Three clinic-revenue-cycle choke points — scribe, prior auth, denial appeals — handled by Claude.
Three Claude skills that hit the revenue-cycle choke points every clinic bleeds money through: the HIPAA-aware medical scribe that turns every encounter into a billable SOAP note, the prior-auth packet assembler that kills the PA time-sink, and the claim-denial appeal drafter that recovers the denials most practices leave on the table. Together they lift documentation velocity, capture rate, and net collections without adding staff.
Coming soon — content is being finalized. Email josh@thetalkinghedge.com to be notified when this pack ships.
AI Medical Scribe (HIPAA-Aware Transcription + SOAP)
Claude-powered ambient scribe for clinical encounters. Transcribes the patient-clinician conversation, auto-structures into SOAP note format (Subjective / Objective / Assessment / Plan), generates ICD-10 + CPT coding suggestions, and outputs ready-to-sign EHR entries. HIPAA-aware data path: PHI stays within the clinician's control, redaction boundary sits BEFORE any external model call.
Claim Denial Appeal Drafter
Ingests the denial letter + patient chart + policy language, identifies the denial reason code, and drafts the appeal letter with medical-necessity argument + specific policy citations + required documentation checklist. Targets the $262B/year that payers withhold via denials — most practices capture <40% of recoverable denials due to manual-appeal friction.
Prior Authorization Packet Assembler
Ingests the patient chart + requested procedure/medication + payer rules, generates the prior auth request packet with medical necessity letter, CPT/ICD justification, supporting chart excerpts, and the payer-specific form. Handles the #1 time-sink in every practice — PA requests. Turns a 45-minute staff task into 5 minutes of review + fax.