Healthcare Revenue Intelligence

Your practice is
earning more than
it's collecting.

Medical and dental practices lose $80K–$125K every year in revenue that's already been earned — hiding in denial rates, billing gaps, and slow collection cycles.

See Your Cash Gap → How it works ↓
$125K
Average annual revenue leakage per practice
30 days
To identify your exact Cash Gap
$4.6M
Cumulative gain possible by 2028
The Problem

Three leaks draining your
practice's profitability

Most practices believe flat revenue is a patient problem. It's not. It's a systems problem — and it shows up in three specific places.

🧾
12%

High Denial Rates

Insurance companies quietly rejecting claims that should be paid. Industry benchmark is 4%. Every point above that is cash you've already earned — sitting uncollected.

⏳
55+ days

Slow Cash Cycles

Billing delays and manual follow-ups are trapping your operating capital in A/R. At 55+ days, you're essentially giving insurers an interest-free loan every month.

📋
$100K+

CPT Coding Gaps

Care is being delivered but not fully billed at the highest compliant level. Small coding misses on your top 10 procedures compound into six figures of lost revenue annually.

Before You Hire

Not just an RCM Director.
Not just a CFO firm. Both.

An RCM Director manages your revenue cycle. A traditional CFO firm handles financial strategy. Neither does both — and neither starts with a revenue assessment. Into The Next does all three.

Full-Time Hire
RCM Director
$80K – $150K / year
✓ Billing & claims oversight
✓ Denial management & A/R
✓ Revenue cycle KPIs
✓ Team & process management
✕ Revenue assessment first
✕ Whole-practice P&L & forecasting
✕ Cash flow & EBITDA strategy
✕ Practice valuation & acquisition
✕ M&A & exit planning
✕ Predictive financial modeling
✕ Fractional — scales up or down
Outside Firm
CFO Consulting Firm
$10K+ / month
✕ Billing & claims oversight
✕ Denial management & A/R
✕ Revenue cycle KPIs
✕ Team & process management
✕ Revenue assessment first
✓ Whole-practice P&L & forecasting
✓ Cash flow & EBITDA strategy
~ Practice valuation & acquisition
~ M&A & exit planning
✓ Predictive financial modeling
✕ Fractional — scales up or down
Fractional Partner · RCM + Finance
Into The Next
Starts at $1,500
✓ Billing & claims oversight
✓ Denial management & A/R
✓ Revenue cycle KPIs
✓ Team & process management
✓ Revenue assessment first
✓ Whole-practice P&L & forecasting
✓ Cash flow & EBITDA strategy
✓ Practice valuation & acquisition
✓ M&A & exit planning
✓ Predictive financial modeling
✓ Fractional — scales up or down
Start with the Diagnostic — $1,500 →
KPI Your Current (Base) Optimized (Expansion) Impact
Denial Rate 12% 4% Direct cash increase
Days in A/R 55 days 35 days Faster cash conversion
Clean Claim Rate 80% 95% Lower labor, higher efficiency
Show Rate 82% 92% Better front office handling
Revenue per FTE Physician $40K $65K Higher yield per provider
The Into The Next Journey

From leaking revenue to
a practice built to scale

Most practices hire an RCM Director and hope for the best. We take a different approach — diagnose first, fix operations, build financial strategy, then scale.

Stage 1
The Diagnostic
$1,500

A 30-day deep-dive that puts an exact dollar figure on your revenue leakage. You'll know precisely what's broken, why, and what it's costing you — before spending a dollar on a fix.

✓ CPT Billing Gap Analysis
✓ Payer Denial Mapping
✓ Custom Cash Gap Dashboard
✓ Fix-it Roadmap
Stage 2
Operations Fix
Fractional Operations Partner

We build the systems and SOPs to fix what the diagnostic found — denial reduction, A/R tightening, billing process cleanup. This is where the cash gap closes.

✓ Denial rate reduction SOPs
✓ A/R cycle optimization
✓ Billing process overhaul
✓ Team training & accountability
Stage 3
CFO Strategy
Fractional CFO

With clean operations, we layer in the financial strategy — forecasting, scenario modeling, KPI dashboards, and cash flow management to drive profitability.

