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

{
  "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)