MaximizeRCM™ Consulting
ABOUT US
Dental & Medical Operations and Revenue Cycle Consulting Built to Recover Revenue, Reduce Denials, and Increase Operational Performance
At MaximizeRCM Consulting, we help dental and medical organizations, dental practices, DSOs, MSOs, specialty groups, and multi-location providers optimize every stage of the operations and revenue cycle.
90% of operational and revenue cycle inefficiencies are driven by behaviors, workflow execution, and operational accountability, while only 10% are related to payers.
MaximizeRCM Consulting takes a holistic approach to revenue cycle transformation by helping practices identify behavioral and operational gaps, optimize workflows and processes, and leverage advanced technology solutions from RevTech Partners and National Data Solutions (NDS) to uncover inefficiencies, reduce revenue leakage, improve cash flow, and drive operational performance.
Our consulting services are designed to identify hidden revenue leakage, improve operational workflows, reduce payer denials, increase collections, strengthen compliance, and enhance your organization's overall financial health.
With over 30 years of experience in medical and dental operations and revenue cycle, our team specializes in transforming underperforming revenue operations into scalable, data-driven financial engines.
We do not just fix billing problems; we identify the root cause of revenue loss across scheduling, eligibility verification, authorization management, clinical documentation, coding, claims submission, denial management, payer reimbursement, patient collections, and operational workflows.
The Problem
Most Practices Are Bleeding Revenue &
Don't Know It
Common areas we see, less than 80% provider capacity utilization, inefficient scheduling optimization, lack of automation for scheduling, eligibility verification, and benefits management, failure to leverage patient data automation, poor point-of-service collections, weak treatment planning discussions, documentation and coding gaps, billing inefficiencies, unresolved denials, payer underpayments, and disconnected workflows collectively cost healthcare and dental organizations hundreds of thousands of dollars annually.
At MaximizeRCM Consulting, we identify hidden revenue leakage, operational inefficiencies, and workflow breakdowns across the entire revenue cycle. We partner with your team to implement sustainable operational improvements, optimize financial performance, reduce denials, increase collections, and help your practice reach its full growth potential.
"Revenue cycle management isn't just billing — it's the operational backbone of every successful practice. When it runs right, everything runs right."
— Cissy Mangrum, Principal Consultant, MaximizeRCM
Problem
- Inefficient payer negotiations and Fee monitoring
- Change Management: Behavior around the inability to make the change needed to increase revenue
- Team Dynamics - lack of understanding that RCM affects all departments and all processes.
- High Claim Denial Rates
- Payer Underpayments
- Coding & Documentation
- Old or Unused Standard Operating Procedures
- No Visibility in Revenue Leakage
Why MaximizeRCM?
- Operational Experts with over 30+ years of experience
- Hands-on, On-Site Consulting - We don't send reports and disappear. We will sit with you and your team
- Data First Approach - we leverage RevTech and NDS as our strategic partners to get the data needed
- Tailored to your practice, every package is purpose-built
- Powered by RevTech partners and NDS - backed by proprietary technology, including the RevTech Suite
- Provide a Structured ROI, we will deliver wins according to time table
- Full spectrum expertise - from Front Office, Clinical, and Bake office management and compliance
- Provide Education and Training so the practice can be successful moving forward
Who We Service
Built for Every Stage of Practice Growth
Whether you're a solo practitioner or a multi-state DSO, MaximizeRCM has the expertise, tools, and consulting frameworks to unlock your full revenue potential.
Small & Independent Practices
Solo dentists and physicians with 1–5 providers who suspect revenue is slipping through gaps, but don't have the internal team to find it. We give you enterprise-grade RCM expertise at an accessible entry point.
#1–5 Doctors, #Solo Practitioners, #Dental Offices, #Medical Practices, #Independent Clinics
Mid-Size & Growing Practices
Multi-provider practices are navigating the complexity that comes with growth, centralized teams, outsourced vendors, payer mix changes, and the need for real process documentation. We bring structure to the chaos.
#5–29 Doctors #Group Practices #Specialty Clinics # Centralized Billing #Outsourced RCMs.
