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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.

If it's not in our lane, we'll help you find it. Clarity is never off the table.

The Cigal Effect

“

Over the years, Cigal Concepts has been an invaluable asset. Their projections are spot on, their service exceptional, and they’ve fully earned my trust.

— Aren Rieck, Senior Vice President, Cornerstone National Bank & Trust Co

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