Revenue opportunity
Advance care planning (99497): the visit you're already doing but not billing
Why most facility physicians leave this on the table, what documentation it takes, and what it's worth per visit.
Coming soon →Medical billing for physician practices
Collect more, spend less, with unparalleled visibility.
White-glove billing that shows you every claim and every payment the moment it moves — and takes on the work your last biller avoided.
We reply in under 2 hours, every business day.
Collected this month
$112k
▲ vs last month
Claims at payer
418
in filing window
Needs your signature
3
tap to review
VisitPayerAmountState
Aug 26 · nursing facilityMedicarePaidSettled
Aug 26 · nursing facilityHumana MASentAt payer
Aug 25 · nursing facilityFlorida BlueHeldNeeds you
Aug 25 · nursing facilityMedicarePaidSettled
Under 2-hour responsesDaily written updatesReal-time dashboard, on your phoneCredentialing & prior auths handled
By the numbers
Cash in three weeks, not three months.
Numbers from a practice we bill today — every figure verified against payer remittances, not estimated.
21 daysvisit to payment, median
$210k+collected, and climbing
14 payersMedicare to commercial
Half of all paid visits are paid within 21 days of the visit. Claims go out daily, eligibility checked first, denials worked the day they land.
Collections, cumulativepayer payments received · weekly
Payments received from payers on claims we submitted, cumulative by week. One client practice, 2026. Verified against electronic remittance advice (ERA).
What you get
Three things your current biller isn't giving you.
Most billing companies send a monthly PDF and hope you don't read it. We built the opposite.
See everything, live
Every claim, every denial, every payment — in one dashboard that works on your laptop and your phone.
- Each visit has a state: settled, at payer, needs someone, ready to send
- Denials shown with the reason and what we're doing about it
- Money shown as what payers actually paid — never inflated charges
White-glove service
The work practices dread — we take it on as part of billing, not as an upsell.
- Credentialing and payer enrollment, start to finish
- Prior authorizations and eligibility checks before the visit is billed
- Denial appeals and payer calls — worked, not shelved
Answers in hours, not weeks
One person who knows your practice, and a written update every day you have visits.
- Under 2-hour responses on business days
- Daily summary: what went out, what got paid, what needs you
- No ticket queues, no "we'll get back to you"
Compare
A typical billing company vs. Scale Health Forward
The differences that actually change your month.
| Typical biller | Scale Health Forward | |
|---|---|---|
| How you see your money | A monthly PDF, weeks after the fact | Live dashboard on laptop or phone, plus a daily written update |
| What the numbers mean | "Billed" charges that look big and mean little | What payers actually paid, verified against remittances |
| When you get an answer | Days, through a ticket queue | Under 2 hours, from a person who knows your practice |
| Denials | Worked at month end, or quietly written off | Worked the day they land, with the reason shown to you |
| Credentialing & prior auths | "Not billing" — extra fee or your problem | Included. Start to finish. |
| Your EHR | Re-key visits into their portal | We pull notes straight from the EHR you already use |
| Fees | Percentage of what they bill, plus setup and software fees | Percentage of what we collect. Nothing else. |
Visibility, concretely
You should never have to ask "where's my money?"
Every morning you have visits, you get a short written update. Every claim in the dashboard tells you exactly who has the ball — us, the payer, or you.
When a claim needs your signature or a note fix, you see it in one place and tap through. When it doesn't, you don't hear about it — that's the point.
Daily update · Tuesday morning07:10
Yesterday: 71 visits pulled from your EHR, 64 claims sent, 7 held for coding review.
- Paid: $9,206 landed from Medicare and Humana
- Needs you: 3 notes missing a signature (links below)
- We're on it: 2 Florida Blue denials — retro-auth filed, no action needed from you
Reply to this message and a human answers within 2 hours.
How it works
No workflow change. No double entry.
You keep charting the way you do today. We connect to your EHR and take it from there.
Connect your EHR
We pull your visit notes directly — PointClickCare, DrChrono, athenahealth and others. Nothing to type twice.
We bill, we chase
Claims go out daily with eligibility checked first. Denials get worked the day they land, not at month end.
You watch collections climb
Payments show in your dashboard the moment the payer moves. Your daily update tells you what, if anything, needs you.
Works with your EHR
Keep the system you have.
We integrate with the EHR you already use and pull notes straight from it.
+ yours — most EHRs with an API or report export
Product names are trademarks of their respective owners and are used to identify the systems we integrate with.
Who it's for
Built for physicians who don't have time to run a billing department.
Especially practices that round at facilities, where the payer mix is messy and the previous biller left things behind.
Nursing-facility & post-acute physiciansMulti-facility rounding, Medicare + MA + Medicaid mix, hospice and ACP rules — our home turf.
Primary care & internal medicineChronic care, annual wellness, care-management codes you're probably leaving on the table.
Practices switching billersWe take over mid-stream, sort out what the last biller left unpaid, and tell you honestly what's recoverable.
Insights for physicians
Practical, decision-grade reading. No jargon.
Short pieces on the revenue you're probably missing and how billing actually works behind the curtain.
Behind the curtain
What a "denial" actually means — and why most aren't lost money
The difference between a payer saying no and a claim being dead. Most of the time it's a fixable paperwork gap.
Coming soon →Switching billers
Taking over a book mid-year: what's recoverable and what isn't
Filing windows, timely-filing math, and the honest conversation about the old biller's leftovers.
Coming soon →Pricing
We earn when you collect.
A simple percentage of what we actually collect for you — verified against payer remittances, not what we bill. No setup fees, no software fees, no lock-in.
One number. Everything included.
Your fee is a percentage of collected revenue, invoiced monthly with the remittance detail to back it up.
- Claim submission, follow-up, denial work and appeals
- Eligibility checks and prior authorizations
- Credentialing and payer enrollment
- The live dashboard, daily updates, and a named contact
Want the number?We'll tell you on the first call — no demo hostage.
HIPAA-compliant handlingA signed BAA with every practice. Patient data encrypted at rest and in transit.
Your data stays yoursFull claim history and remittances exportable any time. No lock-in, ever.
Audit-ready by defaultEvery coding decision and claim change is logged with who, when, and why.
Questions
Things physicians ask us first.
How fast can you start?
Usually within two weeks of the first call. The long pole is payer enrollment for electronic remittances — we start that on day one and bill in parallel.
Do I have to change my EHR or how I chart?
No. We connect to what you use and pull your notes from it. If a note is missing something a payer needs, we tell you specifically — we don't make you learn billing.
What happens to the claims my current biller still has open?
We take over from a clean date, then go through what they left behind and tell you honestly what's still recoverable and what's outside the filing window. You get a written list, not a shrug.
How do I actually see my money?
A live dashboard (laptop or phone) with every claim's state and every payment as it lands, plus a short daily written update. Dollars are always shown as what payers paid — never inflated charge amounts.
What does "white glove" mean, concretely?
Credentialing, payer enrollment, prior authorizations, eligibility checks, denial appeals and payer phone calls are part of the service, not add-ons. And a human replies within two hours on business days.
Is my patient data safe?
Yes. We sign a BAA with every practice, encrypt patient data at rest and in transit, and log every access and change. You can export your full history at any time.
Let's look at your practice's numbers together.
A 20-minute call. We'll tell you what we see, what we'd change, and what it costs. No pitch deck.
Talk to us