✓ Financial forecasting & modeling
✓ KPI dashboards & reporting
✓ Cash flow & budget management
✓ Profitability & margin analysis
Stage 4
Scale & Exit
M&A Advisory

Acquire another location, attract investors, or build toward a profitable exit. We bring the M&A expertise most CFOs and RCM directors simply don't have.

✓ Acquisition strategy & diligence
✓ Valuation & EBITDA optimization
✓ Exit planning & M&A advisory
✓ Investor & board reporting
Start Here

The 30-Day Revenue
Diagnostic

Every engagement starts with the diagnostic — because you can't fix what you haven't measured. In 30 days, you'll have an exact dollar figure on your revenue leakage and a clear roadmap to close it.

  • 01
    CPT Billing Gap Analysis
    We identify missed billing opportunities across your top 10 procedures. HIPAA compliant — we never need patient information.
  • 02
    Payer Denial Mapping
    We identify which insurance companies are systematically trapping your cash and why — with a clear appeal and prevention strategy.
  • 03
    Custom Cash Gap Dashboard
    Your live data plugged into our financial model — showing you the exact dollar gap between where you are and where you could be.
Founder Rate — Limited Spots
$1,500
Regular rate: $3,000
One-time engagement. No retainer required to start.
  • CPT Billing Gap Analysis across your top 10 procedures
  • Payer denial mapping & cash trap identification
  • Custom Cash Gap Dashboard with your live data
  • Revenue leakage dollar figure — exact, not estimated
  • Fix-it roadmap to close the gap
  • HIPAA compliant — no patient data required
Claim Your Spot →
Reply within 24 hours · Spots are limited
Client Stories

What practice owners
say about working with us

★★★★★
"Alejandra has been with us for over a year through a few transitions. She's always accessible, tells it like it is, and backs everything up with excellent data. An amazing partner."
Jen, CEO
Betr Remedies
★★★★★
"Very knowledgeable and competent. Alejandra tells it like it is and backs up all her consultation with excellent data. I would recommend her to anyone looking to grow their business."
Osei Gyamfi, Owner
Splitsees
★★★★★
"She helped organize our accounting department, saving us operating costs of $250K for the year and collecting $130K above plan in medical insurance claims. The team performed the best under her direction — producing reliable financials for board meetings."
Reymond Gamzeletova, CEO & Founder
West Valley MRI / SoCal Imaging
Who Is Behind This

Meet the CFO who fixes
both sides of the problem

Alejandra Santos
As Seen In
AP News
CEO Times
BizWeekly
USA News
Alejandra Santos
Founder & CEO, Into The Next  ·  Fractional CFO & Operations Partner  ·  M&A Advisor  ·  CEPA
CRCR — Certified Revenue Cycle Representative
CRCR — Certified Revenue Cycle Representative
HFMA · Healthcare Financial Management Association

Most billing consultants look at your claims. Most CFOs look at your P&L. Alejandra looks at both — because in a medical practice, you can't fix one without fixing the other.

She's been working with healthcare and dental practices since 2021 — long before it was her primary focus. In 2026, after seeing the same revenue gaps show up across every practice she worked with, she made it her mission. Not a pivot. A doubling down on what was already working.

With over 10 years of hands-on financial and operational experience, she doesn't just hand you a report and walk away — she comes in as an operational partner and builds the systems to make sure the leak doesn't come back.

And where she's truly different is what comes next. Many practices don't just want to run better — they want to grow. In healthcare, growth means acquisition. As a CEPA-certified advisor and active M&A strategist, she has guided business owners through acquisitions, mergers, and exit planning — giving her a perspective most CFOs and billing consultants simply don't have.

"If you're thinking beyond this month's collections and toward building a practice worth owning for the long term — that's exactly the conversation I'm built for."

Fractional CFO & Operations
CEPA — Exit Planning Advisor
CRCR — Certified Revenue Cycle Representative
M&A Advisory & Acquisitions
Healthcare Revenue Cycle
Learn more about Alejandra & Into The Next → Connect on LinkedIn
Ready to find your number?

Stop leaving earned
revenue on the table.

Send us your email and we'll reach out within 24 hours to see if your practice is a fit for the diagnostic.

Claim Your Spot →
Or email directly: alejandra@intothenext.com