Services

Fully Managed Services

Our Fully Managed Services are designed to elevate your Revenue Cycle Management (RCM) to new heights of performance and efficiency.

Hybrid Managed Services

Empowering Multisite Healthcare Organizations with SCALE RCM’s Managed Hybrid Services

RCM Consulting

Our RCM Consulting Services are trusted by leading national healthcare organizations and their executives and investors to address a broad range of complex and bespoke RCM opportunities & challenges.
Technology

DenialShield

Predicts and prevents claim denials with intelligent scoring, proactive alerts, and automated workflows.
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FrontDeskShield

Automates patient intake and registration to reduce errors, speed up check-ins, and improve front-office efficiency.
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RevenueShield

Optimizes charge capture and coding accuracy to maximize revenue and reduce manual effort across the billing cycle.
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RCM Analytics Platform

Scalable, end-to-end RCM transparency built by proven RCM experts.
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Resources

Whitepapers

In-depth insights, research, and strategies to strengthen healthcare operations and revenue performance.

Case Studies

How healthcare teams reduce denials, improve workflows, and grow revenue.

Press & News

Explore our latest partnerships, client collaborations, and strategic initiatives across the healthcare ecosystem.
About
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RCM Analytics Platform

Scalable, end-to-end RCM transparency built by proven RCM experts.

SCALE RCM Analytics — Executive Dashboard

Net Collection Rate

97.4%

↑ 2.1% vs prior period

Days in A/R

31.2

↓ 4.8 days improved

Denial Rate

5.8%

↓ Payer X trending up

Underpayments Identified

$218K

↑ 38 new findings

Monthly Collections by Site

A/R Aging Trend (90-day)

Sample Client Partners

Platform Capabilities

Everything Your RCM Team Needs to Excel

Five purpose-built pillars that transform fragmented revenue cycle data into clear, decisive intelligence — across every site, payer, and stakeholder.

01 Metrics & Transparency

Track the Metrics That Matter Most

Scalable, end-to-end RCM transparency — built by proven RCM experts who know which numbers actually move the needle. From net collection rate to days in A/R, every KPI in one unified place.

97.4%

Net Collection Rate

↑ 2.1% vs prior

31.2

Days in A/R

↓ 4.8 days improved

24.1%

Denial Rate

↑ Trending up

$218K

Underpayments

38 new findings

Total AR by Month

AR by Aging Bucket

$14.37M

Total AR

27% of charges

69.84%

% AR > 90 Days

↑ vs 68.28% prior

113.67

Days in AR

Current: 114.8

26.1%

GCR

-100% change

Total AR by Month-Year ($M)

Total AR by Buckets

FacilityTotal ARAR >90 DaysAR >90%Risk

14th Facility$2,159,269$1,143,81752.97%High

13th Facility$82,038$48,17358.72%High

15th Facility$213,492$118,87255.68%High

Total$14,372,352$10,038,13269.84%High

24.12%

Denials Rate

Last Mo: 26.42%

24,301

Denial Claim Count

Last Mo: 2,025

$831.28K

Denial Amount

Last Mo: $155.65K

1.55%

Denial % of Charges

Last Mo: 3.98%

Denials Rate by Month (%)

Denials by Category

Coding Issues

9,842

Insuff. Docs

3,210

COB Issues

2,810

Eligibility

1,870

Non Covered

680

100,751

Total Processed Claims

YTD 2025

93.50%

First Time Paid (FTP)

↑ On target

97.18%

Timely Filing Rate

↑ On target

99.24%

First Pass Rate (FPR)

↑ On target

First Time Paid (FTP) by Facility — Top Sites

First Pass Rate (FPR) by Month

02 AI-Powered Intelligenc

Comprehensive AI Insights Across Every RCM Domain

Proactively empower RCM leadership with AI-driven intelligence that surfaces opportunities and risks across the full revenue cycle — before they impact your bottom line.

11.3%

Current Denial Rate

Claims at Risk

↑ 4.2%

MoM Change

⚡ AI Insight

BCBS-IL denial rate on CPT 27447 increased 4.2% MoM. Root cause: missing modifier on 63 claims. Recommend appeal within 30 days to recover an estimated $41,800.

→ View denial worklist

97.4%

Net Collection Rate

$2.1M

Collected MTD

↑ 2.1%

vs Prior Period

⚡ AI Insight

Site 3 collection rate dipped to 93.1% — 4.3 pts below your network average. High-balance self-pay accounts driving the gap. Recommend escalation to patient financial services.

→ View collections dashboard

31.2

Days in A/R

$94K

90+ Day Bucket

↑ 18%

MoM Aging Growth

⚡ AI Insight

Site 4 A/R aging bucket 90+ days grew 18% this month. 12 accounts totaling $94K flagged for immediate follow-up before timely filing deadlines expire.

→ Open A/R aging report

4.8d

Avg Charge Lag

$38K

Revenue at Risk

+2.7d

Above Benchmark

⚡ AI Insight

Provider charge lag at Site 2 averaging 4.8 days — 2.7 days above your network benchmark. $38K in delayed billing this month. Three providers account for 80% of the gap.

