Trusted Nationwide by Dental and Medical Organizations and Provider Groups

Revenue does not start at billing, it begins earlier in the patient and operational workflow. Disconnected systems, manual processes, inaccurate data, and workflow inefficiencies create downstream denials, revenue leakage, reimbursement delays, and lost revenue.

Most organizations focus on fixing the symptom instead of the root cause. Denials are not the true problem, they are the result of upstream operational breakdowns across scheduling, eligibility, documentation, coding, authorizations, and financial workflows.

Without real-time financial intelligence, automation, and operational transparency, healthcare organizations continue losing revenue before a claim is ever submitted.

RevTech & MaximizeRCM Consulting Difference

RevTech Partners and MaximizeRCM Consulting solve revenue cycle challenges by addressing the root cause of revenue leakage before the claim is ever submitted. Through AI-driven technology, workflow automation, operational consulting, real-time financial intelligence, and advanced analytics, we identify inefficiencies across scheduling, eligibility, authorizations, documentation, coding, claims management, and payer workflows.

Our solutions provide healthcare organizations, DSOs, MSOs, and medical practices with operational transparency, denial prevention strategies, interoperability, and actionable insights that improve clean claim rates, reduce denials, accelerate reimbursement, increase cash flow, and maximize revenue performance across the entire revenue cycle.

InsightFlow (Reporting)

InsightFlow is the enterprise revenue cycle analytics and workflow platform deployed across all locations, drill down functions from enterprise to provider. High Level Functionality includes:

• Centralized, multi-location, multi-time-zone view of the revenue cycle from charge capture through deposit
• Real-time KPI dashboards for net collections, A/R aging, denial trends, clean claim rate, write-offs, and payer mix at enterprise, location, and provider level
• Drill-down reporting structured for the CEO, CFO, and operational leadership — surfacing exceptions, not noise
• Data infrastructure that supports revenue forecasting, risk predictions and ROI Calculator
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ClaimVision

ClaimVision is an AI-powered claim pre submission tool with visibility and analytics solution designed to help healthcare and dental organizations monitor claim performance, identify breakdowns, reduce denials, and improve revenue cycle efficiency through real-time operational intelligence prior to claim Submission to the clearinghouse and payer

• Powerful Rules Engine that learns from DenialIQ to stop claims before they are denied.
• Real-time KPI on claim submission, first pass rate, documentation lag, submission lag, payment lag
• Payer Rules, Coding Rules, Claim Submission Rules, Denial Rules, and Practice Rules
• Data infrastructure that supports building internal rules ensures claims are ready for payment on the first attempt
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PayerIQ

PayerIQ is the first of it kind, AI generated enterprise insurance payer and allowable strategy platform that identifies payer risks, underpayments, payer mix, and payer strategies across all aspects, doctors, locations, TaxID, and Corp. High Level Functionality includes:

• Analytics Payer contract review, reviews contract language to ensure the organization and doctors have the best outcomes.
• Analytics Payer allowables to ensure your contract/agreement is in line with the fee allowables.
• First of it kind, analytics in detecting payer underpayment and downcoding
• Automated email generation for payer representatives for same day resolution of underpayments
• Tracks Payer revenue risk and compliance
• Payer mix identification from enterprise to provider level, direct, out of network, and leases
• Strategy building with compare-and-contrast capabilities
• Data-driven preparation for strategic conversations
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ReconIQ

ReconIQ is an automated reconciliation platform that closes the loop between the practice management system, clearinghouse, payer remits (ERAs/EOBs), and bank deposits. High Level Functionality includes:

• Executive Level, Real Time, Reconciliation Report and Bank Financial Summary
• Three-way reconciliation across PMS, clearinghouse, and bank — automated and audit-ready
• Same-Day to 48hrs identification of variances, missing remits, posting errors, and unapplied cash
•  Identify unmatched deposits and ERA Identify in-transit transactions (deposited but not yet posted).
• Exception-based workflow that directs the team’s attention only to items that require action
• Month-end close acceleration — a clean, defensible close without manual spreadsheet reconciliation
• Provides the ability to autopost, when working with your Practice Management System
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DenialIQ

DenialIQ is an enterprise denial management platform that leverages automation and streamlined processes to manage practice denials and payer risks. It enables AR Specialists and Managers to work together to resolve outstanding AR, identify payer issues, and track progress throughout the denial management lifecycle.  AI driven remediation that learns from every denial to enhance faster AR Follow.   Algorithms that track performance and recommends training and education as needed.  High Level Functionality includes:

• AR Specialist Dashboard with performance tracking, performance trending, and proficiency-by-denial-reason metrics paired with educational guidance
• Robust claims queue — a one-stop shop for working claims
• ·       Automated claim resolution that guides AR Specialists and Managers through best practice next steps
• ·       Claim Accelerate algorithm that surfaces top-priority and urgent claims
• ·       Customizable AR Specialist work queues filtered by doctor, location, payer, amount, denial code, and more
• Claim escalation to management
• ·       Transactional adjustment request tracking
•  Manager Dashboard
• Cross-functional product insights
• Enterprise-level setup
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TrainingIQ

TrainingIQ is full service training library that will grow as RevTech Partners Grows.  Onboarding Training, Security Training, HIPAA Training, Revenue Cycle Training,, and of course platform training, and much more:

• Ability to assign training as a new employee comes on board with your organization
• AI generated training assignments when individuals fall below a threshold set by the organization.
• Gamification and Training
• Basic Revenue cycle Training
• Intermediate Revenue Cycle Training
• Expert Revenue Cycle Training
• Management Training
• Executive Training
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Admin Set Up

Admin Set up on RevTech Suites is unlike any other admin set up on any other other platform.  The practice and organization can set up their access to the way they work their business. High Level Functionality Includes:

• The ability to change the theming and colors
• Set up teams and queues to match your work style for your organizations
• Upload your standard operating procedure to ensure your workflows are followed and tracked
• Audit Logs on every step, you will know when, where, what time and how long and user was in the system, and changes.
• Input your own internal benchmarks to sit side by side with industry standard benchmarks
• Write your own adjustment Rules and approvals
• Input or change remediation steps
• and so much more
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MaximizeRCM Consulting

MaximizeRCM Consulting offers a full suite consulting firm our consultants are industry experts in their field from RCM, Operations, Finance, IT, and more.  High level Functionality Includes:

• Project Based Practices
• Hourly Services
• Retainer Services
• Executive and C-Suite Education
• Training and Education
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