Patient Experience & Satisfaction Analysis

You can rapidly evaluate pre-authorization requests by extracting clinical information from provider submissions, mapping findings against medical necessity standards, identifying documentation gaps, and generating clear authorization decisions with detailed rationale. This creates an audit trail that withstands peer review and appeals while supporting provider education through transparent decision logic.

by github

You can systematically decode state-specific grant requirements across Medicaid, workforce development, rural health, and behavioral health programs. The skill helps you identify compliance gaps in your current processes, build state-compliant budget narratives and work plans, and create audit-ready documentation frameworks tailored to your state's unique administrative standards and reporting frequencies.

by github

Conduct thorough retrospective audits of medical coding submissions with structured claim-level analysis, coder performance evaluation, and compliance risk stratification. You'll identify coding errors, quantify compliance violations, validate HCC accuracy, and generate audit documentation that satisfies CMS, OIG, and internal compliance requirements with supporting clinical justification and regulatory references.

by github

You can conduct comprehensive compliance audits of active grants by evaluating them against federal regulations (OMB 2 CFR 200), funder-specific terms, and institutional policies. Claude helps you identify specific compliance gaps, prioritize remediation actions, and create detailed remediation plans that protect institutional funding and reduce audit liability.

by github

You can systematize the entire primary source verification lifecycle—from initial data collection through final documentation—for healthcare providers. This skill manages verification requests across multiple credential categories (licenses, education, DEA, employment history), tracks source coordination timelines, resolves discrepancies between sources, and produces compliance-ready verification reports that satisfy Joint Commission, CMS, and plan network audits.

by github

Analyze outpatient authorization requests against clinical evidence, payer guidelines, and regulatory standards to generate clear approval or denial recommendations with documented medical necessity justification. The skill transforms scattered clinical notes, procedure codes, insurance guidelines, and patient history into structured determinations that withstand peer-to-peer reviews, appeals, and regulatory audits while reducing decision time from hours to minutes.

by github

You can conduct comprehensive pre-submission compliance audits of federal grant applications, budgets, and supporting documentation. Claude systematically validates alignment with OMB Uniform Guidance, agency-specific regulations, allowable cost policies, indirect cost structures, and institutional compliance standards. This identifies red flags—unallowable costs, cost-sharing mismatches, salary cap violations, F&A allocation errors, and subaward pass-through issues—before they reach federal reviewers, reducing submission delays and audit risk.

by github

You can systematically evaluate how political instability, leadership transitions, factional conflicts, and policy shifts affect your health security objectives and medical diplomacy initiatives. The skill identifies specific political vulnerabilities in healthcare infrastructure, pharmaceutical supply chains, aid acceptance, bilateral agreements, and cross-border health cooperation—enabling you to assess feasibility before committing resources and develop contingency protocols for high-risk environments.

by github