→ View provider productivity

$218K

Identified MTD

New Findings

$664

Avg Variance/Claim

⚡ AI Insight

127 BCBS-IL claims for CPT 27447 paid below contracted rate. Average variance of $664/claim — totaling $84,320 in recoverable revenue. Appeal window open for 90 days.

→ Open underpayment queue

$12.4K

Flagged MTD

Claims Flagged

2 Payers

Affected

⚡ AI Insight

9 claims flagged for potential overpayment across Aetna and UHC. Proactive refund reduces audit risk and ensures compliance. Recommend review before end of billing period.

→ Review compliance queue

03 Technology Foundation

Built for Scaled Multisite Organizations

A data platform engineered for the complexity of multi-site healthcare — connecting disparate systems into one trusted source of RCM truth.

One unified data layer across every site

Fragmented spreadsheets, disconnected EMRs, and one-off reports leave leadership blind. SCALE consolidates every revenue cycle data point — across all facilities, payers, and providers — into a single, reliable source of truth.

Eliminate manual report consolidation
Cross-site comparisons in real time
No more data living in siloed systems

Connect to any EMR or PM system

No forced migrations, no vendor lock-in. SCALE plugs into your existing stack — Epic, Athena, eClinicalWorks, Modernizing Medicine, and 50+ other systems — without disrupting workflows.

50+ pre-built EMR / PM connectors
No system migrations required
Bi-directional data sync available

Built by people who've run RCM

Not a generic BI tool adapted for healthcare — every metric, dashboard, and alert was designed by experienced RCM operators who understand what drives revenue and what doesn't.

Domain expertise built into every view
Metrics mapped to real RCM workflows
Ongoing advisory from RCM veterans

Enterprise-grade infrastructure you can trust

Mission-critical healthcare data demands uncompromising reliability. SCALE delivers SOC 2 certified security, SLA-backed uptime, and daily automated data refresh — so your team always has accurate intelligence.

SOC 2 Type II certified
99.9% SLA-backed uptime
Daily automated data refresh

04 Stakeholder Modules

Customized Views for Every Key Leader

Purpose-built dashboards tailored to how each role thinks — so every stakeholder sees exactly what drives their decisions, without the noise.

Head of RCM · Operational Command

24.12%

Denial Rate

24,301

Denial Count

113.67

Days in A/R

94.8%

Clean Claim Rate

Denial Rate by Month

Denials by Category

Coding

Docs

COB

Elig.

FacilityTotal ARAR >90%Risk

14th Facility$2.16M52.97%High

13th Facility$82K58.72%High

15th Facility$213K55.68%High

CFO · Financial Performance

$53.75M

Total Charges

$14.05M

Total Payments

71.55%

Net Collection

$153.56

Rev / Visit

Charges & Payments — TTM

Total AR by Month

Payer ClassContractual Adj.Non-Contractual

Wellmed$8,593,899$56,278

Aetna$7,435,404$75,881

Commercial$2,917,629$101,153

COO · Operations & Site Benchmarking

100,751

Processed Claims

93.50%

FTP Rate

4.8d

Avg Charge Lag

99.24%

First Pass Rate

FTP Rate by Facility — Top Sites

Timely Filing — Bottom Sites

62nd

89.6%

71st

90.4%

67th

91.7%

30th

92.3%

First Pass Rate (FPR) by Month

Clinic Managers · Provider Productivity

4.8d

Charge Lag

$38K

Rev at Risk

$153.56

Rev / Visit

93.50%

FTP Rate

Charge Lag by Provider (days)

Coding Accuracy (E/M Distribution)

ProviderLag (days)Rev at RiskStatus

Dr. Chen5.2d$18,400↑ High

Dr. Patel4.8d$14,200↑ Watch

Dr. Smith1.8d—✓ Good

05 Actionable Insights

Insights That Drive Real Revenue Results

Purpose-built intelligence tools for every decision-maker — from C-Suite health gauges to facility-level scorecards with full KPI drill-down.

Stage health gauges + 18 KPIs with drill-through — built for CFO, COO, and RCM leadership.

Front-End

Healthy

Billing

At Risk

Collections

Critical

A/R Mgmt

Healthy

Total Charges

$53.75M

↑ 3.35%

Total Payments

$14.05M

↑ 4.40%

Net Collection Rate

71.55%

↑ 3.93%

Total AR

$14.37M

↓ -2.61%

AR >90 Days

69.84%

↑ 2.29%

Days in AR

113.67

Current: 114.8

Full scorecard per facility — all KPIs in one view. Select any facility to see its complete performance profile.

Facility

Data as of: 3/5/2026

Charges & Payments — TTM Charges Payments

Payer ClassContractual Adj.Non-Contractual

Wellmed$8,593,899$56,278

Aetna$7,435,404$75,881

Commercial$2,917,629$101,153

Total$34,118,781$550,987

BUILT FOR HEALTHCARE PERFORMANCE

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SCALE integrates strategy, workflow precision, and automation to streamline revenue operations, shorten payment cycles, and drive measurable financial gains.

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See how SCALE RCM Analytics can give your leadership team the intelligence they need to drive results — built on real RCM expertise.

Fully Managed Services

Hybrid Managed Services

RCM Consulting

DenialShield

FrontDeskShield

RevenueShield