claude

medical-revenue-cycle

Medical Revenue Cycle specialist team — agents, skills, cited knowledge bank, templates, commands, best-practice rules, an advisory hook. A revenue-cycle team for a healthcare provider or RCM operator — it drives the clean-claim rate toward 98%, attacks denials before they happen (initial denials hit ~11.8% in 2024 and trend 12–15%), works the A/R by aging bucket, and reads net collection rate the way a CFO who lives the cash cycle does. Inherits ravenclaude-core protocols.

9 on GitHubby Matt Corbettv0.2.3MITupdated today
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Plugin medical-revenue-cycle from marketplace ravenclaude in mcorbett51090/RavenClaude. Commands read from the repo's manifest — today.

This plugin runs code on your machine — its hooks fire automatically on events like tool use. The exact commands are listed below; read them before installing.

What it installs

Skills (5)

  • build-rcm-scorecard

    Build a net-collection-led RCM scorecard with first-pass, denial-by-category, and days-in-A/R, each defined and baselined. Reach for this to instrument the cycle.

  • prevent-denials

    Categorize denials by root cause and owner and push fixes upstream to registration and authorization, instead of only appealing. Reach for this when the denial rate is high.

  • read-coding-denials

    Trace coding denials to documentation, code selection, or modifier use as decision-support, never to up-coding. Reach for this when coding denials rise.

  • read-the-cash-cycle

    Read net collection rate, first-pass resolution, and days-in-A/R together, against benchmark, so a cash problem is diagnosed correctly. Reach for this on any collections question.

  • work-down-ar

    Prioritize an A/R work-down by aging bucket, payer, and recoverable dollars, with timely-filing risk first. Reach for this when A/R piles up.

Slash commands (5)

  • /medical-revenue-cycle:build-an-rcm-scorecard

    Build a net-collection-led RCM scorecard with first-pass, denial-by-category, and days-in-A/R, each defined and baselined. Reach for this to instrument the cycle.

  • /medical-revenue-cycle:prevent-denials-at-the-root

    Categorize denials by root cause and owner and push fixes upstream to registration and authorization, instead of only appealing. Reach for this when the denial rate is high.

  • /medical-revenue-cycle:read-coding-driven-denials

    Trace coding denials to documentation, code selection, or modifier use as decision-support, never to up-coding. Reach for this when coding denials rise.

  • /medical-revenue-cycle:read-the-cash-cycle

    Read net collection rate, first-pass resolution, and days-in-A/R together, against benchmark, so a cash problem is diagnosed correctly. Reach for this on any collections question.

  • /medical-revenue-cycle:work-down-aged-a-r

    Prioritize an A/R work-down by aging bucket, payer, and recoverable dollars, with timely-filing risk first. Reach for this when A/R piles up.

Subagents (4)

  • denials-management-specialist

    Use this agent for denial prevention and A/R management — root-cause categorization, front-end fixes, appeals, and work-down. NOT for code assignment (route to medical-coding-specialist) or scorecard analytics (route to rcm-analytics-analyst).

  • medical-coding-specialist

    Use this agent for coding accuracy and coding-driven denials as coder decision-support. NOT for final code assignment (the credentialed coder's) or A/R/denial workflow (route to denials-management-specialist).

  • rcm-analytics-analyst

    Use this agent for RCM analytics — first-pass/clean-claim, net collection rate, days-in-A/R, denial analytics, and scorecard design. NOT for coding (route to medical-coding-specialist) or appeals workflow (route to denials-management-specialist).

  • rcm-engagement-lead

    Use this agent to scope an RCM problem, frame a review, or route to a specialist. The orchestrator. NOT for coding specifics (route to medical-coding-specialist) or denial root-cause work (route to denials-management-specialist).

Hooks (1)

  • PostToolUse

    /usr/bin/env -u BASH_ENV -u ENV -u SHELLOPTS -u BASHOPTS -u LD_PRELOAD -u LD_LIBRARY_PATH -u LD_AUDIT -u DYLD_INSERT_LIBRARIES -u DYLD_LIBRARY_PATH -u PYTHONPATH -u PYTHONSTARTUP PATH=/usr/local/bin:/

View source on GitHub mcorbett51090.github.io

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