You have been brought in as a healthcare fraud analyst to investigate potential upcoding across a network of…
You have been brought in as a healthcare fraud analyst to investigate potential upcoding across a network of…: a task in ProgAgent-Environments (Harbor dataset). Your investigation must draw on several complementary sources. A set of configuration files describes the analytical framework you…
The task
Your investigation must draw on several complementary sources. A set of configuration files describes the analytical framework you should follow. One file lays out the scoring weights assigned to each risk factor, the thresholds that determine whether a provider is flagged and at what priority level, and the expected…
Part of LLLeo612/ProgAgent-Environments.