From payer-specific S-codes and global-payment logic to high-volume eligibility and denial management — SCALE delivers revenue cycle intelligence purpose-built for urgent care groups, multi-site operators, and MSOs.
S9083/S9088 & payer-specific global codes
Correct POS-20 and E/M leveling at volume
Real-time verification at high patient throughput
Workers' comp, employer & self-pay workflows
Live dashboards via SCALE's analytics platform
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High-complexity care comes with high-complexity billing — and most generalist RCM vendors aren’t equipped to handle it. SCALE is.
Payer-specific urgent-care codes (S9083/S9088) and global-payment models require careful, payer-by-payer logic.
High patient volume makes real-time eligibility and POS accuracy critical to prevent front-end denials at scale.
Workers' comp, occupational, employer, and self-pay claims each follow different rules and aging behavior.
Core Service
We run real-time, high-volume verification across all payer types at the point of intake.
AI-Powered
Automated review flags E/M, POS, and S-code errors across high claim volume.
Denial Recovery
Payer-specific appeal templates for global, S-code, and eligibility denials.
Specialty Coding
Dedicated workers'-comp, employer, and self-pay billing tracks capture revenue that usually ages out.
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.
Representative results across SCALE Healthcare clients. Individual outcomes vary by organization size, payer mix, and baseline RCM maturity.
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
Book a free 30-minute strategy call with a SCALE Urgent care specialist. We’ll review your current denial rates, authorization backlog, and coding performance — at no cost.
