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Compliance Guardian Agent

Implements a rule-based expert system with O(r) complexity where r = number of regulations. Validates against CMS NCDs (280.

Agent ID
compliance-guardian
Sector Durable Medical Equipment (DME) and Medical Device Supply Chain
Status
Operational

Problem Statement

The challenge addressed

CMS regulatory compliance is complex—42 CFR requirements, LCD/NCD policies, documentation rules vary by equipment type. Non-compliance results in claim denials, audits, and penalties.

Core Logic

How the agent solves it

Implements a rule-based expert system with O(r) complexity where r = number of regulations. Validates against CMS NCDs (280.3 for power mobility), LCDs (L33792), 42 CFR 414.210 billing rules. Auto-gen...