Specialist-grade intelligence. No referral required.
The margin you’re missing — and the exposure you didn’t know you carried.
We read 100M+ Medicare claims to benchmark your reimbursement, revenue, and coming rate changes — and scan your website for the accessibility, security, and patient-privacy exposure your EMR never looks at. Cited sources, bounded ranges, a full assessment in days, not a 90-day discovery.
Side effects may include: profitability, clarity, and unexpected margins.
What we do
Three things, in the order they pay off.
Find your gaps
Ralt Triage— our intelligence engine — benchmarks your billing, payer rates, and digital presence against your specialty peers. It’s the outside read your EMR can’t give you: your systems record what you did; we surface what you missed.
A full read in days, not quarters · the data's age labeled on every finding.
Quantify the cost
Every finding is cited and bounded — tied to a CMS benchmark, a published control, or a clinical guideline, never a vibe. Your Ralt Prognosis hands it back dollar-ranked, so you know exactly where the money is.
Defensible at a CFO review — and at a payer audit.
See what’s insideStay ahead
Ralt Roundskeeps the read current, re-running as new federal data drops and re-scanning your web presence on schedule. Built for independent practices that mean to stay that way — so the gaps you close don’t quietly reopen.
Continuous monitoring, on your schedule.
See what’s insideHealth Check
Scan your site in 20 seconds
A quick read on accessibility, usability & performance — run live by the same scanners behind the full assessment. The full Ralt Prognosis assessment goes far deeper — into revenue, compliance, and your own CMS billing data.
Caution: may cause dissatisfaction with your current RCM vendor.
We scan publicly accessible pages the same way a standard web browser does — no login, no patient data, robots.txt respected. Scan methodology & terms
Real findings
Diagnosis
Medicare rate erosion on core procedures
Independent cardiology group · 3 providers · CY2024 CMS claims. ~$17.5K/yr at-prior-rate differential across declining cardiology codes (e.g. implantable cardiac monitor insertion, CPT 33285) — a counterfactual that names the erosion every practice feels. Not recoverable: CMS sets the rate.
Cited: CMS Medicare Physician & Other Practitioners PUF (CY2024) · CMS Physician Fee Schedule
Offset
Chronic-care programs left unbilled
Same practice · 1,528 Medicare beneficiaries. Remote Patient Monitoring (99457/99454), Chronic Care Management (99490), and Transitional Care Management (99495/99496) are all at 0% adoption against state peers (RPM ~11%, CCM ~4.3%) — CMS-reimbursed programs the practice qualifies for but does not bill. Capturable, bounded at engagement.
Cited: CMS Medicare Physician & Other Practitioners PUF cardiology cohort (CY2024)
Why Ralt
Three things that separate us from the slide-deck-and-invoice crowd.
01
Cited sources. Bounded ranges. No vibes.
Every finding traces to a CMS public-data benchmark, a published WCAG/OWASP control, or a peer-reviewed clinical guideline. We don’t pull dollar amounts out of thin air — and when the data only supports a grade, we say so.
02
A full read in days, not quarters — with the data’s age labeled on every finding.
No 90-day discovery phase. CMS public data covers the bulk of the analysis — and we surface its vintage (~18 months behind real-time) transparently on every finding. Webhook + CSV integrations today. Direct EHR API integrations on the Year 2 roadmap.
03
Built for independent practices.
We don’t sell to PE rollups, hospital systems, or RCM middlemen. Our platform is built for practices that want to stay independent — and our pricing model (flat monthly, no per-seat, no preferred-vendor entanglements) reflects that.
Specialty-deep, specialty-agnostic
Cardiology is where we started.
Independent practice is where we live.
Our cardiology methodology cites AHA / ACC / HRS clinical guidelines and JACC / Circulation peer journals. Our platform benchmarks every other major specialty using the same 100M+ Medicare claims foundation.
See cardiology depth →Other specialties we benchmark
- Behavioral Health
- Dermatology
- Endocrinology
- ENT
- Gastroenterology
- Neurology
- OB/GYN
- Ophthalmology
- Orthopedics
- Primary Care
- Pulmonology
- Radiology
- Rheumatology
- Urology
14 specialties, listed alphabetically. Don’t see yours? Inquire.
