End-to-end RCM and coding services and solutions for high-performing MSOs, provider practices, ASCs and hospital systems.
About SCALE RCM
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.
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.
CASE STUDY:
Full-Service RCM
Company Profile
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 Consulting Services
More than an outsourced RCM solution.
- Multi-disciplinary RCM approach
- Process systematization, scaling and efficiency
- Extensive diligence and integration experience
- Data-driven approach to assessing performance
- Strong project management and client communication
- Holistic view of RCM integrated into corporate strategy
"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."
SCALE RCM Fully Managed Services
Improve your RCM performance and results.
- Transparent reporting & analytics
- Integrated RCM into broader management program
- Thoughtful collaboration with leaders in other functions across enterprise to mitigate risk
- Reliable, scalable ,cost-efficient RCM program positioned to grow your business
- Trusted, seasoned and dynamic RCM leadership working alongside senior management
- Cost-effective, integrated Medical Billing Program
- Strategic RCM operation moving beyond day-to-day to support strategic initiatives including M&A RCM diligence, post-cose RCM integration, automated business intelligence, payer strategy & contracting, coding & compliance
Why SCALE RCM?
We Systematize RCM
We take the guesswork out of RCM performance. Our team has decades of experience in RCM for high-performing physician practices.
We Leverage SCALE Healthcare
We leverage SCALE's multi-disciplinary operational service lines to create a differentiated and more holistic value-add experience for each engagement.
The SCALE RCM Difference
Dedicated, seasoned account leadership
Regular performance update meetings
Integration with numerous SCALE Healthcare MSO services and solutions
