Altru.care Professional Corporation · NotebookLM Learner Pack
Direct Primary Care, the 2026 Billing Stack, and Physician Governance
For Josh Emdur DO · Altru.care PC · April 2026
29 copy-paste prompts for NotebookLM, grounded in the actual regulations, CPT codes, and supervision rules that govern a 50-state DPC practice. Physician-governed. AI-assisted. AI does not practice medicine.
Governance stance (editorial rule, all prompts): AI retrieves, summarizes, and drafts. The physician reads, verifies, and signs. The signature is the physician's clinical judgment. Every clinical document is reviewed by a licensed physician before it is signed. No prompt in this pack describes AI as "delivering care," "practicing medicine," or "automating signatures." If a downstream NotebookLM output drifts in that direction, flag it and rewrite.
How to Use This Pack
01
Ingest source documents into NotebookLM: Altru.care PC entity docs, DPCSA IRS guidance, 2026 Medicare PFS allowables, CMS supervision rules, CO CPOM requirements
02
Pick your audience lens — Clinical is the default (the physician lens)
03
Copy any prompt and paste into NotebookLM's chat — the output is grounded in your uploaded corpus
04
Pipe the output into a teaching deck, a patient explainer, a memo to counsel, or a clinician onboarding doc
The Altru.care Voice
Who: A physician-owned Professional Corporation — speaking to physicians, clinical staff, healthcare attorneys, auditors, payers, and patients.
Tone: Academic, careful, evidence-based. Physician-governed. Every clinical claim cites the regulation, the CPT code, or the supervision rule it rests on.
Signature move: Name the specific billing code, the 2026 non-facility allowable, the documentation requirement, and the supervision level before any strategy claim. Treat every recommendation as if an OIG auditor is reading it.
Avoid: Any language implying AI delivers care or the physician signature is automated. No "AI-native." No "agentic care." No "AI drafts, physician signs" shorthand. The accurate phrase is always "AI retrieves and summarizes source material; the physician reads, verifies, and attests."
Source corpus assumed in NotebookLM: Altru.care PC formation and MSO-PC agreement documents (SolvingHealth LLC as MSO), DPCSA IRS guidance (the $150/mo ceiling for HSA compatibility), 2026 Medicare Physician Fee Schedule non-facility allowables for CCM (99490/91, 99437, 99439), PCM (99424-99427), RTM (98975-98981, 98985), TCM (99495/96), ACP (99497/98), CHI/PIN (G0019/G0020/G0022/G0024), LMN workflow, CMS general-supervision vs. direct-supervision rules (Phase 1 vs. Phase 2), Colorado Corporate Practice of Medicine (CPOM) requirements, incident-to billing cross-state rules (the three legal questions Ryan is handling), and the ClinicalSwipe attestation OIG-defense architecture (30-second minimum review, 80% scroll depth, viewport-active tracking, WORM ledger anchoring).