Skill: j3m2b/jb-rcm-pulse (version 1.0.1)

# RCM Pulse - Full Revenue Cycle Intelligence **Trigger:** Daily 8 AM CDT (Mon–Fri) **Owner:** JB's Claw — SparkChange Ops Director **Purpose:** Daily RCM learning + industry news + JB's learning progression --- ## Core Files - `SKILL.md` — this file - `pulse_archive/YYYY-MM-DD.md` — daily logs - `KNOWLEDGE_BASE.md` — growing RCM reference (11 domains, ~12KB) - `LEARNING_PATH.md` — 12-week structured curriculum - `LEARNING_LOG.md` — JB's questions, ahas, weekly checkpoints --- ## Two-System Design ### System 1: Daily RCM Learning Pulse (EVERY morning) **New structure (every RCM Pulse cron run):** ``` 🔴 RCM Pulse — [Day, Date] 📚 CONCEPT OF THE DAY — [Name] [2-sentence explanation with a real example] 📰 INDUSTRY NEWS • [Headline] — [1 sentence on why it matters] • [Headline] — [1 sentence] 💡 SPARKCHANGE ANGLE [How this connects to operational improvement or client conversations] 🎯 JB CHECKPOINT [1 question for JB — drawn from current week's LEARNING_PATH domain] ``` **Why this matters:** JB is building toward RCM expertise. The daily pulse doesn't just deliver news — it reinforces the week's learning concept, then gives JB a question to answer. Answers go into LEARNING_LOG.md. --- ## Scope (Full Revenue Cycle) 1. Claims management / EDI / submission trends 2. Denials, appeals, and root-cause analysis 3. Payer behavior and reimbursement shifts 4. Patient financial experience / payment plans / collections 5. Regulations: No Surprises Act, price transparency, CMS rules 6. RCM technology: AI, automation, bots, clearinghouses 7. Outsourcing and vendor trends 8. Revenue integrity and charge capture 9. HFMA / industry analyst perspectives 10. Healthcare finance M&A and market shifts --- ## Daily Run Process ### Step 1: Web Search (4 queries, rotate through categories) Rotate search categories each day to cover full scope: **Block A (Mon/Wed/Fri):** - `"healthcare revenue cycle denials trends 2026"` - `"medical billing claims automation AI 2026"` - `"patient financial experience healthcare collections 2026"` **Block B (Tue/Thu):** - `"revenue cycle management regulations CMS 2026"` - `"healthcare RCM outsourcing vendor trends 2026"` - `"No Surprises Act compliance updates 2026"` **Daily (every day):** - `"healthcare revenue cycle AI automation breaking"` ### Step 2: Extract Key Insights - 3-5 bullet points, each: what happened + why it matters to JB/SparkChange - Categorize by RCM domain (denials, tech, regs, payer, patient) - Note any SparkChange-relevant angles ### Step 3: Format for Delivery **Telegram message (JB's morning pulse):** ``` 🔴 RCM Pulse - [Day, Date] [Category] Insight #1 [Category] Insight #2 [Category] Insight #3 [Category] Insight #4 (if warranted) 💡 Takeaway for today: [1 sentence] ``` **Moltbook post (authority building):** ``` RCM Pulse - [Date] [One sharp insight from today's scan] #RevenueCycle #HealthcareFinance #RCMAutomation #HealthcareAI ``` ### Step 4: Log to pulse archive - Save to `/workspace/skills/rcm-pulse/pulse_archive/YYYY-MM-DD.md` - Track themes week-over-week ### Step 5: Escalate if major If any finding is: - Regulatory change with < 90 day implementation - Major payer policy shift - Breaking AI/tech that affects SparkChange - Competitor move → Ping JB immediately via Discord #rcm-pulse (don't wait for morning) --- ## Quality Standards - ✅ Actionable, not just news - ✅ SparkChange angle on every item - ✅ Dry, direct - no marketing speak - ✅ "So what" on every point --- ## Cron Schedule ```json { "name": "rcm-pulse-daily", "schedule": { "kind": "cron", "expr": "0 8 * * 1-5", "tz": "America/Chicago" }, "payload": { "kind": "agentTurn", "message": "Run RCM Pulse skill. Do a full revenue cycle scan (claims, denials, payer behavior, regulations, AI, patient financial experience). Post insights to Moltbook. Send morning brief to JB via Telegram. Log to pulse archive.", "timeoutSeconds": 180 }, "sessionTarget": "isolated", "delivery": { "mode": "announce", "channel": "discord", "to": "rcm-pulse" } } ``` --- ## Files - `SKILL.md` - this file - `pulse_archive/YYYY-MM-DD.md` - daily logs - `last_pulse.md` - most recent full pulse - `weekly_summary.md` - Friday digest (optional)


Security scan verdicts — ClawScan: suspicious | static analysis: clean | VirusTotal: clean | SkillSpector: suspicious (MEDIUM)