Unified Medicare documentation in a single responsive website

SPs and documentation for importing CMS-issued codes to SQL: ICD diagnosis and procedure codes, ICD diagnosis codes exempt from POA reporting, and "simple" ICD code edits from the Medicare Code Editor (MCE, for the MS-DRG grouper software)

Repository for documentation, code, other materials related to Medicare SynPUF OMOP CDMv5 ETL

PULSE Design System documentation — Foundations, Components, Tokens

No description available

Vantage — Healthcare Value Intelligence Platform. Documentation, architecture, and vision for Medicare Advantage analytics and simulation.

Searchable library of 275 audit-defensible PT, OT, and ST documentation phrases for Medicare Part B compliance.

A machine learning pipeline for detecting billing anomalies and documentation-code mismatches in Medicare and Medicaid claims data from long-term care facilities — using ensemble classification (XGBoost, Random Forest, Isolation Forest) with interpretable output.

Predictive analytics project on Humana Medicare Advantage members, modeling likelihood of preventive PCP visit completion. Used ML models (Decision Tree, Random Forest, XGBoost) to identify low-engagement members, supporting targeted outreach, Stars improvement, and risk documentation

MediCare API is a robust backend solution for managing user authentication, appointments, and role-based access control for a healthcare platform. Built with .NET 9 and C# 13.0, it leverages modern technologies like Entity Framework Core, JWT Authentication, and Swagger for API documentation.