MedMax RCM, LLC

What MedMax RCM, LLC does

MedMax RCM, LLC is a U.S. healthcare revenue cycle management (RCM) company founded in 2019 and operated as a project of parent Medmax Technologies LLC. Headquartered in Southfield, Michigan, the company delivers end-to-end medical billing, coding, denial management, credentialing, AR recovery, zero balance audit, hospital billing, workforce staffing, and accounting/bookkeeping services to healthcare providers nationwide. Its product surface includes 11+ specialty-specific billing modules covering dermatology, cardiology, mental health, OB/GYN, gastroenterology, ASC, orthopedics, ophthalmology, pain management, urology, and urgent care, with stated support for 50+ specialties and more than 100 provider clients.

The company's technology stack centers on AI-supported claim scrubbing, multi-level claim checks, automated audit screening, and real-time eligibility verification, applied to structured billing data (CPT, ICD-10, HCPCS codes). The company reports operational metrics including 98% first-pass claim acceptance, 20-40% net collection boosts for clients, 30-50% recovery of aged AR, and 35% faster reimbursement timelines, though these figures are self-reported. HIPAA compliance is maintained across all service lines.

MedMax RCM operates on a percentage-of-collections pricing model, with rates ranging from 2.99% to 5.99% depending on client size and service tier, billed monthly. The go-to-market motion is sales-led, combining direct enterprise field sales for hospitals and large groups, inside sales for SMBs, website self-service with free two-week practice audits, and a referral program paying 5-10% of monthly collections for six months. No revenue, funding, M&A, or leadership data is disclosed.

Name

MedMax RCM, LLC

Legal name

MedMax RCM, LLC

Website

https://medmaxrcm.com

Company type

Private

Founded year

2019

Operating status

Operating

Headcount range

101–250 employees

Short description

MedMax RCM, LLC is a U.S. healthcare revenue cycle management company founded in 2019 that provides medical billing, coding, denial management, AR recovery, credentialing, and specialty-specific billing across 11+ verticals to 100+ providers on a percentage-of-collections pricing model.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management

SIC

Services-Misc Health & Allied Services, Nec (8090), Services-Health Services (8000)

akta.pro primary industry

RCM Outsourcing & Managed Billing Services (HLACACAN)

akta.pro secondary industries

Claims Management, Scrubbing & Clearinghouse (HLACACAB), RCM Analytics, Benchmarking & Underpayment Detection (HLACACAL), Patient Access, Registration & Intake (Front-End RCM) (HLACACAE)

Keywords

• Medical billing services
• Revenue cycle management
• Denial management
• Medical coding services
• Healthcare billing

Headquarters

HQ city

Canton

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Medical Billing Services (Percentage-Based): Percentage-based billing model where MedMax charges a percentage of collected revenue. The referral program documentation shows billing percentages of 2.99%, 3.99%, 4.99%, and 5.99% depending on client volume and service tier. This transaction-based model aligns the company's success with client collections.
2. Revenue Cycle Management Services: End-to-end RCM services including medical billing, coding, denial management, credentialing, AR recovery, and zero balance audit recovery. Revenue is generated through the percentage-based billing structure on managed claims.
3. Hospital Billing Services: Specialized hospital revenue cycle management covering charge entry, coding, prior authorizations, and denial resolution for hospital clients, billed on percentage of collections.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

MedMax RCM provides end-to-end Revenue Cycle Management (RCM) services to healthcare providers across the United States, covering medical billing, medical coding, denial management, accounts receivable recovery, credentialing, and hospital billing. The firm serves 50+ medical specialties including dermatology, cardiology, mental health, OB/GYN, gastroenterology, ASC, orthopedics, ophthalmology, pain management, urology, and urgent care, with AI-powered claim scrubbing and specialty-trained certified coders driving a 98%+ first-pass claim acceptance rate.