Large Practices & DSO/MSO Organizations
Large organizations, Dental Support Organizations, and Management Services Organizations that need systematic Operations & RCM transformation, from staffing models and budget planning to technology stacks and payer negotiations at scale.
#30+ Doctors. #DSO #MSO #Multi-Location #Enterprise
Common Challenges We Solve
- High dental insurance claim denial rates→
- Medical and dental billing revenue leakage→
- Payer underpayments and contract disputes→
- ICD-10 / CPT / CDT coding compliance risks→
- Slow accounts receivable & AR aging→
- Lack of RCM standard operating procedures→
- DSO practice acquisition due diligence→
- New practice RCM setup & credentialing→
- Front-office & back-office workflow breakdowns
Specialties and Practice Types We Serve
- General & Specialty Dentistry (Ortho, Oral Surgery, Endo, Perio)
- Primary Care & Family Medicine
- Dental Support Organizations (DSOs)
- Management Services Organizations (MSOs)
- Multi-specialty Group Practices
- Federally Qualified Health Centers (FQHCs) & Rural Healthcare (RHCs)
- Start-up Medical & Dental Practices
- Private Equity-Backed Healthcare Groups
Our Services
From Independent dental and medical practices to large DSO and MSO networks, we have a consulting package built for your stage, size, and specific challenges. Below are the types of services we provide: your package is tailored to your practice and purpose-built for your needs.
Every Practice. Every Need
Essentials RCM Audit Package
1–5 Doctors
An entry-level deep dive into your revenue cycle. Identifies front-office and back-office inefficiencies, revenue leakage, and denial root causes for small practices. Provide a report and next step engagement
- Comprehensive RCM process audit - Full Operations
- Denial rate assessment & root cause analysis
- Basic compliance review
- Standard Operating Procedures reviews
- Typical engagement: 8–12 weeks
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Advanced RCM Optimization Package
6-29 Doctors
Builds on the Essential Audit with deeper operational workflow review, payer contracting analysis, and a strategic action plan for mid-size practices.
- End-to-end operational workflow review
- Payer contracting & charge/UCR analysis
- PM system Review for optimization
- Review of Centralized & outsourced function reviews
- Payer strategy action plan
- Typical engagement: 16–20 weeks
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Large Practice RCM Optimization Package
30+ Doctors
Full-scale optimization for large practices, including denial management review, payer renegotiation, staff training, and EMR/PM system deep-dive.
- All Advanced Package features
- Denial management
- Data analytics'
- Training & education on RCM processes
- EMR expert for optimization
- Payer negotiation
- Typical engagement: 6-9 months
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Full-Service RCM Overhaul
Large Organizations
End-to-end RCM transformation for DSOs and MSOs, including staffing review, budget modeling, SharePoint RCM platform build-out, and customized growth strategy.
- Full RCM platform review (practice + DSO/MSO)
- Includes All RCM Functions from Start To End Review
- RCM Technology review - PM system/EMR Set up to RCM Vendor technology Stack
- RCM staffing & budget model
- Customized RCM growth strategy
- SharePoint RCM platform for continuity
- Outsourcing review & optimization
- Typical engagement: 12-18 months
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A Strategy Call
Full Service RCM Operational Review
Any Size Organization
Full operational review, we do end-to-end operations from payers, clinical, HR, Financial, Percurrent, RCM, Staffing, and more
- Full operational review (practice + DSO/MSO)
- Staffing & budget model
- Scheduling and Clinical Capacity Reviews
- Coding and Documentation
- RCM Review
- Outsourcing review & optimization
- Technology Review with NDS
- Typical engagement: 8-10 weeks
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A Strategy Call
Payer Contracting Analysis & Audit
Full Payer and Allowable Review, we review each agreement / TaxID against national standards. We will utilize the PayerIQ RevTech Software to perform the AI Analytics
- Charge/UCR & allowable analysis
- Comparison to national/regional rates
- Direct vs. leased network strategy
- Provide directions for adding a payer or ending an agreement per the contract's terms.
