LIVE BUILD #1 · FREE

The Handshake

Wednesday, September 30 · 7:30 PM Central

Watch two AIs do a medical office's insurance verification, live. ChatGPT pulls the schedule and runs eligibility on Availity, then hands the work to a second AI agent that calculates what each patient will owe.

  • How the two AIs hand off work, step by step
  • What broke along the way, and how I fixed it
  • Your questions, answered live

The first episode of The Autonomous Practice podcast, live every other Wednesday night.

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The Autonomous Practice

Solo and small-office physicians who run their practices without staff.

I run a solo cataract practice in Denton, Texas with no full-time employees. Every administrative task, from patient intake to insurance verification to check-in, is handled by automations I built. My time goes to patients and surgery. Everything else runs on its own. If you are a physician who wants that kind of practice, you are in the right place.

Watch the automated front office

The Autonomous Practice

Solo and small-office physicians who run their practices without staff.

I run a solo cataract practice in Denton, Texas with no full-time employees. Every administrative task, from patient intake to insurance verification to check-in, is handled by automations I built. My time goes to patients and surgery. Everything else runs on its own.

Join the Program

This is a new kind of practice.

In 2011 I built a traditional cataract practice from scratch. I did every office task myself, then replaced myself with staff. That practice grew and eventually sold to private equity. In 2024 I built a new practice the same way, but this time I replaced each task with a computer automation. My role now is to see one new patient per day, operate on four to five cataracts per week, and handle every patient touchpoint personally. There is no front desk, no biller, no office manager. Just me and the automations.

See how it works

As featured in

Doximity Op-Med • KevinMD • The White Coat Investor • Debt Free Doctor Podcast

Denton Eye Consultants, Denton, TX  •  conciergeophthalmologydoc@gmail.com

Dr. Fass is the author of The Autonomous Physician, creator of The Autonomous Practice Blueprint and The AI Operations Lead, and an affiliate partner of Keragon. If you sign up through his link, he receives a commission at no additional cost to you. He has no other financial interests in any company or product mentioned.

Dr. Fass is a ModMed Ambassador and receives fair-market-value compensation for occasional participation in ModMed-arranged phone calls, site visits, and conference booth appearances.

Educational content only. Not medical advice. Not legal, tax, or financial advice.

The Autonomous Practice

Everything your front office does by hand, your practice can do on its own.

The instruction is free. Watch the short version, then start anywhere you like.

Instruction is free Free enrollment Start at any module

The instruction is free. The convenience is a la carte.
Every lesson costs nothing. The downloadable guides and scripts are priced individually, for people who would rather not build them from scratch.

Already enrolled? Go to your library.

The modules

Each module stands on its own. Watch the lessons, or take the finished files and be running the same day.

00
Orientation

Start here, from the Doximity article

The short version of how this practice runs, written for people arriving from the article. Read this before picking a module.

Watch module 00Coming soon
01
Referrals

From referral to front door, without anyone answering a phone

How a referring office reaches you without a phone call, and how the screening questions get asked and answered before anyone picks up. Includes the app that puts your practice on a referring doctor's home screen and the QR code card that puts your practice on a referring doctor’s home screen.

The referral problemPhone screen logicThe referral appQR code card
Watch module 01 Phone Screen Referral $99.99
02
Check-in

Check-in without staff

What a patient sees when they walk in and there is no one behind the desk. This one is free to download, because it is the fastest way to understand what the rest of the course is describing.

The arrival flowSelf check-inException handling
03
The visit

The visit, solo

How the visit itself runs with nobody else in the building. One physician, one patient, and the systems handling everything around the exam.

Watch module 03
04
Surgery

Surgical scheduling without a scheduler

Booking surgery, consents, and patient paperwork with no scheduler on payroll. Includes the patient-facing scheduling avatar and where co-management fits into the calendar.

More than one place at a timePaperwork and consentsScheduling avatar
Watch module 04
05
Financial

Insurance, authorization, and what the patient owes

Eligibility checked before the visit, and a patient cost estimate produced without anyone opening a payer portal. This is the module administrators tend to watch twice.

Eligibility checksBenefit parsingEstimate generationPatient delivery
Watch module 05 Get the build files Insurance Verification and Cost Estimates, $99.99
06
Outreach

The reschedule list, bulk patient outreach without staff

The list of patients you should have called back is usually the most expensive thing in the practice. Here is how it gets worked in bulk, on a schedule, without a staff member assigned to it.

Building the recall listMessage sequencingResponse handling
Watch module 06 Get the build files Patient Recall and Outreach, $99.99
07
Lifestyle

Have fun and play games

The lifestyle a solo autonomous practice actually enables. Paramotor flying, family time, thinking. What you buy with the hours you no longer spend on admin work.

Watch module 07
08
Business

The business layer

The entity, the money, and the decisions underneath the automations. What the practice looks like as a business rather than as a clinic.

Watch module 08
09
Getting started

Your first move

If you only do one thing after watching, do this one. The first automation to build, and why it is the one that proves the rest are possible.

Watch module 09
10
Compliance

HIPAA foundation, the BAA chain

Where patient data is allowed to travel and who has to sign what before it does. The BAA chain, how to tell a compliant path from a merely convenient one, and what compliant patient email actually requires.

Where PHI may goThe BAA chainConsent language
Watch module 10 Get the build files HIPAA-Compliant Patient Email, $99.99
11
Payments

Premium payment administration

The full workflow for CareCredit applications, premium IOL conversion scripts, cash discount programs, and merchant processing. Revenue multiplication, not just cost reduction.

Watch module 11
12
Architecture

Multiplicity

The architectural toolkit for building a practice where you are simultaneously the physician, the front desk, the biller, and the strategist. Explains how the pieces fit together as one system.

Watch module 12
13
Startup

Practice start up from scratch

The complete paperwork bundle for opening a solo or micro-practice, plus the book as a bonus for course members.

Watch module 13
14
Ophthalmology

Co-management with optometrists

The structure that pays nobody, driven entirely by patient choice, with the document set behind it. Attorney and regulatory reviewed, cleared for distribution, and in use with referring optometrists.

The compliance questionPatient-driven structureThe document set
Watch module 14 Get the toolkit Ophthalmology Co-management Toolkit, $1,999.99
15
Philosophy

Why I am the one, and why you are too

Why physician-owner-operator practices matter more today than they did ten years ago, and what it means to be the last generation of physicians who remember practicing without automation.

Watch module 15
16
Updates

How to navigate updates in a quickly changing world

The tools change underneath you. How to keep a working automation working when the platform it runs on moves.

Watch module 16Coming soon
17
Agents

Agents

What an agent is, what it can be trusted with, and how a practice changes when the software stops waiting to be told what to do.

Or take either one free when you start a Keragon trial through my affiliate link: fax agent or voicemail agent.

Nothing here is behind a paywall.

Every lesson above is free to watch. The downloads exist for one reason: some people would rather spend an hour than a weekend.