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Projects in Awesome Lists tagged with medical-billing

A curated list of projects in awesome lists tagged with medical-billing .

https://github.com/terilios/cms-csv-json-app

A comprehensive tool for converting hospital pricing data from CSV to JSON format, designed to ensure compliance with the CMS Hospital Pricing Transparency mandate. Features include automated schema validation against CMS versions 2.0.0 and 2.1.0, a user-friendly Streamlit web interface for easy data handling, and multiple schema versions.

cms csv-to-json data-compliance data-conversion data-standardization health-it healthcare healthcare-data hospital-pricing-transparency jsonschema medical-billing python schema-validation streamlit

Last synced: 08 Feb 2025

https://github.com/rayyan9477/claim-guard-healthcare-claim-integrity-and-fraud-detection

ClaimGuard is a smart system designed to help medical billing companies and hospitals ensure the integrity of their healthcare claims and prevent denials. Think of it as a sophisticated tool that analyzes claim data to predict whether an insurance company is likely to reject a claim before it's even submitted.

claims exploratory-data-analysis fraud-detection machine-learning medical-billing python random-forest

Last synced: 22 Feb 2025