- Typical engagement:
- Small < 10 TaxID 4-8 weeks
- Medium 11-20 TaxID 10-12 weeks
- Large 21-50 TaxID 4-6 months
- XLarge over 50 Tax - 6+ months
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A Strategy Call
Start Up / Operational and RCM Foundation Set up
New & Growing Practices
Build your operational and revenue cycle right from day one. We establish SOPs, configure your PM system, define your payer strategy, and build your full operational and RCM platform on SharePoint or another platform
- Full RCM & PM system configuration, work NDS, and Xentrois
- Payer credentialing & strategy
- Operational and RCM Build
- Typical engagement 5–7 months
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A Strategy Call
Coding, Documentation, and Compliance Audit Reviews
Compliance & Audit Risk
Protect your practice from audits while recovering under-coded revenue. We will perform a full-scale review, with operations, coding, documentation, RCM, HR, Financial, and IT
- Review Operational Review, including HIPAA, OSHA, Clinical, etc
- Review HR Compliance
- Vendor Contract Review
- Review IT Security Compliance completed by our partner NDS
- Coding and Documentation Review 15-chart review per doctor/provider
- Coding accuracy & documentation audit
- Payback risk identification
- Under-coding revenue recovery Review
- Life-of-claim process review
- Typical engagements depend on the size of the organization
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A Strategy Call
Due Diligence RCM Review
Acquisitions & DSO Growth
Acquiring a practice or expanding your DSO? Our due diligence package uncovers RCM risks, revenue opportunities, and compliance exposure before you sign.
- Financial & operational RCM assessment
- Billing, coding & compliance risk review
- AR & denial management analysis
- Payer contracting strategy comparison
- Compliance risk report delivered
- Typical engagements depend on the size of the organization
- and more
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A Strategy Call
A Proven Path to Revenue Recovery
Every engagement follows a structured, phased methodology built around your data, your team, and your goals.
01
Discovery & Assessment
On-site review of operations, staff interviews, and collection of 12 months of claim, payment, and denial data. We learn your practice from the inside out.
02
Data Analysis & Initial Findings
Our data team builds your analytics profile in MyRCM — trailing 12-month trends, denial categories, charge integrity, payer performance, and AR aging.
03
Strategic Action Plan
We present findings to stakeholders with a clear roadmap: 90-day quick wins, 180-day operational improvements, and 12–18-month strategic transformations.
04
Implementation & Monitoring
SOPs are delivered, payer strategies executed, staff trained, and performance tracked in real time. We stay engaged until results are realized.
Stop Chasing Denials. Start Preventing Them.
Let's Talk Revenue
Ready to Stop Leaving Money on the Table?
Most practitioners see measurable results within 90 days of engagement. Let's start a conversation about what MaximizeRCM can do for you!
Strategic Partnerships
RevTech partners with best-in-class companies to deliver the complete technology stack for dental organizations.
National Data Solutions
Data platform, intelligence layer, managed IT, and practice integration. We turn fragmented data into actionable wisdom.
- DataVault - data governance & warehousing
- Exocomps - location-deployed ETL agents
- InsightFlow & Power BI - 72+ visualizations
- Managed IT - NIST RMF, HIPAA compliance
- Practice Integration - acquisition readiness
- AI Agents - predictive analytics & automation
Xentrios
Next-generation dental PMS built for the modern DSO. AI-enabled to lessen the administrative burden on clinical staff - informing and orienting instead of making hidden decisions. Ships with the full RevTech suite integrated out of the box.
- Cloud-native dental PMS for multi-location DSOs
- AI workforce support - reduces admin burden on clinical staff
- Transparent AI - informs and orients, never hides decisions
- Full RevTech suite integrated out of the box
- Native NDS DataVault integration
- Open API for third-party integrations
MaximizeRCM Consulting
MaximizeRCM Consulting was created to help healthcare organizations, DSOs, MSOs, and specialty practices improve operational performance, reduce denials, strengthen cash flow, and uncover revenue opportunities through real-world Revenue Cycle Management expertise.
- • Revenue Cycle Assessments & Operational Reviews
- Denial Management & Root Cause Analysis
- Revenue Leakage & Underpayment Identification
- Workflow Optimization & Process Improvement
- KPI Reporting, Dashboards & Operational Visibility
- Staff Education, RCM Training & Leadership Support