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RCM Solutions for Physician Practices

RCM Solutions for Physician Practices Insights

Medical Billing Services

The SCALE RCM Experience

SCALE RCM services are designed to offer provider platforms the specific support services they require, depending on current standalone circumstances and strategic objectives. As part of SCALE Healthcare, SCALE RCM is uniquely positioned to deliver an unrivaled blend of strategic, financial and technical talent essential for the continued success of any practice in today’s evolving healthcare landscape.

RCM Expertise

  • Claims processing and adjudication
  • Benefits eligibility
  • Insurance credentialing
  • Payer contracting
  • Coding assessments, training and education

Efficient Onboarding Process

  • User-friendly diligence and contracting
  • Systematic onboarding
  • Rapid and controlled execution timeline
  • No practice management/EHR system change required
  • Ongoing communication and collaboration with your team

Integrated RCM Management Team

  • Beyond an outsourced third party
  • Performance improvement opportunities beyond RCM

Transparent and Comprehensive Performance Reporting

Not ready for fully managed RCM services? We can augment your current billing department with a range of consulting services.

Medical Billing Consulting Services

  • Pre- and post-close transactional services
  • Department performance and workflow assessments
  • Performance, workflow and execution automation and improvement
  • Business intelligence and executive dashboard reporting
  • Denials analysis and payer project management
  • Credentialing program development
  • Billing system selection advisory
  • Department restructuring

Clinical Specialty Coverage Universe

  • Allergist / Immunology
  • Anesthesia
  • Audiology
  • Cardiology
  • Chiropractic
  • Dermatology
  • Electrophysiology
  • Emergency Medicine
  • Endocrinology
  • Gastroenterology
  • General Surgery
  • Geriatric
  • Gynecology
  • Hand Surgery
  • Hematology
  • Hospice and Palliative Medicine
  • Infectious Disease
  • Infusion Centers
  • Internal Medicine
  • Family Practice
  • Interventional Cardiology
  • Nephrology
  • Neurology
  • Nuclear Medicine
  • Oncology
  • Ophthalmology
  • Orthopedic Surgery
  • Otolaryngology (ENT)
  • Pain Medicine
  • Pathology
  • Pediatric Urgent Care
  • Pediatrics
  • Physical Therapy
  • Podiatry
  • Psychiatry and Mental Health
  • Pulmonology
  • Radiology
  • Rheumatology
  • Sleep Medicine
  • Speech Pathology
  • Thoracic Surgery
  • Urgent Care
  • Urology
  • Vascular
  • Private Equity-Backed Platforms

Knowledge Center

Resource Center

Case Studies

Full-Service RCM Solutions

SCALE RCM successfully took over RCM for a multi-specialty practice with minimal disruption and improved performance.

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Full-Service Billing

SCALE began working with a multi-specialty practice with approximately forty providers on a host of performance improvement initiatives.

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