reimbursement-engine

reimbursement-engine is a plugin for Claude Code from rdmgator12/RE-MCP-. Its manifest loads nothing; the 1 skill, 4 commands, 1 MCP server it bundles cost 0 tokens per session together, scanned A, original, MIT.

A calculator for Medicare payment and medical-billing analysis using public data from the U.S. Centers for Medicare & Medicaid Services. It covers payment rates, procedure rules, hospital severity categories, documentation queries, denial risk, and historical resource values.

In plain words
What is it for?
Use it for physician-fee calculations, NCCI procedure checks, DRG and CC/MCC analysis, clinical documentation improvement queries, denial-risk scoring, coverage research, and historical RVU comparisons.
Why use it?
It helps people estimate reimbursement and examine billing or documentation risks without manually combining many Medicare datasets and rules. It is intended for analysis, not a general medical diagnosis tool.

Plugin for Claude Code

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.

Claude Code
/plugin marketplace add rdmgator12/RE-MCP-
agentmods
npx agentmods add plugins/rdmgator12/re-mcp-/re-mcp
Clone the repo
git clone --depth 1 https://github.com/rdmgator12/RE-MCP-

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 reimbursement-engine

README.md
[![agentmods](https://agentmods.dev/badge/plugins/rdmgator12/re-mcp-/re-mcp.svg)](https://agentmods.dev/plugins/rdmgator12/re-mcp-/re-mcp)
Your own site
<a href="https://agentmods.dev/plugins/rdmgator12/re-mcp-/re-mcp"><img src="https://agentmods.dev/badge/plugins/rdmgator12/re-mcp-/re-mcp.svg" alt="Measured on agentmods" height="20"></a>
Per session not measured What this adds to a session before it is invoked.
When invoked not measured The manifest loads nothing itself; its 1 skill, 4 commands, 1 MCP server cost 0 tokens a session between them.
Security scan A 0 findings. Scan, not verified.
Origin original No closer match found in the catalogue.
Security

Grade A, and why

reimbursement-engine 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 3d 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.

.claude-plugin/plugin.json · 26 lines

What it actually says

{
  "name": "reimbursement-engine",
  "version": "0.6.0",
  "description": "Medicare reimbursement calculator — 18 tools for RBRVS payment calculations, NCCI compliance, DRG/CC/MCC severity analysis, CDI query generation, denial risk scoring, and historical RVU trends. All CMS public data, zero AMA licensing.",
  "author": {
    "name": "Ralph Martello, MD",
    "url": "https://github.com/rdmgator12"
  },
  "homepage": "https://github.com/rdmgator12/RE-MCP-",
  "repository": "https://github.com/rdmgator12/RE-MCP-",
  "license": "MIT",
  "keywords": [
    "medicare", "reimbursement", "RVU", "CPT", "NCCI",
    "medical billing", "prior authorization", "medical-legal",
    "physician fee schedule", "GPCI", "conversion factor",
    "historical trends", "expert witness", "damages calculation",
    "HCPCS", "OPPS", "ASC", "coverage determination",
    "DRG", "CC/MCC", "severity", "IPPS", "CDI",
    "inpatient", "wage index", "revenue impact",
    "MCP", "claude", "healthcare", "CMS"
  ],
  "skills": "./skills/",
  "commands": "./commands/",
  "mcpServers": "./.mcp.json"
}
Contents

What it installs

The manifest is a name and a version. 1 skill, 4 commands, 1 MCP server travel with it, and installing the plugin installs all of them — 0 tokens a session between them. Each is measured on its own page, and each can be installed alone.

Files

What ships with it

1 file beside plugin.json in the same directory: the scripts, references and assets a skill reads on demand. Not counted in the per-session cost; read them before you install if any of them is executable.

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. 3d ago First seen · 26 lines scan A af130ca6863d

Subscribe to this mod's changes

reimbursement-engine is a plugin published in the GitHub repository rdmgator12/RE-MCP- (0 stars, last pushed 4d ago), licensed MIT. Its token cost is not measured: this kind of file is read by the harness, not the model. 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 2026-08-31.

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