Medical aesthetics, wellness and telehealth are regulated medicine, and the rules differ by state: who may own the practice, who may delegate, what an exam has to include and what an ad may say. Most clinics end up with whatever was signed at launch. MedGrid Compliance builds the file properly and keeps it current, so compliance is a system and not a filing cabinet.
MedGrid Compliance
Compliance That Is Built Into the Clinic, Not Bolted On Later
Structure, documents and the discipline to keep them current, built for the state you treat in and maintained as the rules move, so the file a board, an insurer or a buyer asks for is already in one place.
What MedGrid Compliance Covers
The Entity and the Agreement
A physician-owned professional corporation (or the state's equivalent), a separate management company and a written management services agreement with a fixed, fair-market fee. Formed, executed and filed the way your state expects.
Protocols, Delegation and Consents
Physician-signed protocols per service, written delegation per provider, documented good-faith exams, consents and adverse-event plans, written for your state and versioned so you know which one was in force.
Offers, Claims and Platform Rules
Offers, claims and before-and-after photos reviewed against state advertising law and the healthcare policies ad platforms and payment processors apply, with LegitScript certification available where your service menu requires it.
State Law, Tracked
A structure guide for every state, state pages on legal and clinical compliance, a regulations research page with data trends, and a daily FDA briefing, so a rule change reaches you as a plain summary and not as a surprise.
The Medical Director Relationship
We connect you with a verified medical director licensed in your state, and we paper the relationship so the physician's authority, duties and pay are documented the way a board would expect.
One File, Kept Current
The documents and calendars below live together and are revised when your state or your service menu changes.
Structure and Agreements
The professional entity, the management services agreement, delegation documents and standing orders, executed, filed and revisited when your state or service menu changes.
Documents and Consents
Consent language, intake, treatment records and policy documents written per service and per state.
Credentials and Calendar
License and registration expiries, competency sign-offs, chart-review cadence and insurance renewals tracked on one calendar.
Money Flow
Patient revenue lands in the practice, a fixed monthly management fee moves under the agreement, and a fixed monthly retainer goes to MedGrid. No percentage of revenue and no payment per patient or referral.
The Clinical File
Protocols, delegation, good-faith exams, emergency and adverse-event plans and training records kept together.
HIPAA and Policies
Privacy and security policies, business associate agreements and staff training records, with an annual review.
Advertising Review
Claims, offers and imagery checked against state law and platform policy before they run.
The Diligence Binder
Agreements, protocols, sign-offs and review records in one place, so an audit, an insurer or a buyer is a download and not a scramble.
The Same Standards in Every State
No Fee Splitting. No Revenue Sharing.
Patients pay the physician-owned practice. The practice pays the management company a fixed monthly fee under a written agreement. The management company pays MedGrid a fixed monthly retainer for consulting. The management company never practices medicine, and the physician makes every clinical decision.
- The clinical entity is a physician-owned PC (or PA or SC, depending on the state), never a PLLC.
- The management fee is flat and fair market for services actually provided, never a share of collections.
- Patient payments go to the practice, never to the management company.
- The medical director is paid by the practice or invoices for advisory time, never per chart, script or patient.
- MedGrid does not practice medicine or make clinical decisions, and the physician makes every one.
- No referral fees move between MedGrid and a vendor.
Four Steps From Audit to Maintained
Audit What Exists
We read what you actually have, including the entity, agreements, protocols, consents and insurance, and name the gaps in plain terms.
Fix the Structure
Entity form, ownership and the management agreement corrected first, because the documents below them depend on it.
Rebuild the Documents
Protocols, consents and policies rewritten for your state and your current service menu and signed by your director.
Keep It Current
Renewals and reviews on a calendar, revisions pushed when rules change and one place the whole file lives.
The Research Behind the Practice
Our state coverage, structure explainers and published documents are all public, so you can read how we think before you talk to us.
Structure
QuestionsThe Compliant Structure
How the professional entity, management company and agreement fit together, with the flow of funds.
ModelThe MSO and PC Model
How a management company supports a physician-owned practice without practicing medicine.
EntityPC, Not PLLC
Why we set up a professional corporation in every state.
AdvertisingLegitScript Certification
What certification covers, who needs it and how we prepare an application.
ResearchRegulations Research
State law trends and what is changing in peptides, aesthetics, wellness, GLP-1s and hormone therapy.
DailyFDA Daily
A daily briefing built from the FDA's public data.
StatesState Pages
Legal, clinical and advertising compliance for each state we serve.
StatesState Compliance Guides
Practice structure and management agreement guides for all 50 states, plus telehealth and corporate practice articles, in one place.
DocumentsLegal Documents
The published agreements, policies and notices.
Common Compliance Questions
Is MedGrid a law firm?
No. MedGrid provides administrative and management services and connects you with independent licensed professionals. We are not a law firm and do not give legal advice, so your own counsel reviews the documents that need a lawyer.
Why do you set up a PC and never a PLLC?
As a rule we set up a PC, or the state's equivalent (a professional association or service corporation), in every state, including states that do not enforce corporate practice of medicine. It is the form regulators expect for a physician-owned practice, and using one structure everywhere keeps the file consistent. See our PC, Not PLLC page.
Why is the management fee flat?
A fixed, fair-market fee for services actually provided is the design that holds up across states. Several states restrict paying a percentage of fees or revenue for management or marketing, and others treat it as a risk, so we do not use one anywhere.
We already have documents. Do you replace them?
Only what needs replacing. We review what exists, keep what holds up and rewrite what does not, rather than redoing a set that was mostly fine.
What usually turns out to be wrong?
Most often the entity form in a corporate practice state, a director relationship with no delegation on paper, a management fee structured as a revenue share, and protocols that never got updated when a service was added.
Does this cover multiple states?
Yes. A clinic treating patients in several states carries several rulebooks, and each one gets its own documents and a state structure guide.
Can you help if we are in the middle of a complaint?
We can put the structure right going forward and help you produce what exists, but we do not represent you. Your counsel handles the matter itself.
Start With a Compliance Review
Tell us your state and your service menu. We come back with what you have, what is missing and what it would take to bring the file current.
MedGrid provides administrative and management services and facilitates introductions to independent licensed professionals and providers. MedGrid does not practice medicine, provide legal advice or make clinical decisions. Requirements vary by state and change, so confirm specifics with qualified counsel.