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.
Antepartum, delivery & postpartum splits
OB/GYN ultrasound, TC/PC & frequency rules
Preventive-vs-problem-visit separation
Advanced imaging, surgery & fertility services
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.
Antepartum/delivery/postpartum global splits, transfers of care, and partial packages are a frequent source of denials and leakage.
OB/GYN imaging requires precise TC/PC and frequency-modifier handling to avoid denials.
Well-woman and problem-based visits on the same encounter require clean separation and modifier discipline.
Core Service
We manage advanced-imaging, surgical, and fertility authorizations end to end.
AI-Powered
Automated review flags global-package, ultrasound, and modifier errors across encounters.
Denial Recovery
Payer-specific appeal templates for global, imaging, and medical-necessity denials.
Specialty Coding
Accurate global-package splitting and preventive/problem separation protect 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 Women’s health specialist. We’ll review your current denial rates, authorization backlog, and coding performance — at no cost.
