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  • RCM Analytics Platform

Revenue Clarity.
Built for Healthcare.

Bring simplicity and transparency to your entire revenue cycle. Empower executives and RCM teams with actionable, user-friendly analytics on what matters most.
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Explore the Platform
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Locations supported nationwide
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Billing platform agnostic

Real-time

Business intelligence dashboards

Why SCALE Analytics

Intelligence that powers
performance

The same real-time business intelligence tools that SCALE’s national RCM
platform uses — now in your hands.

Move beyond data silos

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

Best-in-class intelligence

Gain access to the same real-time BI tools SCALE's national consulting platform uses to assess and oversee RCM performance daily.

Drive better results

Improve collections and reduce cost-to-collect with intelligent analytics across denials, A/R, claim submission, and more.

↓ 25%
Reduction in denial rate, year one
4.5x
Return on investment, year one
↑ AR
Velocity and accelerated cash flow
140+
Locations managed across single MSO
SCALE Analytics — RCM Executive Dashboard
Overview
Denials
A/R Aging
Collections
Work Queue
94.2%
Clean claim rate
▲ 2.1% vs last period
6.8%
Denial rate
▼ 0.4% (improving)
34.1
Days in A/R
▼ 1.8 days vs last period
98.3%
Net collection rate
▲ 0.6% vs last period
Collections trend — last 12 months
Top denial reasons — by volume
CARCReasonCountStatus
CO-4Modifier mismatch142In review
CO-97Bundled service98Open
PR-1Deductible76Resolved
CO-50Not medically nec.54In review

Platform Overview

Identify roadblocks. Maximize opportunities.

Every RCM metric that matters — in one unified, user-friendly platform your
entire organization can act on.
DENIAL MANAGEMENT DASHBOARD Total denials (30d)1,482▲ 3.2% vs prior period Denial rate6.8%▼ 0.4% improving Avg days to resolve8.3 days▼ 1.1 vs prior period $ recovered (30d)$284,320▲ 12.1% vs prior period TOP DENIAL REASONS — CARC CODE CO-4  Modifier mismatch312 claims · $48,200 CO-97  Bundled service231 claims · $36,750 PR-1   Deductible not met149 claims · $22,100 CO-50  Not medically necessary98 claims · $14,600 DENIAL STATUS BREAKDOWN Open26% In review20% Resolved54%
Flagship capability

Denials management — from CARC code to resolution

Track every denial by CARC code, payer, procedure, and provider. Assign work queue items, update status, and tie each denial back to claim-level detail — all in one view.

CARC code drill-downWork queue assignmentDenial status trackingPayer-level detailDenial clustering
EXECUTIVE KPI DASHBOARD Net collection98.3% Days in A/R34.1 Clean claim %94.2% Cost-to-collect3.1% COLLECTIONS TREND — 12 MONTHS ▲ 14% JanAprJulOctDec
Executive visibility

Real-time KPI dashboards

High-level executive dashboards and detailed drill-down reports accessible at every level of your organization. No more waiting for month-end reporting.

Collection ratesDays in A/RLocation-level reporting
A/R AGING & FINANCIAL INTELLIGENCE Outstanding A/R by age bucket 0–30$312k 31–60$184k 61–90$97k 91–120$58k 120+$31k Total A/R$682,000 ▼ 8.2% vs last month Credit balances$14,220 Bad debt write-offs$6,840 ▲ 1.2% vs last month
Financial intelligence

A/R, credit balances & write-offs

Monitor A/R aging, credit balances, and bad debt write-offs in real time. Understand where revenue is at risk before it's lost.

A/R aging bucketsCredit balance trackingWrite-off analysis
CLAIM SUBMISSION INTELLIGENCE Clean claim rate94.2%▲ 2.1% this month Avg time to payment12.4 days▼ 1.8 days vs prior PAYER PERFORMANCE — CLEAN CLAIM RATE 95%United Healthcare 90%Aetna 77%Cigna 69%Medicaid 82%BCBS
Claim intelligence

Claim submission efficiency

Track submission rates, clean claim rates, and payer-specific trends. Identify systemic issues upstream before they generate downstream denials.

Clean claim ratePayer trendingCPT-level detail

Core Capabilities

Everything your RCM team needs,
nothing they don't.

Built for usability at every level — from the billing specialist to the CFO.

Billing Platform Agnostic

Integrates with your existing systems

SCALE Analytics integrates seamlessly with your existing billing platforms and EMRs — including multi-EMR and disparate system environments. No rip-and-replace required.
  • Works alongside your existing billing workflow
  • Multi-EMR and multi-location support
  • Power BI visuals with trended, drill-down reporting
  • Live relational data cube across all RCM dimensions
  • Provider-level adjustment tracking across all payers
  • Payments by payer, doctor, year, CPT
  • Denials by payer, doctor, year, claim
  • Denial breakdown by coding & category
  • Insurance group performance trending
  • Provider-level adjustment reporting

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Recent Wins

Proven across specialties & MSOs

From single-site practices to 140-location MSOs, SCALE Analytics delivers
measurable results.

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.

Ophthalmology MSO

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

Nationwide Allergy MSO

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

Dermatology MSO

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

Prominent Orthopedic MSO

Integrated RCM executive analytics seamlessly across multiple EMRs and disparate systems.

Get Started

Simplify your revenue cycle today.

See the SCALE Analytics platform in action — and discover
what your data has been trying to tell you.

HIPAA compliant · Billing platform agnostic · Dedicated
implementation support
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