claims-billing-rules
From the author
Reasoning skill for healthcare claims billing rules and fraud detection logic. Use when the user asks about CMS billing rules, place of service codes, global surgery periods, modifier usage (25 59 76 77), NCCI edit logic, column 1 column 2 code pairs, mutually exclusive procedures, modifier indicators, fraud waste and abuse patterns, E&M upcoding, unbundling, phantom billing, impossible day detection, coding error versus fraud distinction, FWA investigation methodology, or claims audit logic. Triggers include "CMS billing rules", "NCCI edits", "modifier 25", "modifier 59", "global surgery period", "upcoding", "unbundling", "phantom billing", "impossible day", "FWA", "fraud waste abuse", "coding error vs fraud", "claims audit", "billing compliance", "E&M level selection".
Install
npx skills add awslabs/hcls-agent-skills --skill claims-billing-rules -a claude-code
Installs to .claude/skills/claims-billing-rules/ · Each command fetches the skill straight from GitHub with the open skills CLI.
Byte-identical to the scanned commit, with the repository’s licence and a SOURCE.txt.
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