AI-Powered RCM Built for Women's Health Practices
From global OB packages and ultrasound coding to well-woman visits and denial management — SCALE delivers revenue cycle intelligence purpose-built for OB/GYN and women's health groups, MSOs, and health systems.
Global OB Package Billing
Antepartum, delivery & postpartum splits
Ultrasound & Imaging Coding
OB/GYN ultrasound, TC/PC & frequency rules
Well-Woman & Preventive
Preventive-vs-problem-visit separation
Prior Authorization
Advanced imaging, surgery & fertility services
Real-Time RCM Analytics
Live dashboards via SCALE's analytics platform
Women's health 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.
Global OB-Package Complexity
Antepartum/delivery/postpartum global splits, transfers of care, and partial packages are a frequent source of denials and leakage.
Ultrasound Frequency & Component Rules
OB/GYN imaging requires precise TC/PC and frequency-modifier handling to avoid denials.
Preventive-vs-Problem Separation
Well-woman and problem-based visits on the same encounter require clean separation and modifier discipline.
How SCALE solves it
Women's Health Prior Authorization
We manage advanced-imaging, surgical, and fertility authorizations end to end.
OB/GYN Coding & Charge Capture
Automated review flags global-package, ultrasound, and modifier errors across encounters.
Women's Health Denial Management
Payer-specific appeal templates for global, imaging, and medical-necessity denials.
Global OB & Preventive Integrity
Accurate global-package splitting and preventive/problem separation protect revenue.
End-to-end RCM for every Women's health 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 Women's Health RCM roadmap together
Book a free 30-minute strategy call with a SCALE Women's health specialist. We’ll review your current denial rates, authorization backlog, and coding performance — at no cost.