Questions
The questions people ask us, including the skeptical ones.
We’d rather answer them here than have you wonder.
This sounds too good to be true.
It’s a fair reaction. Software companies that sell to thousands of practices need every practice to adjust to the software. That’s why your staff end up learning a whole new system. We work with a small, select group of practices on purpose, which is what lets us spend time in yours, learn how your team actually works, and build around it. It isn’t a trick. It’s a choice about how many practices we take on.
If you keep the practice running
Is this going to be more work for me?
It shouldn’t be, and if it is, something’s wrong. Setup is our job. We start with one thing you’re tired of chasing, follow how your team handles it today, and build around that. You don’t become the project manager. If part of it isn’t taking work off someone’s plate, we change it.
Who does the setup? Who trains everyone?
We do, in person. We come to the practice, follow how the work actually moves, and build around how you already run. We walk each person through their own part, one team at a time, so nobody gets a whole new system dropped on them at once, and you’re not the one teaching it.
Is this going to replace me, or anyone on my team?
No. It takes the chasing off your plate, not the judgment. You still decide what matters. You stop being the only place the answer lives, and you can see where things stand without asking around. We don’t come in to cut your team. We come in so your team stops losing hours to retyping and reminders.
My team has heard “this will save time” before. Will they actually use it?
That’s the right worry, and it’s the reason we work the way we do. They won’t be learning a whole new system: we build it around how they already work. Each person opens to their own next steps, not five tabs and a spreadsheet. It takes retyping and reminders off their day; it doesn’t add forms to fill out. And we start with one fire, so they see it help before anything else changes.
Great. Another login?
Your staff sign in with the accounts your practice already uses. Your EHR and the payer portals don’t go away, but the follow-up lists, plan reports and reminders stop living in five different places.
Do you handle prior authorizations or referrals?
Not yet. We’ll tell you plainly in the first conversation what we can take on today and what we can’t.
Are you here to tell me how to run things?
No. We’re not here to tell you to get more organized or to ask your staff to work harder. You probably already know what needs to change. We help it actually happen, without it becoming another project on your desk.
What should I prepare for the first conversation?
Nothing. Just tell us where the same fire keeps starting. One sentence is plenty. No reports to pull, no numbers to look up.
How do I bring this to the doctor?
You don’t have to make the case alone. There’s a two-minute page written for the doctor: what this is, what it asks of them, whether it’s safe and how cost is decided. Send it from your own email or phone. Or bring them to the first conversation, and we’ll take the hard questions.
If you own the practice
What does it cost?
It’s scoped to your practice: your locations and your teams. It’s one price for all of Grand Vision One, with no add-ons. It isn’t cheap, because it isn’t a login. We come to you, build it around your practice and stay alongside your team every month, and the people you meet are the people who do the work. After the first conversation, once we know what we’d be taking on, you get a clear number in writing, with exactly what’s included, before anything starts. If the value isn’t clearly bigger than the cost, we’ll say so.
How much of my time will this take?
As much or as little as you want. We handle it with your practice lead and staff directly: we follow how the work moves, build around it and stay alongside them. You can be in every conversation or just hear how it’s going.
We hired a consultant before. We got a binder and nothing changed.
We hear that a lot. A binder has no owner, no next step and no one coming back next month. We don’t hand you a plan and leave. We set up the system your team works in, and we stay alongside them while they use it.
We already have an EHR, a billing company and a bookkeeper. Why add this?
Keep them. Your EHR stays your record, and we work alongside the people you trust. What we bring together is everything around them: plan reports, portal checks, discharge papers, call lists, spreadsheets, and the reminders that live in someone’s head.
The person who runs my office is great. Won’t this step on their toes?
Usually it’s the opposite, and often they’re the one who sent you here. They’re carrying more than you see. This takes the chasing off their desk: the reminders, the retyping, the going person to person. They stay the one who knows where everything stands. They just stop being the only place the answer lives.
We’ve had private equity letters. How is this different?
Those letters promise relief from the business side, and the relief can be real. The trade is the practice itself. If the weight of running it is why you’d sell, there’s another option: keep the practice, keep every clinical decision, and stop carrying the business side by yourself. It’s your call. We’d just like it to be a real choice.
We’re not that big, and we’re not all Medicare Advantage. Is this for us?
Maybe. We work with a small, select group of practices, with a particular focus on Medicare Advantage follow-up and quality work, but the chasing problem isn’t only a Medicare Advantage problem. If you’re not a fit, we’ll tell you in the first conversation.
Notes and billing
Do you handle denials?
We go after what causes them, before the claim is sent. Every note is audited before the claim goes out, so a note that doesn’t support the code gets fixed while the visit is still fresh, not after the payer says no. From checkout to claim takes under 15 minutes. Anything that still comes back goes to whoever can fix it, with the note attached.
Is billing or note-taking an extra charge?
No. One price covers all of Grand Vision One. The notes, the billing audit, the follow-ups and the back office are all included. No add-ons, and no extra charge for anything.
My providers dictate. Some type. Does that change?
They don’t have to change how they work. The draft starts from the conversation in the room, so it’s waiting before they dictate or type a word. They review it, change what they want, and sign.
Safety and your systems
Does this replace our EHR?
No. Your EHR stays your record, and your team keeps charting where it does today. We bring the work around it into one place: the follow-ups, plan reports, lists and portal checks. Nothing to rip out or switch.
Is our patients' information safe? Is it used for anything else?
Patient information lives in a HIPAA-eligible Amazon Web Services environment, under a signed Business Associate Agreement. Everyone signs in as themselves, sees only what their role needs, and every look at patient information is recorded. It’s used to run your practice and nothing else: not shared and not used for marketing. This website never touches it.
Does anything go into a chart without a person checking it?
No. Your team makes every entry in the chart, as it does today. Some of the work is drafted by AI: details pulled from a discharge paper, an answer to a staff question. It runs inside the same protected environment as your patient information, and answers show where they came from. Nothing drafted for you reaches a chart or a claim without a person on your team.
Who on my staff can see what?
Each person sees what their role needs: their own work, for their own department and locations. The person who runs the practice and our team can see across it, and every look they take is logged like anyone else’s. Billing can’t open clinical lists. The front desk can’t open billing. Compliance can read across departments for audits but can’t change anyone’s work. You decide the roles.
Getting started
How do we start?
Tell us where the same fire keeps starting. Nate will call within one business day to find a time. In that conversation we walk through how we’d approach that one thing, what we’d take on and what we’d need from your team. Nothing to prepare, nothing to sign.
What happens after we say yes?
We start with the fire you named. We set it up with your team, you see it working, and then we pick the next one together. Teams start one at a time.
Do we have to commit to your timeline?
No. We meet your practice where it is and set the pace together, starting with the one fire you named. If it isn’t clearly the most valuable line item in your budget, we’ll talk honestly about whether to continue.
How soon could we start?
Because we build around each practice, we take on a small number at a time. Tell us where the same fire keeps starting, and Nate will tell you when yours could begin. The sooner we talk, the sooner it does.
What if it isn’t right for us?
Then we’ll say so in the first conversation. You should leave with a clear picture either way, not another project to figure out on your own.
Ask us the hard ones.
You’ll get an answer from Nate, not a sales sequence. If the honest answer is “we’re not the right fit,” that’s the answer you’ll get.
Nothing to prepare · Nothing to sign · You decide after