The hospital had an HR department. A scheduling system. A compliance officer. An EMR with twenty-four-hour support. A billing department. A facilities team. A vendor management process. You showed up and practiced medicine inside an apparatus that someone else was responsible for running.
On the outside, you are that apparatus. You hire the front desk. You buy and configure the EMR. You write the SOPs. You handle the OSHA inspection. You decide whether to use a billing service or do it in-house. You vet the vendors. You write the employee handbook. You manage the office manager.
Why it sinks practices
Marketing failures are loud — the phone doesn’t ring, you know you’re in trouble. Operations failures are quiet until they’re catastrophic. You don’t know your front desk is mishandling intake until a patient leaves a one-star review. You don’t know your compliance is weak until OSHA shows up. You don’t know your billing has gaps until your CPA tells you you’ve been losing $40,000 a quarter for the last year.
The other operations failure mode is the loyalty hire. You hire people who like you instead of people who can do the job. They’ll cost you more than your highest overhead line item before you fire them — usually long after you should have.
What Maverick teaches
What roles you actually need at $500K, $1M, $3M, and $10M+. The right experience, the right disposition, the right interview questions, and the warning signs to look for.
The right structure at every revenue stage — who you need, when you need them, and what it costs to wait too long.
Profiles for each role: right experience, right disposition, right interview questions, and the warning signs to look for.
EMR selection, scheduling architecture, intake workflows, billing infrastructure, and compliance systems for HIPAA, OSHA, CLIA.
The vendors who’ll save you and the ones who’ll bleed you. How to evaluate, negotiate, and exit when needed.
Intake, financial agreements, treatment consents, escalation protocols, after-hours coverage, and the documentation that keeps you out of trouble.
How to exit a wrong-fit employee without destroying the rest of the team — and how to recognize the moment sooner.
Wrong hires. Wrong systems. Wrong vendors. SOPs that didn’t exist until something went wrong and forced me to write one.
The ten mistakes Dr. Mollie made building her first practice — and exactly how to avoid every one. $297. Instant access.
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