{"id":"https://openalex.org/W2979328574","doi":"https://doi.org/10.1007/978-3-030-32962-4_5","title":"Identifying Candidates for Medical Coding Audits: Demonstration of a Data Driven Approach to Improve Medicare Severity Diagnosis-Related Group Coding Compliance","display_name":"Identifying Candidates for Medical Coding Audits: Demonstration of a Data Driven Approach to Improve Medicare Severity Diagnosis-Related Group Coding Compliance","publication_year":2019,"publication_date":"2019-01-01","ids":{"openalex":"https://openalex.org/W2979328574","doi":"https://doi.org/10.1007/978-3-030-32962-4_5","mag":"2979328574"},"language":"en","primary_location":{"id":"doi:10.1007/978-3-030-32962-4_5","is_oa":false,"landing_page_url":"https://doi.org/10.1007/978-3-030-32962-4_5","pdf_url":null,"source":{"id":"https://openalex.org/S106296714","display_name":"Lecture notes in computer science","issn_l":"0302-9743","issn":["0302-9743","1611-3349"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"book series"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Lecture Notes in Computer Science","raw_type":"book-chapter"},"type":"conference-paper","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5020998306","display_name":"Yunyi Feng","orcid":null},"institutions":[{"id":"https://openalex.org/I4210106879","display_name":"Ohio University","ror":"https://ror.org/01jr3y717","country_code":"US","type":"education","lineage":["https://openalex.org/I4210106879"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yunyi Feng","raw_affiliation_strings":["School of Electrical Engineering and Computer Science, Ohio University, Athens, OH, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Electrical Engineering and Computer Science, Ohio University, Athens, OH, USA","institution_ids":["https://openalex.org/I4210106879"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111991056","display_name":"Simon Lin","orcid":null},"institutions":[{"id":"https://openalex.org/I1314135232","display_name":"Nationwide Children's Hospital","ror":"https://ror.org/003rfsp33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1314135232"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Simon Lin","raw_affiliation_strings":["The Research Institute, Nationwide Children\u2019s Hospital, Columbus, OH, USA","The Research Institute, Nationwide Children's Hospital, Columbus, OH, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Research Institute, Nationwide Children\u2019s Hospital, Columbus, OH, USA","institution_ids":["https://openalex.org/I1314135232"]},{"raw_affiliation_string":"The Research Institute, Nationwide Children's Hospital, Columbus, OH, USA","institution_ids":["https://openalex.org/I1314135232"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032668574","display_name":"En\u2010Ju D. Lin","orcid":"https://orcid.org/0000-0003-4365-8227"},"institutions":[{"id":"https://openalex.org/I1314135232","display_name":"Nationwide Children's Hospital","ror":"https://ror.org/003rfsp33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1314135232"]},{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"En-Ju Lin","raw_affiliation_strings":["Department of Biomedical Informatics, The Ohio State University, Columbus, OH, USA","The Research Institute, Nationwide Children\u2019s Hospital, Columbus, OH, USA","The Research Institute, Nationwide Children's Hospital, Columbus, OH, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics, The Ohio State University, Columbus, OH, USA","institution_ids":["https://openalex.org/I52357470"]},{"raw_affiliation_string":"The Research Institute, Nationwide Children\u2019s Hospital, Columbus, OH, USA","institution_ids":["https://openalex.org/I1314135232"]},{"raw_affiliation_string":"The Research Institute, Nationwide Children's Hospital, Columbus, OH, USA","institution_ids":["https://openalex.org/I1314135232"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087030104","display_name":"Lesley Farley","orcid":null},"institutions":[{"id":"https://openalex.org/I1314135232","display_name":"Nationwide Children's Hospital","ror":"https://ror.org/003rfsp33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1314135232"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lesley Farley","raw_affiliation_strings":["The Research Institute, Nationwide Children\u2019s Hospital, Columbus, OH, USA","The Research Institute, Nationwide Children's Hospital, Columbus, OH, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Research Institute, Nationwide Children\u2019s Hospital, Columbus, OH, USA","institution_ids":["https://openalex.org/I1314135232"]},{"raw_affiliation_string":"The Research Institute, Nationwide Children's Hospital, Columbus, OH, USA","institution_ids":["https://openalex.org/I1314135232"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080962590","display_name":"Yungui Huang","orcid":"https://orcid.org/0000-0003-3265-9902"},"institutions":[{"id":"https://openalex.org/I1314135232","display_name":"Nationwide Children's Hospital","ror":"https://ror.org/003rfsp33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1314135232"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yungui Huang","raw_affiliation_strings":["The Research Institute, Nationwide Children\u2019s Hospital, Columbus, OH, USA","The Research Institute, Nationwide Children's Hospital, Columbus, OH, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Research Institute, Nationwide Children\u2019s Hospital, Columbus, OH, USA","institution_ids":["https://openalex.org/I1314135232"]},{"raw_affiliation_string":"The Research Institute, Nationwide Children's Hospital, Columbus, OH, USA","institution_ids":["https://openalex.org/I1314135232"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5100353198","display_name":"Chang Liu","orcid":"https://orcid.org/0000-0002-0381-4136"},"institutions":[{"id":"https://openalex.org/I4210106879","display_name":"Ohio University","ror":"https://ror.org/01jr3y717","country_code":"US","type":"education","lineage":["https://openalex.org/I4210106879"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Chang Liu","raw_affiliation_strings":["School