
Your ED's Revenue Has Already Been Earned. Is It Being Captured?
Most hospitals focus on billing and coding. Cigal works earlier, at the structural layer where acuity guidelines, documentation, and workflow either align with how care is delivered today, or quietly do not.
Upstream focused. Founder-led.
Meet Cigal
Cigal works at the structural layer of Emergency Department and outpatient performance. Most revenue problems are addressed downstream, in billing, coding, and denials. My work sits earlier. I look at whether your facility's acuity guidelines, documentation workflows, and LOS logic actually reflect how care is delivered today. When they drift apart, revenue erodes quietly and no dashboard shows it. We even bring Izzy, our Rottweiler, loyal, focused, and not afraid to protect your margins.
Where Cigal Works
No two facilities drift the same way. Every engagement starts with understanding yours.
Acuity Guideline Alignment
Your EMR's built-in logic was not designed for your facility. We find what it is missing and show you the financial impact.
Upstream
Revenue Review
Registration, documentation, LOS drift. We identify the patterns eroding margin before billing ever sees them.
Operational Leadership
Hands-on help when you are spread thin. We steady the ship without adding drag.
Compliance and Risk Alignment
Audit-defensible criteria built for your facility, not a vendor template.