Yao Ma

Samirah Bakker, Yao Ma, Seyed Sahand Mohammadi Ziabari

The complexity of mental healthcare billing enables anomalies, including fraud. While machine learning methods have been applied to anomaly detection, they often struggle with class imbalance, label scarcity, and complex sequential patterns. This study explores a hybrid deep learning approach combining Long Short-Term Memory (LSTM) networks and Transformers, with pseudo-labeling via Isolation Forests (iForest) and Autoencoders (AE). Prior work has not evaluated such hybrid models trained on pseudo-labeled data in the context of healthcare billing. The approach is evaluated on two real-world billing datasets related to mental healthcare. The iForest LSTM baseline achieves the highest recall (0.963) on declaration-level data. On the operation-level data, the hybrid iForest-based model achieves the highest recall (0.744), though at the cost of lower precision. These findings highlight the potential of combining pseudo-labeling with hybrid deep learning in complex, imbalanced anomaly detection settings.

Hongliang Chi, Qiong Wu, Zhengyi Zhou et al.

Data selection has emerged as a crucial downstream application of data valuation. While existing data valuation methods have shown promise in selection tasks, the theoretical foundations and full potential of using data values for selection remain largely unexplored. In this work, we first demonstrate that data values applied for selection can be naturally reformulated as a sequential-decision-making problem, where the optimal data value can be derived through dynamic programming. We show this framework unifies and reinterprets existing methods like Data Shapley through the lens of approximate dynamic programming, specifically as myopic reward function approximations to this sequential problem. Furthermore, we analyze how sequential data selection optimality is affected when the ground-truth utility function exhibits monotonic submodularity with curvature. To address the computational challenges in obtaining optimal data values, we propose an efficient approximation scheme using learned bipartite graphs as surrogate utility models, ensuring greedy selection is still optimal when the surrogate utility is correctly specified and learned. Extensive experiments demonstrate the effectiveness of our approach across diverse datasets.