −7.362; P < .005, respectively). This study ultimately identifies basic measures employed at the macro-level to reduce moral hazards. However, such measures are not intended to be coherently implemented at the micro-level, especially by health insurance companies and healthcare providers.

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Section: Data Processmentioning

confidence: 99%

Fraud and Abuse in the Saudi Healthcare System: A Triangulation Analysis

Alonazi

2020

INQUIRY

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Crime Prevention Policy of the British Police : A Case Study of ACPO CPI’s Security Checklists

Hakkyong¹,

Shim²

2015

치안정책연구

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The letter recognition using BCI system

Kaplan¹,

Song²,

Kim³

2011

International Journal of Contents

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In this paper, we show how such enhancement of Farwell-Donchin BCI enables a fresh, inexperienced user to achieve quickly an accurate BCI control with a high information transfer rate. This paper presents the results of a BCI experiment where the participant, who had no previous BCI experience, obtained, in about 20 min, a highly reliable and fast control over the BCI spelling device based on the Farwell-Donchin paradigm. Offline analysis showed that the high performance of the BCI was, to a high extent, due to the use of the ERP component N1, in addition to component P300, which has been considered the only ERP component important for the prediction of user's choice in the Farwell-Donchin paradigm in many publications.

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Professional Security Management and Investigation for the New Competitive Advantage

Abstract: This paper is mainly associated with setting out an agenda for the transformation of security by creating a new framework for

Cited by 8 publications

References 15 publications

Fraud and Abuse in the Saudi Healthcare System: A Triangulation Analysis

Fraud and Abuse in the Saudi Healthcare System: A Triangulation Analysis

Crime Prevention Policy of the British Police : A Case Study of ACPO CPI’s Security Checklists

The letter recognition using BCI system

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