Free & Paid Resources

Tools, guides, and thinking
for healthcare operators.

Everything here is built from 18+ years of clinical and operational experience — no recycled theory, no generic checklists. Whether you're opening a practice, closing documentation gaps, or preparing for a RADV audit, there's something here for you.

Start here — no cost, no fluff.

Free Download

Prior Authorization Intelligence Brief — Primary Care Edition

As of March 31, 2026, CMS now requires payers to publicly post their prior authorization denial rates, appeal overturn rates, and decision timelines. Most practices don't know this data exists — or what to do with it. This brief closes that gap.

53M
MA PA requests in 2024
80.7%
Appeals overturned
12.8%
UHC denial rate
94%
Physicians report PA delays care
Download Free Brief No cost  ·  Instant PDF download
5
Payer-Specific Workflow Framework A step-by-step PA strategy built around denial rates and appeal overturn data — tailored to your top payers.
6
Major Payers Profiled UnitedHealthcare, CVS/Aetna, Humana, Elevance, Cigna, and Centene — denial rates, appeal data, and key watch items.
2
Denial Category Checklists Most common denied service types and denial reasons in primary care — with prevention strategies.
Need a version built for your practice — your payer mix, your specialty, your denial history? Book a Free Consultation →

Opening a Primary Care Practice:
The Operational Playbook.

Most physicians opening a primary care practice know medicine.
What they don't have is a system.

This playbook is the operational brain of a well-run primary care practice — written by a physician with 18+ years of healthcare operations experience. Every SOP, checklist, and template is built from real operational work, not theory.

What's Inside — 7 Operational Sections

  • Practice model definition and operating guardrails
  • Entity formation, payer sequencing, and credentialing control
  • Front desk as a revenue function — rules, scripts, reconciliation
  • Clinical documentation standards built for operations
  • Billing and cash flow oversight — founder-level weekly framework
  • Staffing, role clarity, and escalation rules
  • First 90-day operating rhythm — weekly and monthly cadence

This Is For You If

  • You are opening an independent primary care practice
  • You are an MSO-backed founder in pre-launch or year one
  • You want fewer expensive surprises and more predictable operations

For operational and educational purposes only. Not legal, financial, or medical advice.
© 2026 Maria A. Mirt S., MD, MSc / MIRT MD Consulting. All rights reserved.

Opening a Primary Care Practice — The Operational Playbook
$97

⚡ Use code FOUNDING for $79 — first 50 copies only

Get the Playbook — $97

Instant download · PDF + Excel Bonus Toolkit included
Use code FOUNDING at checkout for $79

Bonus Digital Toolkit Included

  • Pre-Launch Financial Model
  • Credentialing Timeline Tracker
  • EMR Selection Framework

Conversations on healthcare operations.

Podcast appearances and media features covering CDI, prior authorization reform, and what it actually takes to build operational systems that hold up under scrutiny.

Podcast

Physician Documentation Excellence Champion!

No Fear CDI Podcast  ·  Hosted by Glenn Kraus

The gap between how physicians are trained to document and what payers, coders, and CDI teams actually need — and how organizations can close it before it quietly erodes revenue and audit readiness. Documentation excellence is a clinical leadership skill, not a compliance checkbox.

CDI Clinical Documentation Physician Education Revenue Integrity
▶ Listen Now

Perspectives on healthcare operations.

All Articles on LinkedIn →

Clinical Documentation

CDI Is a Process, Not a Department

Most organizations treat CDI as a function housed in a team. The consequence: documentation quality becomes dependent on that team's bandwidth rather than embedded in clinical workflows where it actually belongs.

Read Article →

Revenue Cycle · Risk

The Hidden Operational Risk No One Takes Responsibility For

A quiet operational risk repeats itself across primary care organizations — and it usually only surfaces after revenue is already affected. The root cause isn't clinical. It's structural.

Read Article →

Prior Authorization · AI

You Can't Appeal Your Way Out of a Denial Problem

Payers are using AI to auto-deny at scale. One algorithm rejected 300,000 claims in 2 months. The organizations winning in 2026 are treating denials as a documentation problem, not a billing problem.

Read Article →

Coding education for practitioners and learners.

Intermed Academy is MIRT MD Consulting's education and training sub-brand — built for coding professionals and learners pursuing AAPC and AHIMA certification, and for clinical teams that need foundational documentation training.

Intermed Academy

Courses for CPC, CCS, and HCC risk adjustment training are in development — built by a credentialed physician with 18+ years of real-world coding and CDI experience. Not theory. Not test prep packaged by a marketer.

CPC Exam Prep HCC Risk Adjustment ICD-10-CM CDI Foundations Inpatient Coding (CCS)

Launching 2026  ·  Get notified when courses go live


Get Notified When Courses Launch

Work Together

Need something built for your organization specifically?

These resources are starting points. If your situation requires a custom workflow, a payer-specific strategy, or an operational build from scratch — a 30-minute call is where it starts.

Book a Free 30-Min Discovery Call

Or reach out directly: [email protected]