SCALE RCM

Your Partner in Revenue Cycle Management

We provide comprehensive RCM solutions to help physician practices improve their financial performance.

Introducing a platform that leads the way

The Platform revolutionizes the healthcare industry by offering unmatched access to data, intelligent technologies, and advanced analytics. Supported by profound RCM experts, we empower top providers to revolutionize their financial performance and patient care practices, both today and tomorrow.

40 +

Years of RCM Expertise

10 +

Average Client Tenure (Years)

97%

Client Retention Rate

Maximize savings and revenue at every step
with our tailored solutions.

Enterprise Solutions

Achieve accelerated, scalable, and sustainable financial results to enhance the patient experience. Our solutions offer flexible partnerships and full revenue cycle management for exceptional outcomes.

Discover Tailored Enterprise Solutions for Your Business

Unlock accelerated, scalable, and sustainable financial results to elevate the patient experience. Our solutions provide flexible partnerships and comprehensive revenue cycle management for exceptional outcomes.

Revenue Recovery

Discover hidden revenue opportunities by utilizing our comprehensive payment review services, which are designed to maximize accurate reimbursement.

Uncover Revenue Opportunities

Maximize accurate reimbursement by leveraging our comprehensive payment review services to discover hidden revenue streams.

Optimizing Revenue Solutions

Our architectural designs let you preview your project realistically. We communicate at each design stage for your approval, assuring that our vision aligns with yours to bring your dream project to life.

Experience Revenue Optimization with Our Architectural Designs

Visualize your project realistically with our innovative architectural designs. We engage with you at every design stage, ensuring alignment with your vision to transform your dream project into reality.

Clinical Integrity

Enhance documentation and coding accuracy for concurrent and post-discharge stays using tech-enabled clinical support services. Ensure billing compliance for the care you provide.

Enhance Clinical Integrity

Elevate documentation and coding precision during concurrent and post-discharge stays with tech-enabled clinical support services. Guarantee billing compliance while delivering exceptional care.

Regulatory Navigation

Maximize government reimbursements, enhance program savings, and guarantee regulatory compliance through technology-driven, compliance-focused specialized services.

Navigate Regulations Effectively

Unlock increased government reimbursements, boost program savings, and ensure regulatory compliance with our technology-driven, compliance-focused specialized services.
Our Process

The SCALE RCM Difference

Dedicated, seasoned account leadership

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.

Regular performance update meetings

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.

Integration with numerous SCALE Healthcare MSO services and solutions

  • Finance - accrual revenue management
  • Payer contracting - payer project escalation, in-network negotiations
  • Coding - provider auditing, training, and education
  • IT - business intelligence performance analytics, systems and site-of-service integration

Multilayered, analytics-driven internal quality controls and oversight

SCALE RCM's proprietary, analytics-driven performance dashboards and benchmarking show real-time progress.

Recent RCM WINS

Success Stories

Full-Service RCM

Case Study

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.

How We Work

Our Tailored Approach

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.

Fully Managed Services

Consulting Services

SCALE RCM brought us the analytical clarity we were looking for to enhance our revenue cycle and provider credentialing programs. They were able to efficiently assess current performance, identify tangible opportunities for improvement and propose practical execution plans.
Greg Stephan
COO, aptihealth

100 %

Instances Where SCALE RCM Achieved Material Performance Improvement In Key Rcm Results Across Collection Rates, Collection Days, Denials, Reporting Transparency, Etc.