Heart & Rhythm Solutions
Cardiology & Cardiac Electrophysiology
Chandler & Queen Creek, Arizona
Board-certified cardiovascular practice serving the East Valley — ablation, pacemaker implantation, and arrhythmia management.
Vol. I · Spring 2026A clinical operations journalIssue No. 01
Built with practicing specialty physicians
Specialty operations,
quietly handled.
Sarthi is the operating layer for specialty medical practices. Intake, scheduling, charting, prior auth, and follow-up — run end-to-end, so the practice operates at a different gear.
Currently working with
Heart & Rhythm Solutions
Cardiology · Chandler & Queen Creek, AZ
Integrity Pulmonary Specialists
Pulmonology · Phoenix, AZ
Launch partners
02
Live, US-based
Built for
Specialty practices
US workflows
Security
HIPAA
SOC 2 in progress
Built
In the U.S.
With clinicians
§ 01Launch partners
We are building this
with clinicians,
not for them.
Two independent specialty practices in Arizona are co-designing Sarthi with us — sitting next to intake coordinators, medical assistants, and physicians to build what their day actually needs.
Integrity Pulmonary Specialists
Pulmonary Disease & Critical Care
Phoenix, Arizona
Multi-physician pulmonology practice — 23+ years experience, triple board-certified in Critical Care, Internal Medicine, and Pulmonology.
§ 02The visit, in four movements
The visit,
told in four movements —
from the first phone call to the last claim.
Not a flowchart. The way a Tuesday actually moves through a specialty practice — and where the operating layer quietly takes over.
Not a scribe. Not an EHR. Not a BPO. The operating layer beneath the visit cycle.
Movement I
Before they walk in.
The call is answered on the second ring — even after hours. Records arrive ahead of the appointment. Eligibility is verified. Intake forms are filled once.
→ Sarthi handles every touch before the visit, so the visit can start where the visit should start.
Movement II
In the room.
The clinician isn't typing. The doctor is looking at the patient. The note is being drafted in the background. Orders, referrals, and prescriptions — queued for a single signature.
→ Sarthi listens, structures, and stages — the keyboard never enters the conversation.
Movement III
After the room.
By the time the next patient walks in, the note is finalized. Orders are out. The follow-up is on the calendar. Referrals close the loop with the right specialists.
→ Sarthi closes every loop the moment the door does.
Movement IV
Long after the lights are off.
The code is checked, the claim is clean, the denial is worked, the payment posts. Pajama time, deleted.
→ Sarthi runs the back of the house when the front of the house has gone home.
From a launch partner
“The work hasn’t gotten smaller. Sarthi is just where most of it ends up now — and our coordinators leave on time.”
§ 03The same Tuesday, hour by hour
A quiet
Tuesday
at the practice.
- Movement I
Before they walk in.
- 07:42Voicemail
An overnight patient calls about chest pressure. Sarthi triages, books the same-day slot, and pings the on-call cardiologist before the office opens.
- 09:15Fax inbox
Twelve referrals arrive. Sarthi extracts demographics, insurance, and reason for consult, and stages the charts for front-desk review.
- Movement II
In the room.
- 11:04Visit note
A pulmonology follow-up wraps. The ambient scribe drafts an A/P with ICD-10 candidates. The physician edits two lines and signs.
- Movement III
After the room.
- 13:30Prior auth
A cardiac MRI needs authorization. Sarthi pulls the right clinical history, fills the form, submits, and watches for the payer response.
- 16:55Follow-up
Post-ablation patients get a personalized check-in. Sixteen respond; two flag symptoms and are routed to the triage queue.
- Movement IV
Long after the lights are off.
- 18:10End of day
The code is checked, the claim is clean, the denial is worked, the payment posts. The inbox is at zero.
§ 04The first signal, plus the targets ahead
One signal already showing,
two we’re building toward.
The first column is what’s already showing up at our launch partners. The next two are the outcomes we’ve publicly committed to earn.
First signal · live
Inbox 0
At our first launch partner, the end-of-day fax, voicemail, and callback queue is routinely cleared by close. The morning starts at zero, not at backlog.
Target · ROI
1.5—2.5×
Target ROI per practice, year one. Launch partners today report meaningful weekly hours back; we are scaling the dataset before we claim the multiple.
Target · unit economics
35—50%
Target cost versus outsourced human labor. Priced to sit well under an offshore BPO FTE — with no training ramp and no attrition.
§ 05Healthcare-first posture
Built like infrastructure.
Held to healthcare standards.
Boring choices where patient data is involved. Bold ones where the product experience is involved.
Status · Live
HIPAA
Business Associate Agreement on request. Administrative, physical, and technical safeguards in production.
Status · In progress
SOC 2
Type II observation window underway. Audit report targeted for 2026.
Always on
Encryption
AES-256 at rest, TLS 1.3 in transit. Per-tenant key isolation. Zero plaintext PHI in logs.
By default
US-only PHI
Data residency in the United States. Hardware-key MFA, immutable audit logs, RBAC scoped per workflow.
Final note
Want a Tuesday
like this?
Let’s walk through yours.
We take on one or two new launch partners per quarter. Expect a real conversation about your day, your EHR, and what you wish would just do itself.