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DME Fraud Pattern Detector MicroSim

Run the DME Fraud Pattern Detector MicroSim MicroSim Fullscreen

About This MicroSim

This detector models durable-medical-equipment (DME) fraud as a physician–supplier referral network and lets you apply DME-specific red flags. Four suppliers receive referrals from four physicians; each supplier may trigger signals — referral concentration (nearly all referrals from a couple of physicians), geographic distance, specialty mismatch (e.g., a podiatrist ordering power wheelchairs), and patient-address clustering. A seeded fraud supplier, QuickBrace, trips every flag, while legitimate suppliers trip few or none.

How to Use

Toggle the red-flag checkboxes to choose which signals count, and watch each supplier's color shift toward red and its risk score update in the ranked table — no single flag is conclusive, but converging signals separate the fraud supplier from legitimate ones. Read the detail box for the top-ranked supplier to see why it is suspicious. Drag nodes and use the navigation buttons to explore the network.

Iframe Embed Code

You can add this MicroSim to any web page by adding this to your HTML:

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<iframe src="https://dmccreary.github.io/modeling-healthcare-data/sims/dme-fraud-pattern-detector/main.html"
        height="450px"
        width="100%"
        scrolling="no"></iframe>

Lesson Plan

Grade Level

9-12 (High School Geometry)

Duration

10-15 minutes

Prerequisites

TODO: List prerequisites.

Activities

  1. Exploration (5 min): TODO
  2. Guided Practice (5 min): TODO
  3. Assessment (5 min): TODO

Assessment

TODO: List assessment criteria.

References

  1. TODO: Add references.