Writing & Content Workflows

Build, evaluate, and document HCC / risk-adjustment extraction pipelines for CMS-HCC V28 / V24 / HHS-HCC (NLP engineering, not chart review). Use when asked to "build an HCC extractor", "risk adjustment NLP", "clinical NLP for risk adjustment", "build a suspect engine", "build a validate engine", "RAF NLP", "RAF score NLP", "MEAT as NLP", "MEAT validation", "HCC hierarchy enforcement", "RADV simulation", "RADV readiness", "date of service for HCC", "Z-code disambiguation for HCC", "model card for HCC extractor", "V28 vs V24 migration for NLP", "HHS-HCC NLP", "history-of trap", "problem-list-only invalid", or any data-science task targeting HCC capture. DO NOT USE FOR clinical chart review (use medical-chart-review skill). DO NOT USE FOR HEDIS NLP (use hedis-nlp skill). DO NOT USE FOR HIPAA compliance program work like BAA review, breach response, or OCR audit prep (use the hipaa-compliance skill). DO NOT USE FOR handling real identifiable PHI without explicit user confirmation that data is de-identified or that the environment is HIPAA-compliant.

Build, evaluate, and document per-measure HEDIS extraction pipelines (NLP engineering, not chart review). Use when asked to "build a HEDIS extractor", "HEDIS NLP", "quality measure NLP", "NCQA HEDIS extractor", "extract HEDIS data with NLP", "set up date-of-service attribution for [measure]", "handle assertion or negation for HEDIS NLP", "evaluate a HEDIS NLP model", "write annotation guidelines for HEDIS", "build a model card for [measure]", "design MRRV-ready NLP", "set up extraction for GSD / BCS-E / FUH / MRP / TRC / COA / CBP / [any HEDIS measure]", "supplemental data NLP", "MRRV audit prep", or any data-science task targeting HEDIS measure extraction. DO NOT USE FOR clinical chart review (use medical-chart-review skill). DO NOT USE FOR HCC / risk-adjustment NLP (use hcc-nlp skill). DO NOT USE FOR HIPAA compliance program work like BAA review, breach response, or OCR audit prep (use the hipaa-compliance skill). DO NOT USE FOR handling real identifiable PHI without explicit user confirmation that data is de-identified or that the environment is HIPAA-compliant.

Expert-level review and analysis of medical charts, EMRs, and EHRs by clinicians, coders, and CDI/quality auditors. Use when asked to "review a chart", "chart review", "chart abstraction", "clinical documentation review", "audit medical records", "extract from EHR", "summarize patient history", "check documentation", "validate ICD-10/HCC/CPT coding", "DRG validation", "perform CDI review", "risk adjustment audit", "HEDIS gap analysis", "medication reconciliation", "identify red flags in chart", "abstract clinical data", or any task involving SOAP notes, progress notes, discharge summaries, problem lists, H&P, consult notes, lab/imaging interpretation, or Epic/Cerner/Athena/Meditech data. DO NOT USE FOR providing direct patient care, making diagnoses for live patients, prescribing, or anything requiring a licensed clinician''s judgment of record. DO NOT USE FOR building HEDIS or HCC NLP extraction pipelines (use the hedis-nlp or hcc-nlp skills in the same repo). DO NOT USE FOR HIPAA compliance program work like BAA review, breach response, OCR audit prep, de-identification methodology, or technical-safeguard design (use the hipaa-compliance skill). DO NOT USE FOR handling real identifiable PHI without explicit user confirmation that data is de-identified or that the environment is HIPAA-compliant.