• Title/Summary/Keyword: Case audit

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Decision Tree Induction with Imbalanced Data Set: A Case of Health Insurance Bill Audit in a General Hospital (불균형 데이터 집합에서의 의사결정나무 추론: 종합 병원의 건강 보험료 청구 심사 사례)

  • Hur, Joon;Kim, Jong-Woo
    • Information Systems Review
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    • v.9 no.1
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    • pp.45-65
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    • 2007
  • In medical industry, health insurance bill audit is unique and essential process in general hospitals. The health insurance bill audit process is very important because not only for hospital's profit but also hospital's reputation. Particularly, at the large general hospitals many related workers including analysts, nurses, and etc. have engaged in the health insurance bill audit process. This paper introduces a case of health insurance bill audit for finding reducible health insurance bill cases using decision tree induction techniques at a large general hospital in Korea. When supervised learning methods had been tried to be applied, one of major problems was data imbalance problem in the health insurance bill audit data. In other words, there were many normal(passing) cases and relatively small number of reduction cases in a bill audit dataset. To resolve the problem, in this study, well-known methods for imbalanced data sets including over sampling of rare cases, under sampling of major cases, and adjusting the misclassification cost are combined in several ways to find appropriate decision trees that satisfy required conditions in health insurance bill audit situation.

Strategic Management Audit to Government-sponsored Research Institutes : A Case of Korea Basic Science Institute (KBSI) (정부출연연구기관의 전략적 경영감사 : 한국기초과학지원연구원의 사례를 중심으로)

  • Chung Sun-Yang;Park Jeong-Soo;Gim In-Ho;Cho Sung-Bok
    • Journal of Korea Technology Innovation Society
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    • v.8 no.2
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    • pp.832-859
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    • 2005
  • Government-sponsored Research Institutes (GRIs) have made a great contribution to the development of Korea's Science and Technology (S&T). However, recently, GRIs are facing the challenge of many problems, for instance, absence of reasonable strategies, insufficient resources, and so on. Therefore, many GRIs are required for solving these problems by enhancing their strategic management capabilities. For this purpose, this paper suggests a Strategic Management Audit Model for Korean GRIs. The concept of Strategic Management Audit Model has not been widely adopted in Korean GRIs. In this paper, we suggest GRI-specific Strategic Management Model and apply it to Korea Basic Science Institute (KBSI), which is under the Korea Research Council of Fundamental Science and Technology (KRCF). Based on our strategic management audit, we propose several potential strategies for Korean Basic Research Institutes (KBSI). Our model and its implications will also be helpful for other Korean GRIs.

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Policy measures to improve the efficiency of the supervisory system for Regulatory Agencies (감찰 감사조직에 대한 감독제도 효율화 정책방안)

  • Kiyeung Kim;Namje Park
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.5
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    • pp.721-727
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    • 2023
  • To prevent corruption, waste, and abuse in national governance, audit agencies are established and granted significant authority and responsibilities, including ensuring their independence. However, questions have been raised about who oversees these agencies and addresses issues or misconduct that may arise within them. In the United States, to address this oversight concern, the Inspector General Act was enacted, creating an audit community called the Inspector General Community. This community comprises various audit agencies and promotes compliance with standards and investigates potential wrongdoing by audit personnel. It fosters a culture of independence and collaboration among diverse stakeholders, such as Congress, the President, the Government Accountability Office, and agency leadership. In light of this successful approach in the United States, this research seeks to study and apply similar oversight mechanisms to audit agencies in South Korea. There is a need to develop the relationship between oversight bodies and parliament in terms of improving the efficiency and effectiveness of government operations. Accordingly, this paper studies this American case and presents efficient policy measures for the supervisory system to be applied to Korea's audit organizations. It aims to identify policy insights for effective supervision, ensuring independence, and fostering a collaborative culture within our audit institutions. Therefore, domestic interest and research on this matter are essential to enhance our audit mechanisms and achieve efficient governance.

Relationship between Alcohol Use Disorders Identification Test Fractional Anisotropy Value of Diffusion Tensor Image in Brain White Matter Region (알코올 선별 검사법(Alcohol Use Disorders Identification Test)과 뇌 백질 영역의 확산텐서 비등방도 계측 값의 관련성)

