From in-office procedures and pathology to advanced-therapy authorization and denial management — SCALE delivers revenue cycle intelligence purpose-built for urology groups, ASCs, and MSOs
Cystoscopy, urodynamics & procedure-day E/M
TC/PC splits & in-house lab coding
LHRH agonists, buy-and-bill & J-codes
Advanced imaging, surgery & specialty drugs
Live dashboards via SCALE's analytics platform
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High-complexity care comes with high-complexity billing — and most generalist RCM vendors aren’t equipped to handle it. SCALE is.
Cystoscopy, urodynamics, and same-day E/M carry bundling and modifier rules that drive under-capture and denials.
LHRH agonists and other injectables involve buy-and-bill and unit-accuracy risk on high-cost claims.
In-house lab and pathology TC/PC splits require precise coding to avoid leakage.
Core Service
We manage advanced-imaging, surgical, and specialty-drug authorizations end to end.
AI-Powered
Automated review flags procedure bundling, modifier, and J-code unit errors.
Denial Recovery
Payer-specific appeal templates for procedure, drug, and medical-necessity denials.
Specialty Coding
Accurate buy-and-bill and in-house lab TC/PC capture protect high-value revenue.
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.
We analyze 90 days of claims data to identify coding gaps, denial patterns, and authorization bottlenecks specific to your practice.
Seamless connection to your EHR and practice-management system — no new software for your team to learn or manage.
SCALE’s dedicated team takes over day-to-day RCM operations with transparent reporting from day one.
Monthly performance reviews, payer-policy monitoring, and AI-driven recommendations keep revenue growing over time.
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
Book a free 30-minute strategy call with a SCALE Urology specialist. We’ll review your current denial rates, authorization backlog, and coding performance — at no cost.
