Revenue Cycle Audit
A fixed price review of your revenue cycle, with a full report in 2 to 3 weeks.
- Denial patterns and their root causes
- A/R aging, clean claim rate and underpayments
- A ranked fix list, plus which steps to automate
Find the revenue.
Then keep it.
We audit your revenue cycle, put the fixes in place inside the systems you already use, and keep your billing running clean.
Find the leak first.Then fix it where the work actually happens.
14+ yearshealthcare billing, EHR and audit
Lead AuditorExemplar Global accredited
AdvancedMD and Valantimplementation and migration
Vendor neutralwe work for the practice
Most practices aren't short on revenue. They're short on time to find it.
Denials, stalled claims and setup gaps cost a little every day, so nobody stops to look. We look first, fix what we find, then make sure it stays fixed.
one
Audit
We review your claims, denials, A/R and workflows from front desk to final payment. You get every leak, ranked by what it costs you.
two
Fix
We put the fixes in place inside your EHR, clearinghouse and billing tools, or plan and manage the move to a better system. Your team keeps the judgment calls.
three
Keep
We run your billing or watch it every month, track the numbers that matter, and catch problems before they cost you.
The money is usually there. It's leaking through gaps nobody had time to look at.Jesenia Vazquez, Founder
What we do
Three services that work on their own or together. Every recommendation is backed by what we found in your numbers.
Automation and Migration
Get more out of the systems you already pay for, or move to a better one without losing revenue.
- EHR, clearinghouse and AI RCM tools set up to work for you
- EHR switches mapped, planned and supported through go-live
- Workflows documented so your team owns them
Billing and Monitoring
Claims, denials and follow up handled every day, or a monthly check if you keep billing in house.
- Claims submitted and denials worked
- A monthly report on A/R, denials and collections
- Early warning when the numbers drift
The Revenue Cycle Audit
Your billing is leaking. Let's find out how much.
Denied claims, underpayments and slow A/R add up quietly. Our fixed price audit gives you one clear report of what's costing you and what to fix first. We start with summary reports and sign a BAA before we touch any patient information.
- Denials and the root causes behind them
- Underpayments against your contracted rates
- A/R aging and claims that stalled
- EHR and billing setup gaps
- Which steps to automate, and what that saves
Independent by design.
We work for the practice, so our advice is about what fits you.
Vendor neutral
We take no commissions from software vendors. When we recommend a system or a setting, it's because it fits your practice.
Your data protected
A signed BAA comes first. We start with summary reports and only request what the work needs.
Clear scope, clear price
Every engagement has a fixed scope and a price you know before we begin. No surprise invoices.
Jesenia VazquezFounder and Principal
- 14+years in audit and operations
- Exemplar Global Lead Auditor
- Healthcare revenue cycle
- EHR implementation and migration
- Life sciences quality auditing
- AI agents and automation
Leadership
Built on 14 years of finding what's broken inside complex operations.
Cifra was founded by Jesenia Vazquez, an Exemplar Global Lead Auditor whose work spans healthcare revenue cycles, EHR systems and quality programs in life sciences. Across all of it, the pattern is the same: the money is there, it's just leaking through gaps nobody had time to look at.
Today Cifra pairs that audit discipline with a team of EHR specialists, billing professionals and AI tools that help us work faster and more thoroughly. We find the leak, put the fix in place inside your systems, and keep watch so it holds.
Cifra means number. It also means code. Numbers and systems are what we fix.
Find the leak in 15 minutes.
Tell us how your practice runs today. We'll tell you where we'd look first. No pitch deck, no pressure.
Our team responds within one business day. Prefer email? jesenia@cifraadvisory.com