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Tech-enabled RCM

AI-powered RCM performance

Better performance for lower cost. SCALE's RCM services are powered by its proprietary ShieldAI platform — so the same work costs less, moves faster, and generates improved outcomes.

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16+ YearsPartnering with MSO C-Suite & RCM leadership
Trusted byLeading national multi-site groups
Specialists inRCM & front office operations
SCALE performance · 38 locations · 42 providers Updated 4 min ago Net collection rate97.1% Days in A/R28.4 Denial rate3.1% Clean claim rate 96.8% Net collections vs. denial rate collections denials ShieldAI · running DenialShield 1,032 FrontDeskShield 208 RevenueShield $8.2k RCM Analytics live actions taken today, no human touch Service delivery · SCALE team Coding 98.6% accuracy A/R follow-up 1,940 touches / wk Front office 96.8% clean claims SLA adherence 100% this month

Who we work with

We partner with C-suite and RCM leaders to support the implementation and optimization of tech-enabled RCM services. We deliver practical and impactful solutions through dynamic service models to empower leading national multisite physician organizations, MSOs and DSOs.

Advanced DermatologySolaris HealthRAYUS Radiology Pinnacle FertilityIllinois Bone & JointGreat Expressions Allergy PartnersAbsolute DentalThe Smilist Stamford HealthOne GIMaxHealth Eyecare Services PartnersDuly Health and Care Advanced DermatologySolaris HealthRAYUS Radiology Pinnacle FertilityIllinois Bone & JointGreat Expressions Allergy PartnersAbsolute DentalThe Smilist Stamford HealthOne GIMaxHealth Eyecare Services PartnersDuly Health and Care
Our commitments

An unrelenting commitment to:

01

Quality

02

Partnership, service & transparency

03

Reliability

04

Innovation

Proven technology solutions drive efficiency and performance optimization at every stage of the claim lifecycle.

ShieldAI one platform, every stage FRONT-END FrontDeskShield MID-CYCLE RevenueShield BACK-END DenialShield

The SCALE Impact

Bringing a new paradigm to revenue cycle operations — moving beyond the key challenges and inefficiencies in the revenue cycle of yesterday with ShieldAI.

50%+
Lower cost
The same work, delivered for materially less.
50%+
Fewer denials
Stopped before submission, not appealed after.
50%+
Faster time to pay
Cash lands sooner, forecasting gets easier.
How it works

One team, already tech-enabled

You don't buy software and then staff it, or hire people and then try to automate them. Every option below arrives with both, priced as one.

Coverage, benefits, and authorization cleared before the visit.

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Every encounter checked against every charge, so documented work reaches a claim.

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Denial management and A/R follow-up, run end to end.

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Patient billing and balance resolution, handled end to end.

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Patient access · tomorrow's schedule 214 appointments SHIELDAI runs overnight, before anyone opens the queue Eligibility verified 208 Auth status refreshed 61 Coverage changes caught 9 YOUR SCALE SPECIALIST picks up only what needs a person · 6 of 214 M. Alvarez · 9:15 AM plan terminated — new coverage located, calling to confirm J. Whitfield · 10:00 AM auth pending for 64483 — escalated to payer rep Everything else cleared without a human touch
Coding & charge capture · this week 42 providers SHIELDAI reads every encounter against every charge Revenue recovered · $ thousands Recovered year to date $1.8M YOUR SCALE CODER works the flags, holds the accuracy 7 encounters documented, never charged $8,240 · ortho · resolved same day Coding accuracy 98.6% Under-coding flags cleared same week
Claims & denials · today 1,284 claims SHIELDAI scores every claim against payer history before it goes out 3.1% denial rate · was 7.4% Corrected automatically 1,032 no human touch Flagged for a person 146 highest value first YOUR SCALE SPECIALIST reviews the draft, sends the appeal Appeal drafted · CLM-87903 · United · $4,120 CO-197 · precedent from 34 similar overturns cited Review & send Claims that used to deny now pay within 30 days ~51% of the time up from ~18% before ShieldAI
A/R, patient balances & insight 38 locations SHIELDAI fewer denials upstream means a smaller queue downstream Claims outstanding · before Claims outstanding · now 28.4 days in A/R YOUR SCALE ANALYST works what's left, reports what you need A/R aging 0–30 31–60 61–90 90+ Net collection rate 97.1% Cost to collect 2.4%
Powered byShieldAI

Add capacity by the seat — each one a trained specialist with ShieldAI already behind them.