  • Lee, Chi Hyung;Kim, Gyeong Rip;Kwak, Jong Hyeok
    • Journal of the Korean Society of Radiology
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    • v.16 no.5
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    • pp.575-583
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    • 2022
  • Magnetic resonance diffusion tensor imaging (DTI) has revealed the disruption of brain white matter microstructure in normal aging and alcoholism undetectable with conventional structural MR imaging. we plan to analyze the FA measurements of the ROI of dangerous drinkers selected from Alcohol Use Disorders Identification Test (AUDIT) and Tract-Based Spatial Statics (TBSS) tool was used to extract FA values in the ROI from the image acquired through the pre-processing process. TBSS has a higher sensitivity of the FA value and MD value in the white matter than the brain gray matter, and has the advantage of quantitatively deriving the unlimited degree of brain nerve fibers, and more specialized in the brain white matter. We plan to analyze the fractional anisotropy (FA) measurement value for damage by selecting the center of the anatomical structure of the white matter region of the brain with high anisotropy among the brain neural networks that are particularly vulnerable to alcohol as the region of interest (ROI). In this study, we expected that alcohol causes damage to the brain white matter microstructure from FA value in various areas including both Choroid plexus. Especially, In the case of the moderate drunker, the mean value of FA in Lt, Rt. Choroid plexus was 0.2831 and 0.2872, whereas, in the case of the severe drunker, the mean value of FA was 0.1972 and 0.1936. We found that the higher the score on the AUDIT scale, the lower the FA value in ROI region of the brain white matter. Using the AUDIT scale, the guideline for the FA value of DTI can be presented, and it is possible to select a significant number of potentially severe drinkers. In other words, AUDIT was proved as useful tool in screening and discrimination of severe drunker through DTI.

ASYMPTOTIC RUIN PROBABILITIES IN A GENERALIZED JUMP-DIFFUSION RISK MODEL WITH CONSTANT FORCE OF INTEREST

  • Gao, Qingwu;Bao, Di
    • Journal of the Korean Mathematical Society
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    • v.51 no.4
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    • pp.735-749
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    • 2014
  • This paper studies the asymptotic behavior of the finite-time ruin probability in a jump-diffusion risk model with constant force of interest, upper tail asymptotically independent claims and a general counting arrival process. Particularly, if the claim inter-arrival times follow a certain dependence structure, the obtained result also covers the case of the infinite-time ruin probability.

Audit for Electronic Switching System Data Recovery (교환기 데이터 복구를 위한 감사기능)

  • 백정아;정태진이성근
    • Proceedings of the IEEK Conference
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    • 1998.10a
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    • pp.269-272
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    • 1998
  • The disks containing all the system software-OS(Operating System), application program, and DB(Data Base)-happen to be broken. This happens not only to general computer systems but also to electronic switching system. In the electronic switching system, this causes the essential data and software needed for operating the system to be damaged and is fatal to services, so that they should be recovered as soon as possible. Especially the data, having the information of subscriber, trunk, prefix, and system configuration should be receovered preferentially. To manage this situation, the system should let the operator know that the data are damaged and recover the damaged data. This paper shows a way of recovering this damaged data, the object data of audit, the structure of DBMS and the implementation of audit in the case of the domestic high capacity electronic switching system, TDX-10A.

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Quality.Environment Management System Evaluation of Machinery and Metal Manufacturing Companies Related to Marine Equipment: a Case Study Using Audit Results (조선기자재 관련 기계금속업체의 품질.환경경영시스템 평가: 인증심사결과 사례연구)

  • Park, Dong-Joon;Kang, Byung-Hwan;Kim, Ho-Gyun
    • Journal of Korean Society for Quality Management
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    • v.37 no.2
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    • pp.12-21
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    • 2009
  • Organizations worldwide have implemented quality management system, ISO 9001:2000 and environmental management system, ISO 14001:2004. Researches have been conducted regarding occupational health and safety management system, integration of these management systems, and extension to corporate social responsibility and sustain ability management system, ISO 26000. This paper examines quality and environment management systems for machinery and metal companies using audit results. We perform statistical tests to see if there are any significant differences of minor nonconformities for requirements of ISO 9001:2000 and ISO 14001:2004 based on implementation motive, operating periods, and organization's size. We also present causes and reasons for statistical differences and minor nonconformities to use as references for implementing efficiently quality management system and environment management system.

OHSAS Practices Analysis : A Case Study using Audit Results (안전보건경영시스템 운용분석 : 심사자료 사례연구)

  • Park, Dong-Joon;Kang, Byung-Hwan;Kim, Ho-Gyun
    • Korean Management Science Review
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    • v.32 no.2
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    • pp.79-89
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    • 2015
  • The firms with OHSAS (Occupational Health and Safety Management System) registration should be audited every six months and they have to be reregistered every three years by a third party. In our article audit data were collected from the audit processes of fifty four firms that OHSAS 18001:2007 was implemented and audited by LRQA (Lloyd's Register Quality Assurance). Fifty four firms are largely classified as four categories: civil engineering and construction industry, metal and heavy industry, chemical industry, and other industries including electric, electronic, food, and services. Especially the minor conformity data are analyzed by statistical methods to find out the relationship between four categories of 54 firms and the average number of minor nonconformities. The most frequently appeared minor nonconformities among sub-requirements of OHSAS 18001:2007 are investigated and the reasons for minor nonconformities are specifically explained. The average number of minor nonconformities of firms before and after OHSAS 18001:2007 registration are compared to understand the maturity of OHSAS implementation. Some comments and suggestions are provided for OHSAS to be effectively implemented to the firms if revision is necessary.