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SCALE Case Study:

Payer & Regulatory Research – Family Care Services

Client Profile

Services Deployed

Market Research

Coding Analysis


SCALE was engaged by an investment banking firm to complete a market assessment and regulatory analysis for the acquisition of multiple rural health clinics in the southeastern US.



SCALE’s payer & regulatory research team analyzed commercial payer reimbursement trends, and
underlying reimbursement policies impacting trends affecting RHCs, telehealth, and RPM. SCALE
provided a detailed summary of reimbursement analysis and trends for high volume CPT codes. The
team also completed a follow up review of new CMS guidance on care management services


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