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  1. provider-aberrant-billing-detection provider-aberrant-billing-detection Public

    Medicare provider aberrant billing pattern detection using peer-group z-scores, Isolation Forest, and cross-method validation. Built on CMS DE-SynPUF. Snowflake + SAS + Python.

    Jupyter Notebook 1

  2. medicare-upcoding-unbundling-engine medicare-upcoding-unbundling-engine Public

    Medicare fraud detection engine validated on CMS DE-SynPUF Medicare Claims

    Jupyter Notebook 1

  3. medicare-phantom-billing-engine medicare-phantom-billing-engine Public

    Medicare fraud detection engine validated on CMS DE-SynPUF Medicare Claims

    Jupyter Notebook 1