Performance Improvement
Case Study #1

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Background & Current State

A DSO based in Tennessee with just under 100 clinics in five states approached SCALE Healthcare with cash flow & liquidity issues. The client was growing at a rapid pace and had experienced issues integrating new practices into its existing RCM program. In the past year, RCM deficiencies resulted in lower accrual forecasts and there was a lack of central oversight of their RCM structure.

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SCALE Impact

In a span of ten weeks SCALE performed financial forecasting, liquidity management, clinics operations oversight and optimized performance which included analytics reporting, and development of key performance indicators through SCALE’s Consulting & RCM workstreams. SCALE compared accrual vs. cash method of recognizing revenue and audited A/R.

 SCALE recommended a few operational improvements including: a centralized RCM resource under the Director of RCM to review KPIs and for the Director of RCM to have responsibility for creating action plans including training and performing supplemental RCM work.  SCALE also determined that the client should deploy one dedicated RCM employee under each regional manager and utilize consultants in conjunction to accelerate improvements.

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