A ~$100M multi-site MSO operating across four states with six separate EMR systems partnered with SCALE to modernize and centralize its Revenue Cycle Management (RCM).

Engagement Evolution

• Initial deployment: Partial RCM support (eligibility, prior auth, coding, payment posting)
• By Month 13: Expanded to majority of RCM operations, including:
  • Eligibility verification
  • Prior authorization
  • Charge entry
  • Coding
  • Payment posting
  • A/R & denials management

SCALE staffing scaled significantly from 6 → 52 FTEs over 13 months.

Technology Implemented

• RCM Analytics
• DenialShield
• FrontDeskShield (near-term rollout)
• AI-enabled automation tools

Key Results

• 24% reduction in A/R days
• 22% reduction in A/R outstanding
• 50% reduction in billing lag time
• ~50% reduction in denials (pilot results)
• 50%+ reduction in cost-to-collect

Strategic Outcomes

• Fully AI-enabled RCM program
• Centralized, standardized national operations
• Strong KPI reporting
• Empowered internal leadership with scalable, cost-efficient support
• Proactive, tech-driven performance management