SCALE RCM’s mission is to help high-performing practices thrive in today’s highly complex SCALE Healthcare marketplace. We offer a portfolio of services designed to achieve RCM and coding performance transparency, efficiency, and results optimization.Â
Our unbiased suite of RCM solutions was developed in response to the prevailing one-size-fits-all approach of the industry. To best meet our client’s precise needs and objectives, SCALE RCM provides flexible service offerings ranging from consulting solutions to interim RCM leadership to fully managed (outsourced) services.
SCALE RCM is headquartered in New York.
Our Client’s former outsourced RCM company was underperforming with a lack of denial and AR management resulting in high Days in AR and %AR > 90 days. Over 800 UnitedHealthcare claims were pending medical records review, up to 1 year old.
The Owner has noticed a significant increase in number and frequency of payments and we are expected to see a 10% increase in practice revenue. We estimated $250,000 in recovered collections from aged claims (2/3 of 1-month).
SCALE was able to bring the Client immediately up to date on ongoing Medical Records Requests and all claims and payments are current and up to date.
Location:
NYC
Specialty:
Endocrinology
Our Client’s former outsourced RCM company was underperforming with a lack of denial and AR management resulting in high Days in AR and %AR > 90 days. Over 800 UnitedHealthcare claims were pending medical records review, up to 1 year old.
SCALE was able to bring the Client immediately up to date on ongoing Medical Records Requests and all claims and payments are current and up to date. The Owner has noticed a significant increase in number and frequency of payments and we are expected to see a 10% increase in practice revenue. We estimated $250,000 in recovered collections from aged claims (2/3 of 1-month).
"SCALE RCM has been a true partner to us as we scale our physician-centric MSO. They not only helped define and implement a successful billing integration program across our business units, they also sourced permanent in-house leadership to continue the work they started. We feel confident that we have a best-practice system in place now, and with dedicated leadership at the helm."
We take the guesswork out of RCM performance. Our team has decades of experience in RCM for high-performing physician practices.
We leverage SCALE’s multi-disciplinary operational service lines to create a differentiated and more holistic value-add experience for each engagement.
Every engagement is unique since every practice is unique. We follow a standardized analysis to qualify and measure all areas of your revenue cycle management processes, from patient intake to insurance billing to patient billing and collections. Regardless of whether you engage us for consulting or fully managed services, we offer the same level of dedication, transparency and execution support to help your billing department succeed.
We bring a highly experienced team of managers trained in our proprietary approach to holistic RCM performance management. Our team has a low ratio of account managers to accounts, ensuring high-touchpoint client communications and quality controls.
We review historical results across a broad range of workflows and results, identify areas for performance improvement, and provide regular analytics-driven updates, including predictive analytics and credentialing status reports.
SCALE RCM's proprietary, analytics-driven performance dashboards and benchmarking show real-time progress.
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