of Electrical Engineering and Computer Science, Ohio University, Athens, OH, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Electrical Engineering and Computer Science, Ohio University, Athens, OH, USA","institution_ids":["https://openalex.org/I4210106879"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":5000,"currency":"EUR","value_usd":5392},"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"47","last_page":"57"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T14400","display_name":"Medical Coding and Health Information","score":0.9987000226974487,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T14400","display_name":"Medical Coding and Health Information","score":0.9987000226974487,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13702","display_name":"Machine Learning in Healthcare","score":0.9850000143051147,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.9708999991416931,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.7448498010635376},{"id":"https://openalex.org/keywords/coding","display_name":"Coding (social sciences)","score":0.6462498307228088},{"id":"https://openalex.org/keywords/audit","display_name":"Audit","score":0.6282987594604492},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.4915061891078949},{"id":"https://openalex.org/keywords/softmax-function","display_name":"Softmax function","score":0.4800625741481781},{"id":"https://openalex.org/keywords/medical-record","display_name":"Medical record","score":0.44885727763175964},{"id":"https://openalex.org/keywords/logistic-regression","display_name":"Logistic regression","score":0.4475831389427185},{"id":"https://openalex.org/keywords/diagnosis-code","display_name":"Diagnosis code","score":0.4264242351055145},{"id":"https://openalex.org/keywords/confidentiality","display_name":"Confidentiality","score":0.4210670292377472},{"id":"https://openalex.org/keywords/data-mining","display_name":"Data mining","score":0.34593039751052856},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"Artificial intelligence","score":0.3445313274860382},{"id":"https://openalex.org/keywords/machine-learning","display_name":"Machine learning","score":0.32139551639556885},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.23789894580841064},{"id":"https://openalex.org/keywords/computer-security","display_name":"Computer security","score":0.17544260621070862},{"id":"https://openalex.org/keywords/deep-learning","display_name":"Deep learning","score":0.08776763081550598}],"concepts":[{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.7448498010635376},{"id":"https://openalex.org/C179518139","wikidata":"https://www.wikidata.org/wiki/Q5140297","display_name":"Coding (social sciences)","level":2,"score":0.6462498307228088},{"id":"https://openalex.org/C199521495","wikidata":"https://www.wikidata.org/wiki/Q181487","display_name":"Audit","level":2,"score":0.6282987594604492},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4915061891078949},{"id":"https://openalex.org/C188441871","wikidata":"https://www.wikidata.org/wiki/Q7554146","display_name":"Softmax function","level":3,"score":0.4800625741481781},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.44885727763175964},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.4475831389427185},{"id":"https://openalex.org/C45827449","wikidata":"https://www.wikidata.org/wiki/Q5270338","display_name":"Diagnosis code","level":3,"score":0.4264242351055145},{"id":"https://openalex.org/C71745522","wikidata":"https://www.wikidata.org/wiki/Q2476929","display_name":"Confidentiality","level":2,"score":0.4210670292377472},{"id":"https://openalex.org/C124101348","wikidata":"https://www.wikidata.org/wiki/Q172491","display_name":"Data mining","level":1,"score":0.34593039751052856},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.3445313274860382},{"id":"https://openalex.org/C119857082","wikidata":"https://www.wikidata.org/wiki/Q2539","display_name":"Machine learning","level":1,"score":0.32139551639556885},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.23789894580841064},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.17544260621070862},{"id":"https://openalex.org/C108583219","wikidata":"https://www.wikidata.org/wiki/Q197536","display_name":"Deep learning","level":2,"score":0.08776763081550598},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.0},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.0},{"id":"https://openalex.org/C187736073","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1007/978-3-030-32962-4_5","is_oa":false,"landing_page_url":"https://doi.org/10.1007/978-3-030-32962-4_5","pdf_url":null,"source":{"id":"https://openalex.org/S106296714","display_name":"Lecture notes in computer science","issn_l":"0302-9743","issn":["0302-9743","1611-3349"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"book series"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Lecture Notes in Computer Science","raw_type":"book-chapter"}],"best_oa_location":null,"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":16,"referenced_works":["https://openalex.org/W974571521","https://openalex.org/W1925134677","https://openalex.org/W1996796871","https://openalex.org/W2012451988","https://openalex.org/W2096529007","https://openalex.org/W2257438637","https://openalex.org/W2297126029","https://openalex.org/W2394506355","https://openalex.org/W2412567314","https://openalex.org/W2462687589","https://openalex.org/W2478923244","https://openalex.org/W2495589275","https://openalex.org/W2767908891","https://openalex.org/W2775311787","https://openalex.org/W2884555939","https://openalex.org/W2964121744"],"related_works":["https://openalex.org/W3183948672","https://openalex.org/W3173606202","https://openalex.org/W3110381201","https://openalex.org/W2778153218","https://openalex.org/W4250700658","https://openalex.org/W1869362010","https://openalex.org/W2463467555","https://openalex.org/W4401850678","https://openalex.org/W2988460333","https://openalex.org/W4292539280"],"abstract_inverted_index":null,"counts_by_year":[],"updated_date":"2026-07-14T23:27:15.235271","created_date":"2025-10-10T00:00:00"}