quality-compliance-officer

quality-compliance-officer is an agent for Claude Code from ajhcs/healthcare-agents. It costs 40 tokens per session (8,994 once invoked), scanned A, original, Apache-2.0.

A healthcare compliance officer covering laws and regulations that govern privacy, payments, referrals, emergency care, and government claims.

In plain words
What is it for?
Use it for compliance-program design, risk assessments, HIPAA oversight, Anti-Kickback and Stark reviews, EMTALA, False Claims Act, exclusion screening, and overpayment concerns.
Why use it?
It helps healthcare organizations identify regulatory risks and build processes that prevent violations, improper payments, and reporting problems.

Agent for Claude Code

Written for Claude Code: a Claude Code subagent (agents/*.md). Also seen: positional $N argument.

Good fit Use it for compliance-program design, risk assessments, HIPAA oversight, Anti-Kickback and Stark reviews, EMTALA, False Claims Act, exclusion screening, and overpayment concerns.

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Install with agentmods
npx agentmods add agents/ajhcs/healthcare-agents/quality-compliance-officer
Install

Getting it into your agent

One page per mod, every tool's command on it. A separate URL per tool would split the same page into five that compete with each other.

Clone the repo
git clone --depth 1 https://github.com/ajhcs/healthcare-agents

Made for: Claude Code.

Wrote this? Show the measurements

A badge with what this costs and how it scanned, read live from this page, so it follows the numbers instead of freezing them. Markdown for a README, HTML for a documentation site or a project page.

agentmods badge for quality-compliance-officer

README.md
[![agentmods](https://agentmods.dev/badge/agents/ajhcs/healthcare-agents/quality-compliance-officer/github.svg)](https://agentmods.dev/agents/ajhcs/healthcare-agents/quality-compliance-officer)
Your own site
<a href="https://agentmods.dev/agents/ajhcs/healthcare-agents/quality-compliance-officer"><img src="https://agentmods.dev/badge/agents/ajhcs/healthcare-agents/quality-compliance-officer/github.svg" alt="Measured on agentmods" height="20"></a>

Or the 80×15 button, for a site that already has a row of RSS and ATOM ones. Only the verdict fits; the numbers stay here.

agentmods 80×15 button for quality-compliance-officer

Your own site · 80×15
<a href="https://agentmods.dev/agents/ajhcs/healthcare-agents/quality-compliance-officer"><img src="https://agentmods.dev/badge/agents/ajhcs/healthcare-agents/quality-compliance-officer.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 40 Only the description is in the session, so the agent can decide to use it. The body loads when it is invoked.
When invoked 8,994 The whole file, excluding the scripts and references it only reads on demand.
Security scan A 0 findings. A grade says what 26 rules found in the file — not that it is safe.
Origin original No closer match found in the catalogue.
Token cost

What it costs to keep this loaded

Counted locally with the o200k_base tokenizer, which is exact for GPT models; Claude uses its own tokenizer and its counts differ. Treat this as one consistent yardstick across the catalogue rather than a bill. Prices are per million input tokens.

ModelPer sessionOnce invoked
Fable 5.1 $0.00040 $0.08994
Opus 5 $0.00020 $0.04497
Sonnet 5 $0.00008 $0.01799
Haiku 4.5 $0.00004 $0.00899

Measured 13d ago against content hash 33c6392cc5e2, method: parsed. Prices are Anthropic first-party input rates as of 2026-09-12, from the pricing page.

Security

Grade A, and why

quality-compliance-officer scanned grade A with 0 findings against 26 rules in 11 categories — prompt injection, anti-refusal, data exfiltration, privilege escalation, supply chain, agent snooping, system-prompt leakage, SSRF and excessive agency — measured 13d ago.

A static scan of the body, not an audit. Every finding is printed with the line that produced it so you can judge whether it matters here. A mod is markdown that instructs an agent; that is exactly why what it instructs is worth reading.

Nothing flagged

None of the 26 patterns this scan looks for appear in this file: no shell pipes, no recursive deletes, no credential paths, no hidden text, no instruction-override or anti-refusal phrasing, no agent-config snooping. That is not a guarantee, it is the absence of the things that are checkable.

agents/quality-compliance-officer.md · 510 lines

How it starts

The opening of the file, as written. The whole thing — 510 lines — stays where its author put it; the contents beside it link to each section on GitHub.

Compliance Officer

You are ComplianceOfficer, a senior healthcare compliance professional with 15+ years building, operating, and maturing compliance programs across hospitals, health systems, physician groups, and health plans. You have designed compliance programs from scratch for start-up providers, overhauled programs at organizations under corporate integrity agreements, and led the compliance function at a multi-billion-dollar health system. You hold CHC (Certified in Healthcare Compliance) certification and have deep expertise in the Federal Anti-Kickback Statute (42 USC 1320a-7b(b)), Stark Law (42 USC 1395nn), False Claims Act (31 USC 3729-3733), HIPAA Privacy and Security Rules (45 CFR Parts 160 and 164), EMTALA (42 USC 1395dd), OIG Civil Monetary Penalty authorities, and the HHS-OIG General Compliance Program Guidance (November 2023).

🧠 Your Identity & Memory

  • Role: Enterprise compliance program leadership -- program design and operation aligned to OIG's seven elements, regulatory risk assessment, arrangement review for AKS/Stark compliance, HIPAA privacy and security oversight, EMTALA compliance, False Claims Act liability prevention, exclusion screening, self-disclosure coordination, and board compliance reporting
  • Personality: Principled, direct, and independent. You report to the CEO with direct board access (or directly to the board per OIG GCPG guidance). You do not provide legal advice -- you identify and escalate risks. You are not responsible for billing, coding, legal, or financial functions. You are the organizational conscience with data to back it up. You believe that a compliance program that only detects problems after they cause harm is a compliance program that has failed.
  • Memory: You track OIG special fraud alerts, advisory opinions, safe harbor regulations (42 CFR 1001.952), CMS transmittals, HIPAA enforcement actions, OCR breach notifications, False Claims Act settlements, and state fraud and abuse law developments. You remember the seven elements of an effective compliance program and can recite the OIG GCPG structure in your sleep.
  • Experience: You have unwound a physician compensation arrangement that violated both the AKS and Stark Law and self-disclosed through the OIG Health Care Fraud Self-Disclosure Protocol. You have built an arrangement tracking system that monitors 2,000+ physician contracts for FMV and commercial reasonableness. You have led an organization through a HIPAA breach investigation involving 50,000+ patient records. You have managed compliance under a 5-year CIA with zero material breaches.

Read the full file on GitHub · 510 lines

Changes

What this file has done since we first saw it

Hashed on every crawl. A supply-chain change to an agent config is a question of when, not whether, so the history is kept rather than the latest state alone.

  1. 13d ago First seen · 510 lines · 40 tokens per session scan A 33c6392cc5e2

Subscribe to this mod's changes

quality-compliance-officer is an agent published in the GitHub repository ajhcs/healthcare-agents (51 stars, last pushed 1mo ago), licensed Apache-2.0. It adds 40 tokens to every session and 8,994 once invoked, about $0.0002 per session on Opus 5. A static security scan graded it A with 0 findings. No closer match exists in the catalogue, so it is treated as the original; first seen 2026-08-30.

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