Advanced RCM solutions built for high performance
At the core of our RCM portfolio, you will find the SCALE Claims Management system. More than just an all-payer claim processing engine, SCALE Claims Management is your web-based hub for managing insurance A/R for both professional and institutional claims. Claims management doesn’t stop at the point of claims submission, but continues to ensure you are submitting clean claims and know when and how much you will be paid.
A single platform for hospital and physician claims allows you to work from a single system whether you are a physician billing group, hospital billing office or an integrated health system with a central billing office or multiple billing offices. Since our system is web-based, there is no special hardware required and your staff can access the system from anywhere at any time, even if your billing operations are geographically dispersed or you have remote employees.
- All-payer claims processing for both professional and institutional claims
- Standard, payer, client-specific and medical necessity edits out of the box
- National clean claim acceptance rate over 99%
- Unlimited custom edits at no additional cost
- New payer connectivity at no additional cost
- Customizable workflow management helps focus users on claims that require attention
- Powerful and flexible reporting tools, including the ability to query the system, are built-in