Markus Breth

Product · documentation, care, billing

One loop instead of five programs.

The visit is transcribed and becomes a note — every statement clicking back to the passage it came from. Out of that come tasks, out of those come ongoing care programs, and out of those the billing. Built for the roughly 42 % of US physicians who work independently, and for whom the large vendors build nothing.

  • 5 modules, one loop
  • 353 tests green
  • Tenant isolation in the database
  • Demo-ready

The problem

A practice documents, cares and bills — in three separate worlds.

Each one is solved on its own. That they know nothing of one another is the actual problem.

  • 01Scribing stops at the note. Cheap tools produce the documentation — and drop everything that would need to happen next.
  • 02Care is billable, the evidence is missing. Ongoing care for chronic patients is provided for and reimbursed. Without complete evidence it does not get filed — or it gets filed at risk.
  • 03The big systems sell to health systems. What has depth is sold to hospital groups. What a solo practice can buy has none.

The five modules

What happens in a practice is connected — so is the software.

◆ SCRIBE

Visit & chart

The note comes out of the conversation. A statement without a traceable source makes generation fail — rather than inventing one.

◆ INBOX

Practice inbox

The signed note turns into tasks — routed to the role that can actually do them.

◆ CARE

Care programs

Patients measure at home; the practice accompanies them through the time between visits.

◆ TRIAGE

Clinical triage

Many readings become exactly one alert — with an inspectable basis, not a flood of alarms.

◆ BILLING

Billing

At month end the billing is ready, every line item with the evidence that carries it.

◆ PATIENT

Patient app

The patient’s side: measure, understand, stay in touch — deliberately kept apart from the clinical layer.

Built against its own revenue

Three rules that cost money — and therefore earn trust.

A billing system that only points upward is a liability for the practice. These rules live in the code, not in the brochure.

  • —Patients already at target are turned down. A patient whose readings are on target is not proposed for the care program — with a reason given.
  • —Stable patients get actively de-enrolled. The system proposes ending care of its own accord once it no longer adds anything.
  • —No evidence, no line item. If the machine-checkable evidence is missing, the item is blocked — not filed quietly.

Where it stands

Ready to demo, ready for partners.

42%
of US physicians work independently — the target group
353
tests green
59
tests solely proving no practice sees another’s data
0
billed items without checkable evidence

Built to convince physicians, pilot practices and lawyers — not yet to treat patients.

The status is deliberately named honestly: ready to demonstrate, not yet ready for a pilot. What remains open is mostly contractual and clinical, not technical. Deep-dive on request.

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