# Send Medical Billing & Revenue Cycle to your agent Hand the extracted package to your coding agent with a concrete install brief instead of figuring it out manually. ## Fast path - Download the package from Yavira. - Extract it into a folder your agent can access. - Paste one of the prompts below and point your agent at the extracted folder. ## Suggested prompts ### New install ```text I downloaded a skill package from Yavira. Read SKILL.md from the extracted folder and install it by following the included instructions. Then review README.md for any prerequisites, environment setup, or post-install checks. Tell me what you changed and call out any manual steps you could not complete. ``` ### Upgrade existing ```text I downloaded an updated skill package from Yavira. Read SKILL.md from the extracted folder, compare it with my current installation, and upgrade it while preserving any custom configuration unless the package docs explicitly say otherwise. Then review README.md for any prerequisites, environment setup, or post-install checks. Summarize what changed and any follow-up checks I should run. ``` ## Machine-readable fields ```json { "schemaVersion": "1.0", "item": { "slug": "afrexai-medical-billing", "name": "Medical Billing & Revenue Cycle", "source": "tencent", "type": "skill", "category": "数据分析", "sourceUrl": "https://clawhub.ai/1kalin/afrexai-medical-billing", "canonicalUrl": "https://clawhub.ai/1kalin/afrexai-medical-billing", "targetPlatform": "OpenClaw" }, "install": { "downloadUrl": "/downloads/afrexai-medical-billing", "sourceDownloadUrl": "https://wry-manatee-359.convex.site/api/v1/download?slug=afrexai-medical-billing", "sourcePlatform": "tencent", "targetPlatform": "OpenClaw", "packageFormat": "ZIP package", "primaryDoc": "SKILL.md", "includedAssets": [ "README.md", "SKILL.md" ], "downloadMode": "redirect", "sourceHealth": { "source": "tencent", "status": "healthy", "reason": "direct_download_ok", "recommendedAction": "download", "checkedAt": "2026-04-23T16:43:11.935Z", "expiresAt": "2026-04-30T16:43:11.935Z", "httpStatus": 200, "finalUrl": "https://wry-manatee-359.convex.site/api/v1/download?slug=4claw-imageboard", "contentType": "application/zip", "probeMethod": "head", "details": { "probeUrl": "https://wry-manatee-359.convex.site/api/v1/download?slug=4claw-imageboard", "contentDisposition": "attachment; filename=\"4claw-imageboard-1.0.1.zip\"", "redirectLocation": null, "bodySnippet": null }, "scope": "source", "summary": "Source download looks usable.", "detail": "Yavira can redirect you to the upstream package for this source.", "primaryActionLabel": "Download for OpenClaw", "primaryActionHref": "/downloads/afrexai-medical-billing" }, "validation": { "installChecklist": [ "Use the Yavira download entry.", "Review SKILL.md after the package is downloaded.", "Confirm the extracted package contains the expected setup assets." ], "postInstallChecks": [ "Confirm the extracted package includes the expected docs or setup files.", "Validate the skill or prompts are available in your target agent workspace.", "Capture any manual follow-up steps the agent could not complete." ] } }, "links": { "detailUrl": "https://openagent3.xyz/skills/afrexai-medical-billing", "downloadUrl": "https://openagent3.xyz/downloads/afrexai-medical-billing", "agentUrl": "https://openagent3.xyz/skills/afrexai-medical-billing/agent", "manifestUrl": "https://openagent3.xyz/skills/afrexai-medical-billing/agent.json", "briefUrl": "https://openagent3.xyz/skills/afrexai-medical-billing/agent.md" } } ``` ## Documentation ### Medical Billing & Revenue Cycle Management Analyze medical billing workflows, identify revenue leaks, optimize claim submissions, and reduce denial rates. Built for healthcare practices, billing companies, and revenue cycle teams. ### CPT/ICD-10 Coding Accuracy Common coding errors by specialty (top 10 per specialty) Modifier usage: 25, 59, 76, 77, AI, AS — when required vs when it triggers audit E/M level selection (2021 guidelines): time-based vs MDM-based Evaluation matrix: does documentation support the code billed? ### Claim Denial Analysis Denial reason code lookup (CARC/RARC codes) Top 20 denial reasons across commercial + Medicare + Medicaid Root cause mapping: front-desk error, coding error, clinical documentation, payer policy Appeal letter framework by denial type (with timelines) Clean claim rate benchmark: 95%+ target ### Revenue Cycle KPIs MetricTargetRed FlagDays in A/R<35>50Clean claim rate>95%<90%First-pass resolution>90%<80%Denial rate<5%>10%Collection rate>95%<90%Cost to collect<4%>7%Net collection rate>96%<92% ### Payer Contract Analysis Fee schedule comparison: Medicare vs commercial rates by CPT Allowed amount benchmarking (what you should be getting paid) Underpayment detection: compare ERA/835 to contracted rates Rate negotiation prep: volume data, market rates, quality metrics ### Compliance & Audit Readiness OIG Work Plan items relevant to your specialty Stark Law / Anti-Kickback safe harbors checklist False Claims Act risk factors Internal audit sampling methodology (statistically valid) Documentation improvement programs (CDI) ### Charge Capture Optimization Missed charge identification by department Charge lag analysis (days from service to charge entry) Superbill/encounter form design best practices Common missed revenue: vaccines, injections, supplies, time-based codes ### Patient Financial Responsibility Eligibility verification workflow (real-time vs batch) Prior authorization tracking and requirements by payer Patient estimate generation (good faith estimate compliance) Collections strategy: statements → calls → agency threshold No Surprises Act compliance checklist ### Usage Give the agent your: Specialty (orthopedics, cardiology, primary care, etc.) Payer mix (% Medicare, Medicaid, commercial, self-pay) Current KPIs (denial rate, days in A/R, collection rate) Problem area (denials, underpayments, coding, compliance) The agent will analyze against benchmarks and give specific, actionable recommendations. ### Example Prompts "Our orthopedic practice has a 12% denial rate. Top reasons are CO-4 and CO-16. Analyze root causes." "Compare our cardiology fee schedule to Medicare rates for our top 20 CPTs." "Build an appeal letter for a CO-197 denial on CPT 99214 with modifier 25." "Audit our E/M coding distribution — we're billing 80% level 3. Is that normal for family medicine?" "Our days in A/R jumped from 32 to 48 in two months. What should we investigate?" ### Industry Context Medical billing errors cost US healthcare $935 million per week. The average practice loses 5-10% of revenue to preventable billing issues. Denial management alone can recover 2-5% of net revenue when done right. Built by AfrexAI — AI agent context packs for regulated industries. Get the full Healthcare AI Context Pack with 50+ frameworks at our storefront. ## Trust - Source: tencent - Verification: Indexed source record - Publisher: 1kalin - Version: 1.0.0 ## Source health - Status: healthy - Source download looks usable. - Yavira can redirect you to the upstream package for this source. - Health scope: source - Reason: direct_download_ok - Checked at: 2026-04-23T16:43:11.935Z - Expires at: 2026-04-30T16:43:11.935Z - Recommended action: Download for OpenClaw ## Links - [Detail page](https://openagent3.xyz/skills/afrexai-medical-billing) - [Send to Agent page](https://openagent3.xyz/skills/afrexai-medical-billing/agent) - [JSON manifest](https://openagent3.xyz/skills/afrexai-medical-billing/agent.json) - [Markdown brief](https://openagent3.xyz/skills/afrexai-medical-billing/agent.md) - [Download page](https://openagent3.xyz/downloads/afrexai-medical-billing)