How the work moves
Three diagrams. The sequence from the first call to a chart that can be opened by someone else — including an auditor.
01
Live in 14 days
No generic bench dropped onto your templates. A matched specialty team, calibrated against your EMR, then live with a QA layer still attached.
One call
Understand the practice
Role, software, payers, KPIs. What “good” looks like on your floor — not on a generic intake form.
72 hours
Team match
Specialists already trained in the specialty, mapped to your workflow and the EMR you actually use.
One week
Shadow and calibrate
Running against your templates and provider preferences. Nothing is billed as live until the note reads the way it has to.
Ongoing
Live with QA
The work is in production. A second certified coder samples on a rolling basis. You get the report monthly.
02
The chart
One trained team owns the note end to end. Coding does not start until the documentation can be defended. QA does not start until the codes can be defended.
Visit
Encounter
The facts of the visit exist — measurements, laterality, decision-making, time. They are not yet a note that will survive review.
Specialty bench
Documentation
A specialist writes the note to the LCD and the template, not to a general scribe script. Standard-of-care trials, units, class findings sit in the chart.
ICD-10 · CPT · HCPCS
Coding
Codes are assigned against the note that was written, the product that was used, and the units that were actually described.
Second read
Independent QA
A second certified coder recodes a defined sample. Discrepancies are logged by category — not fixed as one-offs and forgotten.
Ready to move
Claim
The claim leaves with a chart behind it that can be opened. That is the product. Speed without that layer is just a faster denial.
03
Before any PHI moves
This website and the operations floor are not the same room. Charts do not travel through a contact form.
Contract
BAA signed
The Business Associate Agreement is executed first. Until then we will not take EMR access, file drops, or sample charts.
Need to know
Access provisioned
Only the specialists on that practice, behind MFA. Not a shared inbox. Not the marketing site.
HIPAA channel
Work on the floor
Documentation, coding, QA, and authorizations run in the contracted systems. PHI stays off this website.
When it ends
Return or destroy
When the engagement ends, PHI is returned or destroyed as the BAA requires — unless the law says it must be held.
This website
Allowed
Practice name, work email, a description of the workflow. Booking a review.
Not allowed
Patient names, record numbers, notes, claims files, EMR screenshots.
Operations floor
After the BAA
Charts, coding queues, authorizations, QA samples — in the contracted channel only.
Still never
PHI in public email, in a ticket to the marketing inbox, or in an unapproved tool.