MIKE NANTO
Case file 03 · full record · Healthcare automation & compliance

A clinic that
runs itself.
Compliance with teeth.

Two healthcare engagements, one theme: a clinical practice where staff checked insurance by hand and tracked refills on spreadsheets, and a live healthcare software platform that needed a HIPAA audit it could actually act on. Here is what I built, in plain terms.

7third-party systems woven into one automated fabric
16+7automated services and scheduled routines running the practice day and night
43HIPAA requirements audited, every verdict backed by the exact file and line of code
14ready-to-build fix plans, each with a clear definition of done
§1 · The situation

Careful people, doing machine work by hand

At the clinic, skilled staff spent their days on work no human should have to do: calling and clicking through portals to check insurance eligibility one patient at a time, and tracking medication refills on spreadsheets that depended on somebody remembering to look. Every manual step was a chance for a lapsed policy or a missed refill to slip through. And the people doing it were the same people patients needed at the front desk.

Separately, a healthcare software platform serving many organizations needed a HIPAA Security Rule audit: not a generic checklist, but findings precise enough that an engineering team could open the report and start fixing.

The mandate: make the routine work run itself, and make compliance something you can prove and act on.

§2 · What was done

The clinic, automated. The audit, made actionable.

  • Insurance eligibility now runs itself, end to end: verified in real time the moment an appointment is booked, re-checked automatically each day ahead of the schedule, swept across the full caseload monthly, with results written back to the chart instead of a spreadsheet.
  • Refills no longer depend on memory: a reminder system triggered by the clinical notes themselves schedules outreach around each patient's actual supply, keeps trying when nobody responds, and hands staff a monthly summary.
  • The front office sees everything without asking: patient contacts sync automatically into the phone system, and staff get a text alert the moment an intake form is submitted.
  • It costs almost nothing to run: the whole fabric lives on cloud services that only run, and only cost money, when they're working. The result is near-zero overhead, with every password and key locked in a secure vault, built-in guardrails against overload, and a complete activity log on every workflow.
  • On the audit, every verdict is provable: 43 HIPAA requirements examined across Technical, Physical, and Administrative safeguards, each finding tied to the exact file and line of code, then double-checked in a full second pass.
  • Findings became work, not warnings: the 14 most urgent fixes written up so engineers could start immediately, each with a clear definition of done and the HIPAA citation it satisfies.
  • The paperwork enforces itself: the two-way Business Associate Agreement chain mapped end to end, including a hard stop built into the system itself so no customer goes live without a signed BAA. Evidence discipline was strict throughout: I reviewed the code and records only, and never touched live patient data.

The test of an audit is what happens next: this one shipped as a ranked to-do list for the engineers, each item with a clear definition of done, not a binder that goes on a shelf.

§3 · What the client gained

In plain terms

Cost

Hours back, overhead near zero

The eligibility calls, refill spreadsheets, and manual lookups are gone, and the automation that replaced them runs in the cloud for pennies: it only costs money while it's actually working.

Speed

Verified before the visit

Insurance status is known the moment an appointment is booked, not discovered at the front desk with the patient standing there.

Visibility

Built so nothing slips through

Results write back to the chart, staff are alerted the moment an intake arrives, and monthly summaries show exactly what the machine did.

Security

Compliance you can prove

Every password locked in a secure vault and a complete activity log on the clinic side; on the audit side, 43 verdicts backed by exact-line-of-code evidence and a hard stop the system itself enforces until the required patient-privacy agreement (BAA) is signed.

Growth

More patients, same staff

The workflows scale with the caseload: taking on more patients means more scheduled runs, not more hires doing lookups.

Continuity

Runs without heroics

Seven systems woven into one documented, monitored fabric. Nothing depends on the one person who knows the spreadsheet, including me.

§4 · A note on names

This client, like every client here, is not named: confidentiality is part of what they pay for. Every figure comes from the engagement's own records, and a reference who'll take your call is available on request.

Still checking eligibility by hand?

Thirty minutes is enough for me to tell you honestly what can run itself, and roughly what it would take.