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Hand us the whole cycle, front end through patient balances, under one accountable team.

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A diagnostic that quantifies the opportunity, then a plan with owners and dates attached.

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What one seat includes A CONVENTIONAL FTE One trained person Manual worklists Output scales with hours Knowledge leaves on exit Cost per seat Baseline A SCALE TECH-ENABLED FTE One trained specialist ShieldAI clears the routine work Output scales with automation Playbook stays with SCALE Cost per seat 50%+ lower
End to end · what SCALE owns SCALE runs the full revenue cycle You keep clinical operations and payer strategy Front end eligibility & auth FRONTDESKSHIELD Mid cycle coding, charge capture REVENUESHIELD Back end claims, A/R, denials DENIALSHIELD Patient balances statements, support RCM ANALYTICS Reported back to you, weekly Named team Yours not a rotating pool SLA adherence Published reviewed every week Scales with Every deal new sites, same model
Performance improvement · engagement output Quantified annual opportunity $4.2M identified in the first 30 days Where it sits Preventable denials Under-coded encounters Front-end rework 90-day plan Owners & sequence Measured at 30 / 60 / 90 days
SCALE healthcare ShieldAI RCM specialists Patient access specialists Analytics

Technology

Integrates with the EHR you already have — preventing denials before claims are sent, automating workflows, and catching charges that never reached a bill.

Talent

A highly structured service delivery model, with seasoned specialist teams organized by function and an unrelenting focus on quality.

Transformation

Our operators have run this for MSOs and leading multi-site groups for 16 years. They rebuild the process alongside your business office and leave behind a system that holds through the next acquisition.

In their words

"

SCALE helped us move from fragmented, market-by-market billing to centralized, AI-enabled operations. Meaningful reductions in A/R, denials, billing lag, and cost-to-collect — with real-time visibility we never had.

VP of Revenue CycleMultistate musculoskeletal MSO
"

Their ability to rapidly scale a cost-efficient RCM service into our operations has been crucial to our growth. The team understands our needs and consistently delivers to expectations.

Chief Executive OfficerPodiatry MSO, 55+ locations
"

In 25+ years in revenue cycle I've worked with many vendors. SCALE became a true partner — we've reduced over-90-day A/R, cut claim hold lag, and lowered credit balances.

Senior Director of RCMDermatology MSO, 75+ providers

How an engagement runs

Wherever you are — fragmented, stabilizing, or ready to automate — we start there.

Annual opportunity identified $4.2M Denials Under-coding Cost to collect
01 · Assess

We find where the money is going.

A structured review of billing, coding, and front-office workflows against SCALE benchmarks, with a quantified opportunity and a 90-day plan attached.

This week · SCALE team SLA 100% Coding 94% A/R follow-up 81% Front office 89%
02 · Run

We take the work, or the parts you name.

SCALE operators handle day-to-day execution and report against KPIs you can audit claim by claim.

Automation coverage 78% no touch DenialShield FrontDeskShield RevenueShield
03 · Automate

Performance compounds over time.

As ShieldAI learns how your payers behave, more is caught upstream each quarter and your specialists move further up the value chain.

Built on trust

Your data stays protected. All of it stays onshore.

ISO 27001ISO 9001SOC 2 Type II HIPAA compliantUS-based Azure (Tier III)No offshore data transfer

See it against your own data

Bring us a month of claims and denials. We'll show you where the money is going and what we'd do about it — before you sign anything.

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