Founder-led, built on healthcare analytics + practice management. For independent specialty practices that want to stay that way.
Common Questions
What practices ask before they start.
What data do you need from us to get started?
Just your provider NPI numbers, specialty, and location. Our analytics platform does the rest — benchmarking your billing patterns against specialty peers. No billing exports, no EHR access, and no disruption to your operations.
How fresh is your data?
CMS public data runs ~18 months behind real-time — we surface that vintage transparently on every finding. Live data is available today via webhook + CSV uploads. Direct EHR API integrations (Epic, Cerner, athenahealth, etc.) are on our Year 2 roadmap, maturing into a packaged tier when the feature set stabilizes.
Are you trying to replace our EHR?
No. We're not your EHR and we're not replacing your EHR. We surface revenue, compliance, and UX intelligence on top of the data your EHR already has — so your team can act on findings instead of mining records.
How long does an analysis take?
A full Ralt Prognosis assessment is typically delivered in days — no patient data required. The Health Check above is a scope teaser — for your complete score and details, contact us. Ongoing Ralt Rounds engagements are scoped to your practice's specific needs.
Do you work with my specialty?
Yes. Our cardiology methodology is fully sourced today. We benchmark independent practices across 14 additional specialties — behavioral health, dermatology, endocrinology, ENT, gastroenterology, neurology, OB/GYN, ophthalmology, orthopedics, primary care, pulmonology/sleep, radiology, rheumatology, urology — using the same 100M+ Medicare claims foundation. Specialty-deep where it pays off; specialty-agnostic where the math is universal.
Do you offer managed services?
Yes — four optional services that absorb specific functions you'd rather hand off: Outsourced Reporting (quarterly executive briefings), MIPS Submission Management (annual quality program submission), Scanner-Finding Remediation (continuous accessibility/security/UX fixes), Compliance Documentation Support (HIPAA/OSHA/OIG/Medicare-CoP documentation maintenance). Each is scope-bounded, flat-rate, optional. The Ralt Rounds platform works without any of them.
How is this different from consulting?
Each managed service has a fixed scope, a software-supported deliverable, and a named cadence. We don't sell hours; we operate a specific function on your behalf using our platform. Want to manage MIPS yourself, run your own scanner remediation, write your own quarterly briefings? The platform supports that. Managed services are absorption-by-exception, not the default engagement.
Do you bill insurance or handle revenue cycle?
No. We're a software-led practice intelligence platform — not a billing company. We optimize how your billing team works; we don't replace them.
What is Ralt Rounds?
Ralt Rounds is our continuous analytics platform that picks up where the one-time Ralt Prognosis assessment leaves off. Because you shouldn't need 30 tabs to run a practice. Per-practice portal with peer benchmarks, compliance re-scans, and revenue gap tracking that refresh as new federal data is released. Flat monthly pricing — no per-seat fees.
How is your pricing structured?
Flat monthly fees per practice — no per-seat pricing, no preferred-vendor entanglements, no ratchet clauses. Ralt Prognosis is one-time. Ralt Rounds is subscription. Managed services are scope-bounded add-ons. Inquire to scope your specific engagement.
Can you sign a BAA for HIPAA compliance?
Yes. For customers who are HIPAA covered entities, we offer Business Associate Agreements as part of service engagements. The website itself is not designed to collect or process PHI — the dashboard product is currently in a no-PHI v1 that uses anonymous operational codes rather than patient identifiers. Our subprocessors and data-handling posture are published at ralthealth.com/subprocessors.
How are you different from the big consultancies?
Three things, in the order we'd answer: cited sources + bounded ranges (we don't pull dollar amounts out of thin air); a full assessment in days (not 90-day discovery phases); built for independent practices (not PE rollups, hospital systems, or RCM middlemen). The cheapest difference to verify: ask us for our methodology citations and ranges.
Are there long-term contracts?
No. Our engagements are scoped to deliver specific, measurable results. You stay because the ROI is clear — not because of a contract.