For physician practices using ambient AI · 5-day fixed scope

Medical AI Practice Audit — The Documentation Question Your Ambient AI Isn't Answering

Ambient AI scribing tools (Abridge, DAX Copilot, Suki, Corti, Nabla, Freed, DeepScribe) are producing your notes. Payer audits, malpractice review, Joint Commission, state medical boards, and patient records requests all ask for the record of what the AI produced, when, and how. Most practices can't answer. This audit gives you the record + the language your practice needs.

$2,500 USD · group practice tier · 5 days
Start the audit What's included

Independent by design

Every ambient AI vendor has a story about their HIPAA posture and audit trail. Some are good. Most are marketing. A practice relying on the vendor's own account is in the same trap as a physician relying on the model's own self-grading — the vendor cannot, structurally, produce the third-party attestation your payer's auditor, malpractice carrier, Joint Commission surveyor, or state board wants. Same reason your practice consults outside counsel on its own compliance questions: independence is the value.

What you get

Six deliverables. Five business days from data handoff.

The audit

  • Ambient AI tool inventory — every AI tool the practice uses (Abridge / DAX / Suki / Corti / Nabla / Freed / DeepScribe / Augmedix / Robin / etc), mapped to every specialty and encounter type
  • HIPAA reproducibility posture per tool — PHI retention, model versioning, output-of-record, cache determinism, audit trail availability
  • Joint Commission + CMS compliance map — where the practice's AI use satisfies or gaps documentation standards
  • Payer-audit defensibility statement — drop-in language for insurance-panel reimbursement audits (Medicare, Medicaid, commercial payers all now ask)
  • Malpractice carrier answer sheet — drop-in for E&O renewal AI-use questionnaires
  • Patient-facing consent + disclosure language — for intake forms, patient portal, wall signage
  • 30 / 60 / 90-day roadmap — specific closes for identified gaps, ranked by exposure

You provide

  • List of AI tools the practice currently uses (best guess is fine; we'll surface the gaps)
  • Specialties + encounter types AI touches
  • The specific payer question, malpractice carrier concern, or Joint Commission survey issue that triggered the engagement (if any)
  • 30-minute kickoff call w/ medical director OR practice administrator OR CMIO

The three surfaces where practice AI-use goes wrong

Cross-tool drift
Most practices use 2-4 AI tools without a coordinating layer. Scribing on Abridge. Coding assist on 3M M*Modal or Notable. Patient-messaging on ChatGPT-Health-Advisor. Each has its own PHI retention, log format, and audit trail (usually poor). When a payer or malpractice reviewer asks for "the AI record" for an encounter, the record is fragmented across vendors that don't coordinate.
Silent version drift across encounters
Abridge in March runs on one underlying model. In September it's a different model. No physician noticed. Two encounters side-by-side in a records request show different-shape AI reasoning. If one goes to malpractice review, the practice can't easily produce the exact model version it used at the time.
Confident-but-wrong that survives physician review
Not the obvious hallucination (physician catches most of those). The subtle wrong medication dosage transcribed as normal, the missing allergy mention, the "assessment and plan" that reads competent but drops the most important finding. Physician reviewing 40 AI-generated notes at end of clinic doesn't spot the pattern in note #23. Payer audit finds it in retrospect. Malpractice claim surfaces it years later.

Pricing tiers

Fixed-scope, fixed-price. No hourly billing.

Solo / Small (2-10 MDs)
$500-$1,500
Single-tool audit · 2 days · 2-page brief + defensibility statement
Group (10-50 MDs)
$2,500
Full 6-deliverable audit · 5 days · walkthrough call included
MSO / Multi-site (per specialty)
$10K-$25K
Multi-tool + multi-state + medical-director attestation prep · 2-4 weeks

Start the audit

Group tier — $2,500 flat, five business days from kickoff. If your practice has an active payer question, carrier audit, or upcoming Joint Commission survey w/ AI-use questions, say so on the kickoff call — I'll compress the timeline if possible.

Buy the audit — $2,500

Prefer a 15-minute qualification call first? Email luddy.kevin@gmail.com.

Why me

Kevin Luddy. 35 years shipping production software. 24-year CTO at Oculearn (HIPAA-adjacent clinical platform, patient-safety and provider-side workflow). Not a physician — a technologist auditing clinical AI.

The audit surface is technical (model versioning, PHI retention, output-of-record, cache determinism, audit trail) crossed w/ regulatory (HIPAA, Joint Commission, CMS, state medical boards, payer contracts). Neither pure physician nor pure engineer produces a defensible cross-disciplinary artifact. contrarianAI is the position that does — independent, technical, and calibrated to the specific questions your practice's payer, carrier, surveyor, and state board will ask.