Product overview

MedMax RCM, LLC offers a unified Revenue Cycle Management platform built around a core medical billing and coding service, supported by specialized add-on modules for AR recovery, denial management, credentialing, and financial services. The portfolio includes Medical Billing Services as the primary offering, supplemented by Medical Coding Services, Accounts Receivable Recovery Services, Zero Balance Audit Recovery (add-on audit module), Denial Management, Credentialing Specialist, Hospital Billing, Workforce Staffing Solutions, and Accounting and Bookkeeping Services. These core RCM services are extended through 14 specialty-specific modules: Dermatology Billing Services, Cardiology Billing Services, Mental Health Billing, OB/GYN Medical Billing, Gastroenterology Billing Services, Ambulatory Surgery Center Billing, Orthopedic RCM Solutions, Ophthalmology Billing Services, Pain Management RCM Solutions, Urology Medical Billing Services, and Urgent Care Billing Services. The platform integrates AI-powered claim scrubbing and automation for dermatology and orthopedic services. Together, these offerings form a comprehensive, specialty-tailored RCM ecosystem designed to manage the entire revenue cycle from patient registration through final payment posting.

Differentiator

Problem solved

Functional benefit

Products and services

• Medical Billing Services End-to-end medical billing service covering eligibility checks, claim submission, AR follow-up, and payment posting to maintain consistent cash flow for healthcare practices.
• Medical Coding Services Specialty-trained certified coders apply accurate CPT, ICD-10, and HCPCS codes to patient records to reduce denials and accelerate reimbursements.
• Accounts Receivable Recovery Services
• Zero Balance Audit Recovery
• Denial Management
• Credentialing Specialist
• Hospital Billing
• Workforce Staffing Solutions
• Accounting and Bookkeeping Services
• Dermatology Billing Services
• Cardiology Billing Services
• Mental Health Billing
• OB/GYN Medical Billing
• Gastroenterology Billing Services
• Ambulatory Surgery Center Billing
• Orthopedic RCM Solutions
• Ophthalmology Billing Services
• Pain Management RCM Solutions
• Urology Medical Billing Services
• Urgent Care Billing Services

Quantifiable outcome

• 98%+ claim acceptance rate
• +6 more outcomes

Named customers3 records

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability4 records

Feature4 records

Partnerships

One partnership is on record.

• Medmax Technologies LLCcoreStrategic or Co-development PartnerMedmax Technologies LLC is the parent company and project originator of MedMax RCM. The company provides the technology infrastructure including AI-powered billing automation, EHR integration systems, and operational platforms. Medmax Technologies LLC also offers related services including Remote Patient Monitoring (RPM) billing services, extending the service ecosystem beyond traditional RCM.

Scale indicators7 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Athenahealth: Cloud-based EHR and practice management vendor with integrated medical billing and RCM services. Comparable to MedMax's tech-enabled RCM offering, with broader portfolio including EHR, telehealth, and patient engagement.
• eClinicalWorks: Ambulatory EHR vendor with integrated billing and RCM modules serving small/mid-sized practices. Comparable SMB provider focus and end-to-end RCM functionality.
• Optum (UnitedHealth Group): Healthcare services and technology arm offering RCM, billing, and analytics to providers and payers. Overlaps directly with MedMax's managed billing, coding, and denial management, but at massive enterprise scale.
• R1 RCM: Large-scale U.S. healthcare RCM outsourcing provider serving hospitals and large physician groups. Comparable end-to-end revenue cycle services and percentage-of-collections model, but at materially greater scale and enterprise focus.
• NextGen Healthcare: EHR and RCM platform serving ambulatory practices. Overlaps with MedMax's ambulatory specialty billing and managed services, though NextGen is more software-led.

Direct peers

• Aviacode: Medical coding and RCM services company with specialty-trained certified coders. Directly comparable to MedMax's medical coding and specialty billing offerings.
• CareCloud: Healthcare IT and RCM provider for small-to-mid-sized medical practices across multiple specialties. Directly comparable target customers, percentage-based billing, and specialty-billing capabilities.
• Zotec Partners: U.S.-based RCM and practice management services firm focused on specialty physician practices. Closely comparable business model with percentage-of-collections billing, specialty-trained coders, and similar provider target market.
• Infinx Healthcare: Healthcare RCM and patient access services firm with AI-driven prior authorization, eligibility, and denial management. Closely comparable tech-forward RCM model targeting specialty practices.

Emerging players

• AKASA: AI-driven revenue cycle automation platform targeting hospitals and health systems. Comparable AI-automation thesis in RCM but positioned as a software platform rather than a managed-service outsourcer.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about MedMax RCM, LLC