SCALE Data Analytics

SCALE Denial Management Platform

SCALE’s Denials Management Platform leverages your 835 data to give you visibility to denials and denial trends, track actions on denials and even delegate actions to specific members on your team.

In working with hundreds of specialty practices we’ve seen the frustration of countless RCM teams to get the information they need to collect the money their practice has earned. So we started with a simple premise. How do we take the data a practice already has and transform it into actionable
information on a simple interface? Our DMP is just that.

Visibility into Denials

Flexibility to sort them your way

Dispatch Functionality

Capability to route each denial
to the right person on your team

Status Capture

Notes & attachments capability,
providing visibility to what’s been done,
with a follow up date

Executive Dashboard

Management level visibility to help
you identify when denial patterns shift

Curious about the ways SCALE can benefit your organization?

Schedule a Demo

Demos will be available starting March 22nd 2024. Please select a date and time that works for you on or after March 22nd

Denials Manager Platform

Features

  • Denials by CARC Codes
  • Denials grouped by category and message code for any period of time
  • Detail view of payer, procedures, accounts, check number, rendering provider, source file, claims, etc.
  • My Work Queue
  • Denial details above plus free form text to update in application
  • Denial status (Unassigned, Assigned, On hold)
  • Claim and Patient Information
  • Ties denial to claim including claim level billed charges, paid and adjustments.
  • Provider Level Adjustments – including all adjustments made to providers
  • Cube creating a live relationship between all data above.
  • Power BI Visuals: Trended Reports
  • Payments by - Payor, doctor, year, denial amount, claim, CPT
  • Denials by - Payor, doctor, year, denial amount, claim, CPT
  • Denials breakdown - Coding, improvements, category, insurance groups
  • Power BI Visuals: Trended Reports
Learn More

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