Skillfull

Revenue Cycle Management Skills for Claude Code

A comprehensive collection of 14 Claude Code skills covering the complete US healthcare revenue cycle. Integrates with live healthcare data APIs via Model Context Protocol (MCP).

Quick Start

# Clone the repository
git clone https://github.com/DilawarShafiq/skillfull.git

# Skills are auto-detected by Claude Code from .claude/skills/

Try a skill:

/icd10-lookup type 2 diabetes
/npi-verify 1234567893
/coverage-check continuous glucose monitoring
/denial-management CO-16

Features

• 14 RCM Skills: Complete revenue cycle coverage
• MCP Integration: Real-time healthcare API lookups
• SKILL.md Format: Proper Claude Code skill structure
• Progressive Disclosure: Reference docs load on-demand
• HIPAA Aligned: Best practices for compliant billing

Skills

Interactive (MCP-Powered)

Command	Description	Data Source
/icd10-lookup	Search/validate ICD-10-CM/PCS codes	ICD-10 2026
/npi-verify	Verify provider credentials	NPPES Registry
/coverage-check	Research Medicare coverage policies	CMS LCD/NCD
/claim-scrub	Pre-submission claim validation	Multiple APIs

Front-End RCM

Command	Description
/patient-registration	Demographics, scheduling, pre-registration
/eligibility-verification	Insurance verification, benefits, prior auth

Mid-Cycle RCM

Command	Description
/medical-coding	ICD-10, CPT, HCPCS coding guidance
/charge-capture	Service documentation, revenue integrity
/claim-submission	CMS-1500, UB-04, EDI 837

Back-End RCM

Command	Description
/payment-posting	ERA/835, EOB, CARC/RARC codes
/denial-management	Denial analysis and appeal templates
/ar-analysis	A/R aging and collection strategies
/patient-collections	Statements, payment plans, financial assistance
/rcm-analytics	KPIs, dashboards, benchmarking

MCP Integration

Connected to live healthcare data sources:

{
  "mcpServers": {
    "icd10-codes": "ICD-10-CM/PCS code lookup and validation",
    "npi-registry": "National Provider Identifier search",
    "cms-coverage": "Medicare NCDs and LCDs",
    "mimilabs": "50+ CMS/CDC/FDA datasets"
  }
}

Project Structure

skillfull/
├── .claude/
│   └── skills/                    # All 14 Claude Code skills
│       ├── icd10-lookup/          # Interactive ICD-10 lookup
│       ├── npi-verify/            # Provider verification
│       ├── coverage-check/        # Medicare coverage research
│       ├── claim-scrub/           # Pre-submission validation
│       ├── patient-registration/  # Demographics & scheduling
│       ├── eligibility-verification/
│       ├── medical-coding/        # Coding guidance + reference
│       ├── charge-capture/        # Revenue integrity
│       ├── claim-submission/      # EDI 837, CMS-1500, UB-04
│       ├── payment-posting/       # ERA/835, adjustments
│       ├── denial-management/     # Appeals + templates
│       ├── ar-analysis/           # A/R management
│       ├── patient-collections/   # Patient responsibility
│       ├── rcm-analytics/         # KPIs & reporting
│       └── SKILLS.md              # Skills index
├── .mcp.json                      # MCP server configuration
├── CONTRIBUTING.md                # Contribution guidelines
├── LICENSE                        # MIT License
└── README.md

Target Audience

• Medical Billing Specialists
• Revenue Cycle Managers
• Healthcare Administrators
• Practice Managers
• Health Information Management (HIM) Professionals
• Healthcare IT Developers

Certification Alignment

Content aligns with competencies for:

Certification	Organization
CPC (Certified Professional Coder)	AAPC
CCS (Certified Coding Specialist)	AHIMA
CRCR (Certified Revenue Cycle Representative)	HFMA
CPB (Certified Professional Biller)	AAPC

Contributing

We welcome contributions. See CONTRIBUTING.md for:

• Skill format requirements
• Healthcare accuracy guidelines
• MCP integration patterns
• Submission process

Disclaimer

This repository is for educational and reference purposes only. Always verify information against current CMS guidelines, payer policies, and applicable regulations.

This is NOT a substitute for:

• Official CMS/payer documentation
• Professional medical coding certification
• Legal or compliance advice

License

MIT License

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