CASE STUDY:

RCM Diligence – Infertility

OVERVIEW
EXECUTION
RESULTS
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RCM Diligence – Infertility​ - Overview

  • Our infertility platform Client was acquiring multiple regional practices simultaneously and their prior RCM vendor was not providing specific knowledge and insight required to accelerate postclose activity.
  • Our Client needed a diligence assessment of their target RCM team and processes, which included the need to:
  • Identify opportunities and prepare a roadmap for implementation post-close.
  • Develop and lead documentation of current state processes specifically related to Infertility billing.
  • Assess current contract for one acquisition

Clinical Specialties

Clinical Services

Client Profile

  • Location:
    National
  • Specialty:
    Infertility
  • Sponsor Owner:
    Webster

Services Deployed

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Revenue Cycle Management

Market Research

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Execution

  • SCALE worked in tandem with national RCM leadership to identify processes and procedures that are not aligned with their current SOPs to accelerate post-close timeline.
  • We utilized true RCM expertise rather than financial analysts to analyze the target’s performance using observations as well as performance metrics to ultimately identify the root cause of deviations and solutions.
  • We deployed cross-department collaboration to design analysis of fee schedules for the target versus the existing regional asset and utilized a blind data room to analyze the acquisition pathway for one target by building pro forma models and delivering binary result to our Client.
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Results

  • It took us less than 30 days to deliver reports, identify the root cause of deviations and provide solutions

Let's SCALE together

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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