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How We Work

We deliver an unrivaled blend of strategic, financial and technical medical billing expertise to our client partners.

How We Work

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.

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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.
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Regular performance update meetings

We review historical results across a broad range of workflows and results, identify areas for performance imporvement, and provide regular analytics-driven updates, including predictive analytics and credentialing status reports.

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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
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Multilayered, analytics-drive internal quality controls and oversight

SCALE RCM’s proprietary, analytics-driven performance dashboards and benchmarking show real-time progress.
“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. SCALE RCM offers a unique blend of deep revenue cycle expertise, data analytics solutions and broader executive strategy perspective – the revenue cycle & credentialing performance measurement solutions and predictive models they developed helped bridge our billing operations with our executive management’s strategic needs.”

Greg Stephan, COO

aptihealth

“SCALE RCM has provided our organization with a blend of advisory leadership and on-going execution support to enable our revenue cycle department to implement new types of process automation, achieve performance improvement and bring a level of analytical transparency to measure results across key performance metrics.”

Marcelo ML. Lancman, Director

Northeast Regional Epilepsy Group

“SCALE RCM brought a valued level of strategic & performance clarity to the revenue cycle program at one of our portfolio companies.  SCALE RCM was a trusted partner in leading key execution efforts to achieve target objectives in our revenue cycle business plan – from formalizing workflows & documentation processes to developing performance analytics to evaluating and supporting the implementation of revised staffing models.  SCALE RCM helped us achieve tangible results faster, in-line with projected timelines and with increased execution confidence along the way.”

Jon Kelemen, Vice President

The Beekman Group

“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, but 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.”

Bobby Rouse Jr.

CPACFO, One GI LLC

I wanted to thank you and your team (at SCALE RCM) for all the work here, I really liked the way you thought about the situation and then pulled together the relevant views. It was a pleasure working with you.

David Crussell

Operating Partner, FFL Partners

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