Hasan, Asif and Nasir, Abu and Sultana, Nasrin (2025) AI-Driven Eligibility Verification in U.S. Medicaid: A T-MSIS V4-Aligned Real-Time Data Matching Framework for Reducing Improper Payments and Protecting Public Program Integrity. International Journal of Computational and Experimental Science and Engineering, 11 (1). ISSN 2149-9144

Sultana, Nasrin and Nasir, Abu and Hasan, Asif (2025) HRIS-Integrated Fraud Detection for U.S. Home Health Agency Workforce Compliance: Identifying Ghost Worker Schemes and Payroll Irregularities in Medicare and Medicaid-Funded Care Programs. International Journal of Computational and Experimental Science and Engineering, 11 (1). ISSN 2149-9144

Sultana, Nasrin and Hasan, Md Asif and Nasir, Md Abu (2024) Predictive Risk Scoring for U.S. Medicare Advantage: Mitigating Risk Adjustment Fraud via ML-Driven Encounter Data Analytics Aligned with CMS Version 28. Computer Fraud and Security. ISSN 1873-7056

Nasir, Md Abu and Hasan, Md Asif and Sultana, Nasrin (2024) AI-Driven Healthcare Fraud Detection in Emerging and Advanced Markets: A Comparative Framework for Adapting ML Models to U.S. Medicare and Medicaid Compliance Environments. Journal of Information Systems Engineering and Management, 9 (4s). ISSN 2468-4376