HarnessHealth

Trust & Governance

The governance model.

HarnessHealth is built on the premise that AI outputs in healthcare require physician accountability. The following documentation describes how the physician hard intercept works, what the attestation record contains, and how the governance model maps to current regulatory frameworks.

Four principles, stated plainly.

1

No AI output with clinical content reaches a patient without a licensed physician review.

2

Physician authority is tracked and has limits. Volume above a threshold that would preclude genuine review is blocked.

3

The reviewing physician's identity (NPI, timestamp) is permanently attached to every attested document.

4

The governance framework is designed to satisfy Joint Commission, OIG, and CMS oversight requirements. It is not designed for regulatory arbitrage.

Regulatory alignment.

The governance framework references the following regulatory frameworks. Each has detailed documentation in the sub-pages.

OIG AO 25-03

Physician supervision model. Compensation to reviewing physicians is flat per-attestation, not tied to referral volume or downstream revenue. Incident-to billing structure.

AKS / Stark

Compensation to reviewing physicians is flat per-attestation, not percentage-based. No referral arrangement created by the attestation relationship.

CMS RTM (CPT 98975-98981)

Remote Therapeutic Monitoring requires physician oversight. The attestation system provides this. FDA device registration in process for RTM-applicable PROM tools.

The Joint Commission

Governance documentation designed to satisfy Joint Commission review of AI-generated clinical documentation. Audit trail available on request.

Provisional Patent No. 1

Drafted April 2026. Filing in process.

"System and Method for Physician-Governed Artificial Intelligence with Hard Intercept and Authority Consumption Tracking"

Provisional application filed April 2026. Provides 12-month protection period. Full specification available to qualified parties under NDA.

The patent covers the mechanism by which no AI-generated document with clinical content exits the HarnessHealth system without a cryptographic physician signature, enforced at the API gateway level, with per-physician authority consumption tracking that prevents rubber-stamping at scale.

Read the technical specification