Enterprise AI, built on camera. Live builds, what they cost to get right, and the parts that did not work.
Three kinds of episode: builds put together on screen with the reasoning out loud, diagnostics on problems operators are actually carrying, and the running account of what we are building now and the calls we got wrong.
Hosted by Chris Duff, who builds AI systems for operators carrying real financial consequence and spent years being one. Most AI consultants have never had a dollar at risk. Not one.
Serious means underwritten. seriousai.partners
Every 10 minutes, my AI fed me questions to ask the room | Ep 328
At the MGMA Annual Conference (the Medical Group Management Association's yearly meeting for people who run medical practices) in San Antonio, I ran Claude Code against my live Notion meeting transcripts, and every 10 minutes it suggested what to ask next. This screen-share walks through the whole setup: picking 18 sessions before the trip, a glossary of revenue cycle jargon built as the speakers talked, a field log that caught 10 healthcare opportunities, and what broke when my laptop battery couldn't keep up. I walked in knowing nobody in practice management and left with a plan for every follow-up. Take any piece of it for your next event.
AI for medical groups and practices:
https://seriousai.partners/healthcare/?utm_source=podcast&utm_medium=description&utm_content=ep-328-ai-conference-questions (https://seriousai.partners/healthcare/?utm_source=podcast&utm_medium=description&utm_content=ep-328-ai-conference-questions)
Serious AI News, every Monday. AI for operators, what we built and what it cost:
https://seriousai.partners/newsletter/?utm_source=podcast&utm_medium=description&utm_content=ep-328-ai-conference-questions (https://seriousai.partners/newsletter/?utm_source=podcast&utm_medium=description&utm_content=ep-328-ai-conference-questions)
Tell us what's breaking:
https://seriousai.partners/contact/?utm_source=podcast&utm_medium=description&utm_content=ep-328-ai-conference-questions (https://seriousai.partners/contact/?utm_source=podcast&utm_medium=description&utm_content=ep-328-ai-conference-questions)
Chapters:
0:00 Every 10 minutes, my MacBook told me what to ask
1:46 Why a healthcare conference
2:34 Picking 18 sessions with Claude before the trip
5:37 The first session, a fire hose of jargon
7:33 Long Claude Code threads hold up now
10:21 Live questions every 10 minutes
11:38 Why I never asked a question
13:33 A running glossary, built live
14:57 Composio and more than one Google account
17:14 What Claude can't see in the room
18:27 The routine Claude built for itself
20:10 The battery problem and the phone workaround
23:43 Slides in, field log out
24:21 Lessons, fewer sessions and more meetings
25:35 Was I the agent?
28:49 Why I'd never skip this setup again
#ClaudeCode #HealthcareAI #AIForBusiness #AIAgents #ConferenceStrategy
2 Oct 2026
Your payer can underpay you without a single denial | Ep 327
I spent two and a half days at MGMA 2026, the national conference for medical group leaders, as an AI builder with a medical background who went there to learn. What I found is a blind-spot triangle: are you paid what your contracts say, is your AI's work right, and does anyone own the whole picture across the tools you bought one at a time. Payers already use AI to deny claims and quietly downcode them, and many of the practices in those rooms are still answering by hand. Take one question back this week: for an AI tool you pay for, what single number would prove it's working?
AI for medical groups and practices:
https://seriousai.partners/healthcare/?utm_source=podcast&utm_medium=description&utm_content=ep-327-underpaid-no-denial (https://seriousai.partners/healthcare/?utm_source=podcast&utm_medium=description&utm_content=ep-327-underpaid-no-denial)
Serious AI News, every Monday. AI for operators, what we built and what it cost:
https://seriousai.partners/newsletter/?utm_source=podcast&utm_medium=description&utm_content=ep-327-underpaid-no-denial (https://seriousai.partners/newsletter/?utm_source=podcast&utm_medium=description&utm_content=ep-327-underpaid-no-denial)
Tell us what's breaking:
https://seriousai.partners/contact/?utm_source=podcast&utm_medium=description&utm_content=ep-327-underpaid-no-denial (https://seriousai.partners/contact/?utm_source=podcast&utm_medium=description&utm_content=ep-327-underpaid-no-denial)
Chapters:
0:00 Buying AI one tool at a time
0:16 MGMA 2026, going in to learn
2:50 AI in every room, and the pressure on operators
4:21 Point tools and ambient scribes
5:36 Only a few run a mature AI program
6:57 Payers already automate denials
8:16 Why the buying decisions are happening now
9:50 The blind-spot triangle
12:26 In-house build versus vendor tools
14:33 Silent downcoding, billed one code and paid another
15:45 Contracts that pay less than they say
17:09 A scribe that ignored its rules
18:10 Coders still checking by hand
19:11 The human side of automation
20:20 Who owns the whole picture
21:51 Your move, name one number
#HealthcareAI #MedicalPractice #RevenueCycle #AIImplementation #EnterpriseAI
25 Sept 2026
My plan to turn a $2,400 ticket into a $2M pipeline | Ep 326
Two days after picking healthcare as the focus for Serious AI, I bought a $2,400 ticket to the MGMA annual conference in San Antonio. Before the trip I had Claude research every speaker and all 171 exhibitors, narrow more than 100 organizations to 14 targets, and build each one a short, specific read on where AI could help their practice. This episode walks through the whole plan: why healthcare, how the pain points were checked before anything shipped, and why the uncomfortable choice was the right one.
AI for medical groups and practices:
https://seriousai.partners/healthcare/?utm_source=podcast&utm_medium=description&utm_content=ep-326-2m-pipeline
Serious AI News, every Monday. AI for operators, what we built and what it cost:
https://seriousai.partners/newsletter/?utm_source=podcast&utm_medium=description&utm_content=ep-326-2m-pipeline
Tell us what's breaking:
https://seriousai.partners/contact/?utm_source=podcast&utm_medium=description&utm_content=ep-326-2m-pipeline
Chapters:
0:00 A $2,400 conference ticket
0:41 A wide band and no vertical
2:44 Why healthcare
5:47 A healthcare page in a day
8:24 Checking the pain points before they ship
9:25 The Ask Method, rebuilt with AI
11:02 Retargeting AI search around healthcare
11:52 Conferences and the hiring signal
14:06 MGMA, this weekend in San Antonio
17:36 Choosing the uncomfortable option
19:47 Researching every speaker before the trip
21:35 Artifacts that show the work first
22:36 14 targets and the host organization
25:27 The Tim Ferriss playbook
26:46 What's next
#HealthcareAI #MedicalPractice #AIImplementation #FractionalHeadOfAI #ClaudeCode
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