Connect With Our RCM Experts
Connect With Our RCM Experts

RCM Process Automation & AI

SCALE RCM helps multisite healthcare organizations effectively complement RCM teams with scalable technology solutions that automate processes, improve performance outcomes and reduce cost-to-collect.

See what we do

Reduce people-driven efforts by
 50-100% across key revenue cycle functions.

Success in today’s market requires going beyond human capital solutions.  Process automation & AI within RCM can help reduce administrative burden, improve performance results and reduce cost-to-collect. 

SCALE RCM is uniquely positioned to help organizations achieve the optimal blend of process automation & AI, cost-efficient organizational structures and intelligent analytics.

Process Automation & AI Service Overview

Leverage process automation & AI to optimize the end-to-end revenue cycle. 

Front-End Revenue Cycle

  • Patient Scheduling & Outreach
  • Eligibility Verification
  • Prior Authorizations
  • Patient Intake

Mid-Revenue Cycle

  • Charge Entry
  • Claim Processing & Scrubbing
  • Claim Denial Prediction
  • Medical Coding Extraction
  • ICD-10 Classification Prediction

Back-End Revenue Cycle

  • Denials Management
  • Claim Statusing
  • Payment Posting
  • Payment Reconciliation & Adjustment
  • Medical Record Generation

Financial Analytics

  • Revenue Reporting
  • Cash Flow Forecasting
  • Patient Collection Forecasting

Recent Wins

Streamline new patient on-boarding and eligibility verification, improving call center efficiency

- Multi-location Infusion Provider

Automated over 10 million EMR charge postings allowing for reduction and reallocation of staff

- Multi-Specialty MSO
Automated Charge Entry and Submission

SPEAK WITH ONE OF OUR RCM EXPERTS

Get Started with RCM Process Automation & AI
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