Case Study- Healthcare Services Compliance & Risk Management
Fully Managed Diligence
Client Profile
- Size: 23 Locations
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Location:
IL, OH, CA, AZ, WA, OR, VA and DC
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Specialty:
Fertility
Overview
Our Client is a highly acquisitive MSO with operations across seven states and seeking to continue its rapid add-on M&A activity across transactions of varying sizes from small solo practice tuck-ins to larger multi-site add-on acquisitions.
Medical Coding & Documentation Gap Assessment with Targeted Education
Client Profile
- Number of Portfolio Companies: 1
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Specialty:
Emergency Medicine Observation Care Inpatient Care
Situation
SCALE’s Client, who provides emergency medical and specialty hospital services with facilities in thirteen states., desired a thorough understanding of its current medical coding & documentation practices and how they compared to best practices and OIG requirements. The Client, who also oversees independent physician associations (IPAs) and managed service organizations (MSOs) that staff these facilities, wanted to provide education & training to coding staff to mitigate financial and compliance risks associated with recent findings.
SCALE Portfolio Services: Compliance
Client Profile
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Location:
Multiple locations across the US.
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Specialty:
PE multi unit and specialty healthcare portfolio.
Situation
SCALE was engaged by a middle market private equity firm ($2B in committed capital), whose goal was and remains to drive transformational growth, as well as to work in an efficient and coordinated manner across its existing healthcare portfolio companies. There was a need to rapidly and cost effectively develop a robust and scalable compliance program to sustainably maintain high quality compliance oversight
