Claims Billing Rules
awslabs/hcls-agent-skills/skills/claims-billing-rules
codingOfficial
Official Provider SkillView repo
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. Tr
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Skill details
Versionv1.0.0
AuthorAWS Labs
Categorycoding
Skill IDawslabs/hcls-agent-skills/skills/claims-billing-rules
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