AI-Powered RCM Built for Urgent Care Practices
From payer-specific S-codes and global-payment logic to high-volume eligibility and denial management — SCALE delivers revenue cycle intelligence purpose-built for urgent care groups, multi-site operators, and MSOs.
Urgent-Care S-Code Billing
S9083/S9088 & payer-specific global codes
E/M Level & POS Accuracy
Correct POS-20 and E/M leveling at volume
High-Volume Eligibility
Real-time verification at high patient throughput
Occupational & Self-Pay
Workers' comp, employer & self-pay workflows
Real-Time RCM Analytics
Live dashboards via SCALE's analytics platform
Urgent care billing is uniquely complex. We know it cold.
High-complexity care comes with high-complexity billing — and most generalist RCM vendors aren’t equipped to handle it. SCALE is.
S-Code & Global-Payment Variation
Payer-specific urgent-care codes (S9083/S9088) and global-payment models require careful, payer-by-payer logic.
High-Throughput Front-End Risk
High patient volume makes real-time eligibility and POS accuracy critical to prevent front-end denials at scale.
Mixed Payer & Self-Pay Mix
Workers' comp, occupational, employer, and self-pay claims each follow different rules and aging behavior.
How SCALE solves it
Urgent-Care Eligibility & Verification
We run real-time, high-volume verification across all payer types at the point of intake.
Urgent-Care Coding & Charge Capture
Automated review flags E/M, POS, and S-code errors across high claim volume.
Urgent-Care Denial Management
Payer-specific appeal templates for global, S-code, and eligibility denials.
Occupational & Self-Pay Workflows
Dedicated workers'-comp, employer, and self-pay billing tracks capture revenue that usually ages out.
End-to-end RCM for every Urgent care encounter
Automation handles volume and velocity. Our experts handle exceptions, edge cases, and strategic optimization — creating a closed-loop system that continuously improves performance over time.
Discovery & Audit
We analyze 90 days of claims data to identify coding gaps, denial patterns, and authorization bottlenecks specific to your practice.
EHR Integration
Seamless connection to your EHR and practice-management system — no new software for your team to learn or manage.
Go-Live & Handoff
SCALE's dedicated team takes over day-to-day RCM operations with transparent reporting from day one.
Continuous Optimization
Monthly performance reviews, payer-policy monitoring, and AI-driven recommendations keep revenue growing over time.
Representative results across SCALE clients
Representative results across SCALE Healthcare clients. Individual outcomes vary by organization size, payer mix, and baseline RCM maturity.
Reduction in average days to pay across SCALE-managed client portfolios
Reduction in cost-to-collect through AI automation and workflow optimization
Reduction in A/R aging beyond 90 days through proactive denial management
Reduction in overall denial rates powered by DenialShield predictive scoring
Works inside the EHRs your team already uses
Let’s build your Urgent Care RCM roadmap together
Book a free 30-minute strategy call with a SCALE Urgent care specialist. We’ll review your current denial rates, authorization backlog, and coding performance — at no cost.