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Field Notes Clinical infrastructure, in practice
AI Scribing for Concierge Practices: A Practical Guide
Aug 27, 2026 ·6 min read

AI Scribing for Concierge Practices: A Practical Guide

Documentation is the tax clinicians pay for the privilege of practicing medicine, and in concierge settings that tax is heavier than it looks. Your visits run longer. You

AI Async Care Coordination for Clinic Follow-Ups
Aug 21, 2026 ·6 min read

AI Async Care Coordination for Clinic Follow-Ups

Every clinic I've worked with has the same hidden tax: the routine follow-up. The two-week check-in after a GLP-1 titration. The "how are you tolerating the new

AI Prior Authorization for Clinics: What Works
Aug 20, 2026 ·5 min read

AI Prior Authorization for Clinics: What Works

Prior authorization is the tax you pay for practicing medicine in the American system. If you run a compounding-focused or concierge practice, you already know the arithm

Refill Turnaround Time Is a Revenue Metric
Aug 19, 2026 ·5 min read

Refill Turnaround Time Is a Revenue Metric

Every compounding practice I've worked with tracks new patient acquisition obsessively. Very few track refill turnaround time with the same discipline, which is stran

Rx Turnaround Audit for Compounding Practices
Aug 18, 2026 ·6 min read

Rx Turnaround Audit for Compounding Practices

If your Rx turnaround has crept past 48 hours and your team is blaming "the pharmacy," you probably have a workflow problem, not a partner problem. In practices

What Actually Triggers a HIPAA Audit or Investigation
Aug 17, 2026 ·6 min read

What Actually Triggers a HIPAA Audit or Investigation

Most practice owners I talk to picture a HIPAA audit as some random federal roulette wheel. In reality, audits and investigations are triggered by predictable events, and

How to Audit Your Practice Intake Workflow
Aug 16, 2026 ·6 min read

How to Audit Your Practice Intake Workflow

Most intake problems are invisible until you sit down and count. A practice will tell me their intake "runs pretty smoothly," and then we clock it: 47 minutes o

Stop Redundant Data Entry in Clinical Handoffs
Aug 15, 2026 ·6 min read

Stop Redundant Data Entry in Clinical Handoffs

The average patient in a concierge or compounding-adjacent practice gets asked the same question between four and seven times before they leave the building. Name. Date o

Fixing Compounding Refill Drop-Off With Automation
Aug 14, 2026 ·7 min read

Fixing Compounding Refill Drop-Off With Automation

Refill drop-off is the quiet revenue leak in most compounding-adjacent practices. A patient starts on a protocol, does well for the first two cycles, then something break

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