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Elite Partner

SCALE Healthcare

AI-powered revenue cycle management technology and managed services

50+ employees
Verified
2 Certs

About SCALE Healthcare

SCALE Healthcare delivers revenue cycle management solutions through a combination of AI-driven technology and managed services. The company operates with a 1.5% effective fee structure and focuses on reducing denials, improving collections, and optimizing front-office operations for healthcare organizations.

The company's platform includes three core AI products: DenialShield for predictive denial prevention, FrontDesk Shield for automated patient intake, and Revenue Shield for charge capture optimization. These solutions integrate with existing EHR and practice management systems without requiring system replacement. SCALE offers flexible delivery models including fully managed services, hybrid staffing, and consulting engagements.

The company reports achieving 58% reduction in average days to pay, 60% reduction in cost-to-collect, and 47% reduction in aging beyond 90 days for clients. With over 20 years of RCM operational experience and 100+ RCM experts, SCALE serves multi-site healthcare organizations across specialties including dermatology, orthopedics, dental, radiology, and fertility care.

Best For

Multi-site healthcare organizations and specialty practices seeking to reduce revenue cycle costs while improving collections performance. Particularly suited for organizations experiencing high denial rates, front-office inefficiencies, or seeking to transition from legacy RCM operations to AI-enabled workflows without disrupting existing systems.

Key Strengths

  • 1.5% effective fee structure significantly below typical RCM service costs of 5-8%
  • Integrated AI technology suite addressing denials, front desk, and revenue optimization in a unified platform
  • Flexible engagement models from pure technology to fully managed services accommodating different organizational readiness levels
  • Azure-based, ISO 27001 certified infrastructure with tier III US-only data hosting
  • Demonstrated results including 60-70% cost reduction and 95-99% net collection rates
  • 20+ years of healthcare RCM operational expertise with specialty-specific knowledge

Why Choose SCALE Healthcare

Choose SCALE Healthcare when seeking to fundamentally reduce revenue cycle costs while maintaining or improving performance metrics. The combination of AI automation and experienced RCM staff addresses both technology and operational gaps simultaneously.

Organizations should expect a phased implementation approach with measurable milestones, ongoing performance monitoring through real-time dashboards, and the ability to scale services based on results. The company's modular approach allows starting with specific pain points like denials before expanding to full revenue cycle management.

Healthcare Focus

SCALE Healthcare exclusively serves healthcare organizations with deep expertise in specialty-specific revenue cycle requirements. The company maintains HIPAA compliance, ISO 27001 certification, and operates on Azure's tier III US-based infrastructure designed for healthcare data security. Their client portfolio spans dermatology, orthopedics, dental DSOs, radiology, fertility care, and multi-specialty practices, with specialty-specific workflows and payer knowledge built into their AI models and operational processes.

Ideal Client Profile

Multi-location healthcare organizations with 10+ providers experiencing challenges with denial rates, cost-to-collect ratios, or front-office efficiency. Organizations ready to adopt AI-enabled workflows but requiring operational support during transition. Groups backed by private equity or undergoing growth initiatives where RCM optimization directly impacts valuation or acquisition readiness.

Specializations

Revenue cycle management Denial prevention and management Patient intake automation Charge capture optimization RCM data analytics AI-powered claims processing Front desk workflow automation

Client Types

Hospitals Health Systems Digital Health Medical Devices Senior Care

Why Choose SCALE Healthcare?

  • 50+ team members
  • 2 certifications verified
  • Elite Partner on Curatrix
  • Verified on Curatrix

Quick Facts

Company Size
50+ employees

Certifications

iso 27001 hipaa

Profile last updated: Feb 4, 2026

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