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Rcmaxis Revenue Cycle Management

Medical Billing for
Specialty Clinics
Done Right.

Rcmaxis is a specialty medical billing company: outsourced revenue cycle management services built around one difference: revenue intelligence. We turn your claims data, denial patterns, and AR benchmarks into a clear picture of what your practice should be collecting, then we close the gap. Built for specialty clinics and mental wellness centers who've outgrown generic billing companies.

HIPAA Compliant
95%+ Clean Claim Rate

What We Do

Medical Billing Services
Built for Complex Care.

General billing services weren't designed for specialty practices. We were. Every workflow is calibrated for your exact payer mix and clinical complexity.

Results by the Numbers

30 days

Typical Onboarding

Typical for a new account

95%+

Clean Claim Rate

First-pass acceptance

Under 35

Days in AR

Industry avg: 35–50 days

50+

Specialties Supported

Specialty & mental health

Integrates with your existing EHR & PM platform

athenahealth · Epic · Kareo · eClinicalWorks · Meditech · NextGen · Allscripts · AdvancedMD

40+ platforms supported · 2-week integration · zero clinical disruption

How It Works

From Billing Audit
to Revenue Optimization
in Four Steps.

Most practices see measurable improvement within 60 days of onboarding.

01

Discovery & Assessment

We audit your current billing operations, identify revenue leakage points, and map your payer contracts to establish a performance baseline.

02

Onboarding & Integration

Our team integrates with your EHR/PM system within 2 weeks. Zero disruption to your clinical workflow. We handle the migration entirely.

03

Active Revenue Management

Claims go out within 24 hours of service. Proactive denial prevention. Daily eligibility verification. Weekly AR follow-up cycles.

04

Continuous Optimization

Monthly performance reviews. Payer contract renegotiation support. Coding accuracy audits. Your revenue improves quarter over quarter.

Why Rcmaxis

We're not a general billing company.
We're specialty revenue intelligence.

Founded by healthcare administrators and finance leaders who watched specialty practices get billed like generic primary care accounts by vendors who couldn't tell a global period from a modifier 59. Rcmaxis built its coding, denial management, and reporting around the specific complexity of specialty and mental health billing, not against it.

Dedicated account manager for every practice
CPC certified billers and coders
EHR-agnostic: we integrate with 40+ systems
Transparent pricing with no hidden fees
Real-time reporting dashboard access
HIPAA-compliant infrastructure, BAA provided

Illustrative Scenarios

What a Switch Can Look Like

Illustrative scenarios built from common billing patterns. They are not results from named clients, and your results will vary.

★★★★★

Scenario: a practice finds revenue it didn't know it was missing. Within 30 days of a billing clean-up, claims go out cleaner, and the AR recovery alone covers the first year of fees.

Illustrative scenario

Orthopedic surgery group · Example: denial rate 14.2% to 2.8%

★★★★★

Scenario: a single recurring coding error quietly costs a practice $230,000 a year. A billing review catches it in the first week, after four years of it going unflagged.

Illustrative scenario

Gastroenterology practice · Example: $230K a year recovered

★★★★★

Scenario: a practice is told its aged AR is uncollectable. A structured recovery effort brings back $143,000 of it in 90 days, enough to cover two years of billing fees.

Illustrative scenario

Pain management practice · Example: $143K recovered in 90 days

★★★★★

Scenario: a behavioral health group's claims route wrongly because the old biller misses MBHO carve-outs. Fixing the routing in the first week improves cash flow visibly by month two.

Illustrative scenario

Behavioral health group · Example: collections up 31% in 90 days

Read the Full Case Studies →

Your Questions, Answered

Real answers to your
top billing questions.

Can't find what you're looking for? Reach out to our team.

Revenue cycle specialist reviewing billing data
Browse all 50+ answers →

Rcmaxis specializes in revenue cycle management for specialty clinics (orthopedics, cardiology, dermatology, gastroenterology, chiropractic, neurology, and 20+ more), and mental wellness centers including psychiatry, psychology, counseling, and substance abuse treatment.

From the Knowledge Base

Latest billing & policy updates.

View all updates →
Policy update · Oct 8, 2026
Coding Update

October 2026 Medicare EDI Front-End Edits: What Changed

Medicare released its quarterly HIPAA front-end edits for Part A and B and the CEDI contractor. Here is how rejections surface and what to check first.

Read Update →
Policy update · Oct 8, 2026
Payer Policy

FY 2027 Hospice Rates Corrected: $236.33 RHC, $36,175 Cap

CMS replaced the August rate tables after a hospice wage index error. A 2.3% update, new rates for all four levels of care and a $36,174.75 cap now apply.

Read Update →
Policy update · Oct 7, 2026
Coding Update

October 2026 OPPS Update: 39 PLA and 58 Category III Codes

New PLA and Category III codes, 29 new drug codes, skin substitute code changes and a clarified modifier CA definition take effect for hospital outpatient claims.

Read Update →
Policy update · Oct 7, 2026
Compliance & Audits

CMS Meets IDR Entities: 7 Million Disputes and a New Portal

CMS, Labor, HHS and Treasury met all 17 certified IDR entities about costs, ineligible disputes and unpaid awards. A new IDR Gateway portal launches late 2026.

Read Update →
Policy update · Oct 6, 2026
Payer Policy

Transparency in Coverage Final Rules: What Billing Teams Should Check

Health plans must post rate files quarterly instead of monthly, add three new files, and attest to accuracy. Your contracted rates are in those files.

Read Update →
Law library shelves with marble busts, representing the Medicare claim appeals process from redetermination to federal court
Specialty Billing

Medicare Claim Appeals 2026

All five levels of the Medicare appeals process, the filing deadlines, the 2026 dollar thresholds, and how to stop recoupment while an appeal is pending.

Read Article →

Get In Touch

Ready to fix
your revenue cycle?

Fill out the form and one of our revenue cycle specialists will reach out within one business day.

What practices see at 90 days

Denial rate drops from 14% → under 3%
Days in AR typically cut by 40–55%
Average $33K–$50K in recovered revenue
2-week integration, zero clinical disruption

We respond within 1 business day.

Your information is protected under our HIPAA-compliant privacy policy. We will never share your data with third parties.