SCALE MSO Operations – RCM News
This month SCALE RCM onboarded a 16-provider nephrology practice in 1 week and immediately increased cash flow by over $50,000 by immediately addressing a backlog in claim creation and submission. SCALE RCM is working with the practice to streamline internal operations that impact RCM. Learn more about our full-service and consulting services.
SCALE RCM onboarded an endocrinology practice in 2 weeks and immediately increased cash flow by over $100,000 with proper responses to medical record requests. Additionally, SCALE RCM worked with the providers to eliminate coding issues to increase throughput.
SCALE RCM is now providing fully managed RCM services to a Primary Care Client and an ENT Client. Additionally, we are proud to share that the SCALE team has identified an additional estimated $86,000 in claims reprocessed on behalf of a Client and we closed their books timely for the third month in a row, which shows significant improvement.
SCALE RCM is working in partnership with a client’s internal RCM management to design a standardized diligence program for its accelerated acquisition plan. SCALE RCM will provide the external expertise to document the current RCM leadership and performance, assess risks, and identify opportunities for improvement post-close.
SCALE RCM is providing Interim RCM Leadership on behalf of a client as they seek to hire an RCM Manager and transition from an in-house billing team to an outsourced solution. We are also assisting with the talent search and selection process.
SCALE RCM assisted a practice in need of customized interactive reports for practice managers and member providers not present in the EHR/PM system reports or its integrated BI tool. We created a custom BI tool that provides timely insight to billing, coding, collections, and other financial data to the practice and its internal customers.
2021 SCALE RCM Client Highlights
1. Provided Interim VP, sourced a FTE, and deployed team to assist with payment posting process under 1 Tax ID on behalf of Client.
2. Immediate mobilization of our team for a 3-week project with 2 checkpoints on behalf of Client.
3. Long-term project to analyze MidLantic RCM, compare to Client’s business units using Unit Economic and performance data, and create roadmap for one MidLantic RCM team.
SCALE RCM’s client recently experienced employee turnover which led to two opportunities to temporarily assist. First, the client had an immediate need for trained coders. Within two weeks Scale RCM provided 2 FTEs with specialty-specific experience and immediately supplemented their existing staff. Second, new team leadership in payment posting allowed us the opportunity to train the new supervisor onsite as well as take the lead in implementing updated reconciliation procedures.
SCALE RCM’s Private Equity Client needed immediate confirmation of the status of a multi-state practice’s transition from outsourced to in-house billing, projected cost savings, and increased collections. We mobilized immediately, presented an interim report within 2 weeks, and a final report the following week. The Client gained valuable, actionable insight and we provided recommendations for performance improvement and scalability.
SCALE RCM created and maintained a Power BI model for a growing practice to create custom dashboards and make predictions based on contracted and provider credentialing status. SCALE RCM assisted the Client’s analytics team to take over administration of the tool.
On behalf of a sponsor Client, SCALE RCM performed a RCM Assessment and found significant unworked insurance AR resulting in delayed cashflow and permanent loss. We deployed a full-time experience AR resource within a week to augment the understaffed AR team. As we work through the AR we are also assisting with fixing the root cause of denials as well as documentation and training.
On behalf of a sponsor client, SCALE RCM performed a unit economic analysis and quality assessment of six distinct RCM teams on the client’s platform. We developed a recommended integration pathway forward and modeled best practice billing performance and overall cost for each team.