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RCM Analytics

Elevating Your Business with Cutting-Edge Analytics

SCALE Analytics Platform

Our RCM analytics solutions bring simplicity & transparency to holistic RCM performance. Empower executive leadership & RCM teams with actionable, user-friendly analytics on what matters most in your RCM performance.

Experience the power of data-driven insights with our RCM data analytics services. Gain a deeper understanding of your revenue cycle performance, optimize workflows, and unlock opportunities for financial growth and operational efficiency. Harness the synergy of advanced analytics tools and expert guidance to drive informed decision-making and achieve your strategic objectives with precision.

Best-in-Class Intelligence:

Gain access to the same real-time business intelligence tools that SCALE’s leading national RCM consulting & services platform uses to assess & oversee performance.

Bring integrated, enterprise-wide transparency to RCM performance oversight on behalf of CEOs, CFOs and RCM department leadership.

Integrates seamlessly with your existing billing systems.

Improve RCM performance, collections and cost-to-collect with intelligent, user-friendly analytics on:

  • Claim Submission Efficiency
  • Claim Adjustments & Bad Debt Write-Offs
  • Collection Rates
  • A/R & Credit Balances
  • Denials
  • Performance trending, location-level reporting, and extensive performance drill-down functionality
  • Other key RCM performance driver and outcomes

The market is filled with expensive & suboptimal data analytics solutions.  SCALE RCM Analytics strives to represent a breath of fresh air – achieve all of the above without breaking the bank. 

Explore Our Data Analytics Platform
  • Denials by CARC Codes
  • My Work Queue
  • Denials grouped by category and message code for any period of time
  • Detail view of payer, procedures, accounts, check number, rendering provider, source file, claims, etc.
  • Denial details above plus free form text to update in application
  • Denial status (Unassigned, Assigned, On hold)
  • Claim and Patient Information
  • Ties denial to claim including claim level billed charges, paid and adjustments.
  • Provider Level Adjustments – including all adjustments made to providers
  • Cube creating a live relationship between all data above.
  • Power BI Visuals: Trended Reports
  • Payments by - Payor, doctor, year, denial amount, claim, CPT
  • Denials by - Payor, doctor, year, denial amount, claim, CPT
  • Denials breakdown - Coding, improvements, category, insurance groups
  • Power BI Visuals: Trended Reports

Features

Recent Wins

Successfully implemented a proprietary denial management platform with real-time RCM dashboard reporting.

Orthopedic MSO

Delivered an RCM and operational analytics executive dashboard, providing daily insights on key performance metrics.

Behavioral Health MSO

Launched a credentialing business intelligence application, streamlining provider credentialing status tracking across payers.

Behavioral Health MSO

Enhanced cash collections by deploying advanced denials management analytics to swiftly identify, track, and manage payer denials.

Ophthalmology MSO

Provided comprehensive RCM analytics and site management services supporting over 140 locations.

Nationwide Allergy MSO

Improved best practices across a multi-site through executive analytics and operational reporting.

Dermatology MSO

Integrated RCM executive analytics across multiple EMRs and disparate systems.

Prominent Orthopedic MSO

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Simplify Your Revenue Cycle Today with Our User-Friendly Platform!

SCALE Data Analytics provides value driven technology solutions that help organizations monetize value from their data.

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