A fixed-fee read on the money you're missing and the risk you're carrying.
One document, delivered once, built entirely from the record around your practice and your own website. It prices what your market says you should be earning, names what your front door is exposing, and cites every figure to the source it came from.
The one page the owner reads first: one grade, and the two numbers that decide whether to act.
A single overall grade with the read behind it, then the two banded totals side by side: what the compliance gaps could cost if they are left alone, and what the revenue gap is worth a year. Each band carries its own method line, so you can see what is modeled and what is cited before you believe either number.
02 ASSESSMENT
Every domain graded from outside, with nothing taken from your systems.
Each domain carries a letter, a tier, and one line saying what the grade rests on. The revenue side reads how you bill against peers, what commercial payers actually pay you, coding, capture and your market; the website side reads accessibility, security, privacy, findability and reputation, and performance. None of it needs access to your systems.
03 A FINDING, OPENED
Resolve with Ralt, or resolve in-house. Your call, marked.
Every finding opens to two routes in the same format: what Ralt or a partner would do, timed and scoped from the catalog, and the steps your own team would take. You mark interest on the ones worth pursuing. Nothing is scoped until you have.
04 THE REMEDIATION LIST
Every finding, one Plan column: Include, Phase, Defer, Decline.
The findings you marked collect into one list, grouped three ways, with a Plan column you set. Include goes into the scope now; Phase goes in later; Defer and Decline stay visible so nothing is quietly dropped.
05 THE SCOPE OF WORK
It builds at the bottom, then becomes your Rounds.
What you included becomes a scope of work, priced and timed line by line, delivered by Ralt, a partner, or automation. The same scope is your Rounds preview: the findings you chose to fix are the ones it tracks to resolution and re-scans. The figures on this screen are estimates for the example and are not representative of actual cost.
Figures shown are illustrative. Your report carries your own, each with its method and cited source.
The scorecard
Ten domains, and what each one checks.
Five read your revenue, five read your website. The free scan on our homepage is narrower: it reads your pages for accessibility barriers and served speed, and reports those on their own.
A
Grade A: Revenue Positioning
Your revenue per provider against same-specialty peers in your state, as a percentile.
F
Grade F: Payer Rates
What each commercial payer actually pays you for office visits against Medicare, read from their own published price-transparency files.
B
Grade B: Coding & Billing
Where your high-level office-visit coding sits against peers, and whether any comparative-billing outlier shows up alongside it.
B
Grade B: Revenue Capture
Your billed service mix against peers of the same specialty, state and panel-size band.
C
Grade C: Market Position
Growth in the counties you draw from, and how much of that population carries commercial insurance.
BPreliminary
Grade B: Accessibility
WCAG 2.1 AA testing on the served page, plus WCAG 2.2 manual-criteria flags and the linked PDFs most scans skip. Graded on a 47-site corpus, independently reviewed in part.
B
Grade B: Security
HTTPS enforcement, HSTS scope, mail authentication, and the header set any browser can verify.
C
Grade C: Privacy
Which third parties your patient-facing pages load, and what they receive.
APreliminary
Grade A: Findability & Reputation
Whether the phone, address and hours on your site agree with your own federal NPI filing, and how your listing reads. Graded on a 47-site corpus, with only moderate independent agreement on these signals.
A
Grade A: Performance (Core Web Vitals)
Served speed and stability on the pages patients actually land on, measured as a browser measures them.
Worked sample. Grades shown are illustrative; your report carries your own, each with its method and cited references. Any domain still being calibrated is marked preliminary on its own card.
Every number opens its receipt
No figure arrives without its derivation.
This is the whole philosophy in one interaction. Tap the dollar range.
Preventive-visit capture: below the peer-adopter rate
2Peer baseline: same specialty, same state, panel-size bandSource S02
3The gap: your rate against the peer median, stated with its bandModeled · banded
4Dollarized: gap times the published fee schedule for your localitySource S09
5Every step above is in your report: dated, cited, and checkable. Nothing here asks to be trusted.
Worked sample. Dollar figures are labeled estimates, banded to two significant figures, method attached.
Third-party tracker on the appointment page
critical
Finding An advertising pixel loads on the page where patients enter a reason for visit.
Impact Visit-intent data reaches a third party that is not a business associate.
Cited: Served page, crawled 2026-08-18
Transport security enforced
positive
Finding HTTPS is enforced site-wide with HSTS in scope.
Cited: Served headers, 2026-08-18
How it works
Four steps, and two of them are ours.
01
Run the free scan
Two graded domains on your website, in about twenty seconds. No login, nothing to install.
02
Tell us your NPIs
Provider NPI numbers, specialty and location. No billing exports, no EHR access, no disruption.
03
We quote a fixed fee
In writing, before any work starts, with the scope of what we can measure for your practice.
04
You get the document
Yours to keep, act on, or hand to whoever handles it. Ongoing monitoring is a separate decision.
Common questions
What practices ask before they start.
What do you need from us to start?
Provider NPI numbers, specialty, and location. No billing exports, no EHR access, no disruption to your operations.
How do you know what a peer practice earns?
We don't see anyone's books. Rates, claim volumes and service mix are published in federal and payer data sets; we read yours against the same sources, and every figure in your report cites the one it came from.
What does a Prognosis cost?
A fixed fee, quoted in writing before any work starts, because the scope depends on how many providers and locations we're reading. The site scan is free either way.
Is this a one-time thing?
The Prognosis is delivered once and it's yours. Ongoing monitoring is Rounds, a separate subscription with flat per-practice pricing, and it's a decision you make after you've read the report.
Are you trying to replace our EHR?
No. Your EHR records what you did. We measure what your market says you should have earned, and what your website is costing you. Different question, different data.
Find out what yours would say.
Start with the free scan, or tell us where to look and we'll reply within one business day with what we can measure and what it would take.