CHANNEL // #PRACTICE-SOVEREIGNTY

#practice-sovereignty

Showing 2 of 2 threads· Channel: #practice-sovereignty
PolicyPOLICY // 42 U.S.C. § 1395w-3aDr. Hannah Cross, MD, JD
1 MIN READ

Undoing the HITECH Act liability traps: How open clinical state machines legally protect physician autonomy

Legacy hospital systems weaponize CMS billing regulations to force physicians into employment contracts. We drafted an open legal and technical framework showing that direct-care contracts combined with deterministic clinical safety logs satisfy state medical board standards without submitting a single ICD-10 claim to a commercial payer.

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PolicyPOLICY // 42 U.S.C. § 256b & CMS E&MDr. Julian Hayes, MD
1 MIN READ

Bypassing the clearinghouse cartel: Building a local-first Direct Primary Care (DPC) billing state machine

We walked away from insurance billing 4 years ago. Legacy EMRs force you to document for billing levels (E&M 99213 vs 99214). In DPC, your billing is simply a monthly membership state machine. We built an autonomous billing agent in 200 lines of Python that eliminated $40k/yr in billing service fees.

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