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Solutions by engagement

Three ways to work with us. One delivery model underneath.

However you engage, ShieldAI is included and the team is named. Start with a seat, hand over the whole cycle, or begin with a diagnostic and decide from there.

ShieldAIincluded across all three engagement models
01 · Engagement model

Tech-enabled FTEs

Add capacity one seat at a time. Each seat is a trained RCM specialist with ShieldAI already running behind them — not a licence you then have to staff.

Best fit whenYou have a functioning business office and need more throughput, coverage for a specific function, or capacity ahead of an acquisition — without adding headcount to your own payroll.

ShieldAI

ShieldAI is included with every seat at no separate licence, so each specialist clears materially more volume than a conventional FTE.

Your SCALE team

You pick the functions and the count. Specialists are named, stay on your account, and report into your existing RCM leadership.

1Pick the functions and seat count
2We recruit, train, and assign named specialists
3ShieldAI switches on in your EHR alongside them
4Weekly reporting against your KPIs
50%+Lower cost per seat
NamedNot a rotating pool
FlexUp or down by function
What one seat includes A CONVENTIONAL FTE One trained person Manual worklists Output scales with hours Knowledge leaves on exit Cost per seat Baseline A SCALE TECH-ENABLED FTE One trained specialist ShieldAI clears the routine work Output scales with automation Playbook stays with SCALE Cost per seat 50%+ lower
02 · Engagement model

Full service RCM

Hand us the whole cycle — front end through patient balances — under one accountable team, one set of SLAs, and one number at the end.

Best fit whenYou are consolidating billing across markets, carrying a fragmented vendor stack, or want a single owner accountable for net collections rather than four partial ones.

ShieldAI

The full ShieldAI platform runs across every stage — FrontDeskShield at the front end, RevenueShield mid-cycle, DenialShield on the back end.

Your SCALE team

A named delivery team owns execution end to end, with published SLAs and weekly performance reviews you can audit claim by claim.

1Diagnostic and transition plan
2Phased migration, market by market
3SCALE assumes day-to-day execution
4Continuous optimization and reporting
End to endCharge entry to patient balances
PublishedSLAs, reviewed weekly
ScalesWith every acquisition
End to end · what SCALE owns SCALE runs the full revenue cycle You keep clinical operations and payer strategy Front end eligibility & auth FRONTDESKSHIELD Mid cycle coding, charge capture REVENUESHIELD Back end claims, A/R, denials DENIALSHIELD Patient balances statements, support RCM ANALYTICS Reported back to you, weekly Named team Yours not a rotating pool SLA adherence Published reviewed every week Scales with Every deal new sites, same model
03 · Engagement model

Performance improvement consulting

A structured diagnostic that quantifies what the current process is costing you, followed by a plan with owners, sequence, and dates attached.

Best fit whenYou want to know the size of the opportunity before committing to a service model — or you have an in-house team that needs a roadmap rather than a replacement.

ShieldAI

We run your claims and denials through ShieldAI to size the opportunity with your own data, not an industry benchmark.

Your SCALE team

Operators who have run revenue cycle for MSOs and leading multi-site groups build the plan and can stay on to execute it if you want them to.

1Data review across billing, coding, and front office
2Quantified opportunity by category
390-day plan with owners and sequence
4Measured at 30, 60, and 90 days
30 daysTo a quantified opportunity
90-dayPlan with owners attached
OptionalExecution support after
Performance improvement · engagement output Quantified annual opportunity $4.2M identified in the first 30 days Where it sits Preventable denials Under-coded encounters Front-end rework 90-day plan Owners & sequence Measured at 30 / 60 / 90 days

Choosing between them

Tech-enabled FTEs
Full service RCM
Performance improvement
Who owns the outcome
You do
SCALE does
You do
Scope
Chosen functions
Entire revenue cycle
Assessment & roadmap
Your RCM leadership
Stays in place
Retains strategy & payer relationships
Stays in place
ShieldAI included
Yes
Yes
Yes
Typical starting point
Capacity gap in one function
Consolidating fragmented billing
Sizing the opportunity first
Commitment
Per seat, flexes with volume
Multi-year, fee on net collections
Fixed-scope engagement

Not sure which fits? Most groups start with a diagnostic and decide from there.

See it against your own data

Bring us a month of claims and denials. We'll show you where the money is going and what we'd do about it — before you sign anything.

Book a demo