Project Objectives 🏹
❄ Provider Fraud is one of the biggest problems facing Medicare. According to the government, the total Medicare spending increased exponentially due to medicare frauds.
❄ Rigorous analysis of medicare data has yielded many physicians who indulge in fraud.
❄ They adopt ways in which an ambiguous diagnosis code is used to adopt costliest procedures and drugs.
❄ The goal of this project is to "predict the potentially fraudulent providers" based on the claims filed by them.