Prexnova Practice Performance Audit

Find out where your practice is losing money.

A 15-minute audit your office manager can finish today.

Multiple-choice questions, answered in ranges. No reports to pull and no exact figures. You get a practice score, every money leak ranked, and the first fix to start Monday.

PracticeLakeshore Family Medicine
PeriodApr to Sep 2026
Providers3
MeasureResultFlagReference
A/R over 90 days25.4%Concern15% or less
Initial denial rate11.2%Concern5% or less
Denials actually worked34.2%Concern85%+
Net collection rate90.8%Watch95%+
Provider slots used82.0%Watch90%+
Days in A/R48.8Watch40 or less

3 results outside range

Fictional practice. Reference ranges are Prexnova's internal rules, not industry benchmarks.

How it works

  1. Start free

    No checkout, no account, no credit card. Open it and start answering.

  2. Answer in ranges

    About 15 minutes of multiple choice: collections, A/R, denials, staff, scheduling and operations. "Not sure" is always an option, and it shows up as a blind spot to fix.

  3. Get your ranked report

    Every measure flagged, every problem ranked by what to fix first, with your monthly money leak in dollars. Then book your free 20-minute findings call.

What you get, free

  • Your full audit, 30+ measures, flagged
  • Problems ranked by what to fix first
  • Your monthly money leak, in dollars
  • The care management revenue you're not billing
  • A PDF report for your doctor or partners
  • Your full findings report, on a free 20-minute call

Every problem, ranked and priced.

Your top problems are ranked by how serious they are and what they cost. Each one shows what we found, why it matters, and the dollars attached.

Then you get a free 20-minute findings call to walk through what’s causing them and what to fix first. Your report downloads as one PDF to send to the doctor.

The top three problems for a fictional practice, each with what was found, why it matters and what it costs.
Top problems for a fictional practice.

Your billing company reports what it wants to. This shows you what it should.

The audit doesn't sell billing services and isn't run by your vendor. It's an independent read on your own numbers, so you walk into your next billing meeting with facts.

Tory Welsh, founder of Prexnova

Software you run yourself, with a real person behind it.

Tory Welsh, founder of Prexnova

Ten years in healthcare operations and ten years turning businesses around. Tory built the audit from the numbers he checks first in every practice he walks into.

Finish your audit and he'll spend 20 minutes with you on what it found and which problem to start on. No script, no pressure.

Want to talk before you buy? Call or text Tory directly: (810) 210-0340

Start free. Go deeper with Tory.

Most practices start with the free audit and the findings call. When you want the fix, the Deep Dive is one hour with Tory.

Start here

Practice Performance Audit

Your office manager answers. You read the results.

Freeabout 15 minutes
Get my free score
  • Multiple choice, in ranges, no reports to pull
  • Your practice score out of 10
  • Your monthly money leak, in dollars
  • 30+ measures, flagged and ranked
  • Your full findings report on a free 20-minute call

With Tory

Deep Dive

One hour with Tory Welsh on a screen share.

$997one time
Book the Deep Dive, $997
  • Your real numbers, not estimates
  • The cause behind every flag
  • A 90-day plan built with you
  • The doctor joins for the last 15 minutes
  • A 90-day re-check call

Credited in full if you hire Prexnova to handle everything.

Deep Dive checkout is secured by Stripe.

Questions

Who does the work?

Usually the office manager or whoever pulls reports from your practice management system. The doctor reads the finished report, or joins the findings call.

What do we need to have ready?

Nothing. Every question is multiple choice and answered in ranges your office manager already knows, like monthly collections or how many claims get denied. "Not sure" is always an option, and it shows up as a blind spot to fix.

Do you see our answers?

No. The audit runs in your browser and your answers stay on your computer. To see your results you give us your name, email and phone, and we receive your score and top problems so an advisor can walk you through them. Never your answers, and never patient information.

What's the difference between the audit and the Deep Dive?

The audit is free: your office manager answers in ranges and you get a 20-minute call on the results. The Deep Dive is $997: Tory works through your real numbers with your office manager over an hour, the doctor joins at the end, you leave with a 90-day plan, and there's a re-check call 90 days later. Hire Prexnova to handle everything and the $997 is credited in full.

I have a billing company. Do I need this?

Especially then. The audit shows you the numbers your billing company should be reporting every month, so you can hold them to them. If they have to pull a report for you, that tells you something too.

Is this a billing compliance audit?

No. It's a review of operating and financial performance. It doesn't review individual claims, coding or patient records.

Your score in 15 minutes. A plan for Monday.

Free, about 15 minutes, with a free findings call.

Get my free score