Data Mining Driven Rule Based Expert System for Medical Billing Compliance
Umair Abdullah, Ahmed Aftab, Sohail Asghar, Kashif Zafar · Advances in data mining and database management book series · 2015
Most of the data mining projects generate information (summarized in the form of graphs and charts) for business executives and decision makers; however it leaves to the choice of decision makers either to use it or disregard it. The manual use of the extracted knowledge limits the effectiveness of data mining technology considerably. This chapter proposes an architecture, in which data mining module is utilized to provide continuous supply of knowledge to a rule based expert system. Proposed approach solves the knowledge acquisition problem of rule based systems and also enhances effective utilization of data mining techniques (i.e. by supplying extracted knowledge to rule based system for automated use). The chapter describes the details of a data mining driven rule based expert system applied in medical billing domain. Main modules of the system along with the final analysis of performance of the system have also been presented.