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Case Studies

An illustrative selection of SCALE Consulting case studies.
Case study:

Interim CFO and Revenue Cycle Management Consulting

Client Profile

Size:
400+ Employees

Location:
GA

Specialty:
Primary Care

Services Deployed

Executive Search

Revenue Cycle Management

Interim Leadership

Financial System & Reporting

Coding & Clinical Compliance

Overview

  • Our Client was missing a CFO and had inexperienced coding staff with less than 4 months collective experience.
  • 18 of their providers were not credentialed and they were having Allscripts integration issues, inaccurate payment posting issues by PM team, and coding was subpar.
  • Our Client needed assistance hiring qualified leadership in RCM and we were asked to assess the skill level of RCM team as well as creating a KPI Dashboard.
  • SCALE was also asked to establish benchmarks for achieving KPI’s and create SOP’s and provide analysis of denials and process improvement.

Execution

  • SCALE determined what benchmark metrics to measure for optimal revenue results.
  • We provided a data driven performance review and a developed a power BI tool to provide weekly executive AR reporting.
  • We developed polices to streamline a process and cross train staff.

Results

  • SCALE deployed an Interim CFO and developed KPI’s and SOP’s to track performance and establish process.
  • We interviewed and hired an RCM Director
  • We continued our talent search with Manager-level and CPC’s with at least 3 years’ experience in the pipeline.
  • We identified quantitative issues with skill and knowledge of Client’s current RCM team as well as PM supportive help.
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SCALE Healthcare is based on the foundation of a singular focus – elevating management performance across healthcare services. We are focused on the entire suite of operational advisory and diligence services exclusively to healthcare service organizations, with local team presence across 10 states.

Unlike the many consulting firms that offer more narrow and often more impractical solutions borne of limited or very general expertise, we rely on our team of 75+ carefully selected senior operational healthcare experts to ensure we provide the most relevant and value added experience across the full range of management disciplines and clinical specialties that fall within healthcare services.

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