From dental-to-medical cross-coding and fee-schedule management to multi-location claims and denial recovery — SCALE delivers revenue cycle intelligence purpose-built for DSOs and multi-site dental groups.
CDT-to-CPT crossover for medically necessary procedures
Payer fee schedules and UCR rates across every location
Centralized billing across distributed practices
Real-time dental + medical benefit and COB checks
Live dashboards via SCALE's analytics platform
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Medically necessary dental procedures require CDT-to-CPT translation that most billers handle inconsistently — leaving reimbursable claims on the table.
DSOs juggle countless payer fee schedules and UCR rates across sites, creating reconciliation gaps and silent leakage.
Frequency limits, waiting periods, and coordination-of-benefits rules drive a high share of front-end dental denials.
Core Service
Real-time dental and medical benefit checks with frequency and COB validation before the patient is seen.
AI-Powered
Automated review flags crossover opportunities, downcoding, and documentation gaps across CDT and CPT.
Denial Recovery
Payer-specific appeals for frequency, COB, and medical-necessity denials across all locations.
Specialty Coding
We capture reimbursable medical claims for surgical extractions, sleep, trauma, and pathology.
Automation handles volume and velocity. Our experts handle exceptions, edge cases, and strategic optimization — creating a closed-loop system that continuously improves performance over time.
We analyze 90 days of claims data to identify coding gaps, denial patterns, and authorization bottlenecks specific to your practice.
Seamless connection to your EHR and practice-management system — no new software for your team to learn or manage.
SCALE’s dedicated team takes over day-to-day RCM operations with transparent reporting from day one.
Monthly performance reviews, payer-policy monitoring, and AI-driven recommendations keep revenue growing over time.
Reduction in average days to pay across SCALE-managed client portfolios
Reduction in cost-to-collect through AI automation and workflow optimization
Reduction in A/R aging beyond 90 days through proactive denial management
Reduction in overall denial rates powered by DenialShield predictive scoring
