About

SCALE Data Analytics

SCALE Data Analytics provides value driven technology solutions that help organizations monetize value from their data.

We are a data analytics firm exclusively focused on the healthcare services & provider markets that blends leading healthcare IT & data analytics with deep, comprehensive healthcare strategy and operational expertise. 

We help MSO leaders bring data to life and discover insights quickly, while maintaining data accuracy and security.  Our services and solutions empower healthcare MSOs to gain command over their business through transparent reporting on what matters most across the range of functional disciplines that drive holistic performance. 

Client Profile

CASE STUDY:

MSO Integration – IT Systems / Revenue Cycle Management

Our Client wanted to integrate three separate practices into one single practice and sought SCALE’s multi-disciplinary expertise to achieve this goal.

At SCALE we are a dedicated team of cloud architects, data scientists and analyst versed in healthcare data and mathematical models to help discover insights from your data. We are deeply involved in applying models to data to find value in your business with integrated expertise and full cross functional capabilities.

Work with SCALE Data Analytics to

CONSOLIDATE DATA EASILY FROM DISPARATE SYSTEMS

GAIN IMPORTANT INSIGHTS FROM LARGE DATASETS

GAIN A STRATEGIC VIEW OF THE BUSINESS

Analytics Capabilities

Marketing

Perform analytics in demand generation, patient access, scheduling, cancellations, service mix, segmentation, targeting, customer lifetime value, and deploy email strategies under one integrated platform.

Clinical Operations

Statistics and machine learning methods for EHR data including the ability to predict the likely path and progression of disease, likelihood of patient presenting a certain set of symptoms and at risk for an adverse health event.

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Revenue Cycle Management

Analytics in payor mix, acuity, billing, CPT coding standardization, denials, A/R, and DSO trending reports. Dashboards on collection trends with drilldown capabilities and RVU utilization.

Finance & Accounting

Perform analytics in demand generation, patient access, scheduling, cancellations, service mix, segmentation, targeting, customer lifetime value, and deploy email strategies under one integrated platform.

Information Technology

HIPAA compliant cloud native suite of tools to extract, transform and load large amounts of unstructured data in, documents, health records, files to help you discover meaningful trends and areas of new opportunities.

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Compliance & Risk Management

Statistical sampling and data mining strategies to focus selection on highest risk transactions, reduce billing errors, reduce overpayments, identify outliers and potential over utilization of CPT codes.

Representative Case Studies

Ear Nose and Throat Doctors

Developed data warehouse and architecture allowing seamless reporting between Athena, eCW and Sage Intact, Reports included:

  • Daily Appointment reports
  • P&L by physician
  • Physician specific scorecards
  • Care Center/Facility scorecards
  • Power BI Suite of reports
  • Power BI Mobile reports

Multistate Orthopedics

  • Built and maintained a cloud-based analytics platform based on Tableau with over 60 drill down screens to support all business areas including physicians, RCM, operations, quality, and nursing, organizational scorecard, and finance all viewable by division and location.
  • Data culled from EMR, PM, outcomes, payroll, accounting, time clock, nurse navigation, call center and other platforms Included case cost analytics with ties to hospital EMR and payroll systems including fixed and variable costs.
  • Implemented analytics around time-driven activity costing (TDABC)
  • Major cost categories included implants, supplies, surgical encounter and post op period
  • Data culled from over 920 thousand patient visits used to build models for value-based care, quality pathways and nurse navigation
  • Platform was ultimately licensed to AT&T and other orthopedic practices

Healthcare Services Company

  • The organization provided RCM and other managed services to over 60+ medical practices across 4 states. Developed data warehouse and ETL process to gather data from disparate practices to support centralized reporting.

  • Developed executive dashboard at the CBO level, as well as individual practice level

  • Distributed daily reports on production, claim lag, and over 30 key metrics

  • Built Cognos cubes for larger clients to slice and analyze data over time

  • Built a black box to effectively track claims work across disparate systems

Behavioral Health

  • Built a patient dashboard that accumulated historic lab results and appointment attendance to visually inform providers of patient adherence to treatment protocols
  • System pulled appointment information from EMR, as well as lab results from multiple internal and external lab information systems
  • Files were transmitted daily with secured transfer (sftp) toGoogle Cloud Platform, normalized and processed with python scripts, MySQL stored procedures, and visualized with Google DataStudio

Multispecialty MSO

  • Developed a data analytics program that included daily ingestion of AthenaHealth EMR/RCM content for clinical and financial stakeholders

  • Microsoft SQL Server Integration Services and database, hosted on AWS infrastructure,

  • Leverage solution to accumulate data in star schema data model

  • Role-based security was architected with PowerBI visualization dashboards to end users

Behavioral Health

  •  Developed RCM dashboard to provide weekly insights on key performance metrics to Client

  • Added “drill down” tools to facilitate streamlined review of claims, payments, denials and A/R notes to audit billing services

  • Expanded business intelligence tool to track operational issues such as

    • Patient/provider assignment based on credentialing status

    • Frequency of MD visits vs mid-levels for internal standard of care

    • Financial cash flow projections as well as per patient per month revenue calculations

Nephrology & Primary Care

  • Developed streamlined / automated calculation and dashboard outputs for

  • Calculation of accrual revenue as well as mapping to journal entries

    •  Cash flow projections

    • Specific service tracker

    • Patient recall lists including eligible preventative care services

Download our one-page fact sheet to learn more about SCALE Data Analytics solutions.

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