Into The Next brings hospital-level Revenue Cycle Operations management to independent medical and dental practices — fractionally. We oversee the entire patient financial journey from pre-registration through final collection, lead revenue cycle teams, build driver-based financial models, and provide the CFO strategy layer that most practices never have access to. For practices ready to grow, we add M&A advisory and exit planning to help them scale through acquisition or exit on their terms.
This document outlines how our three service lanes integrate with your existing billing team to deliver a complete, end-to-end financial solution for your healthcare clients — at a fraction of the cost of a full-time hire.
A Director of Revenue Cycle & Finance at a healthcare organization commands $130K–$180K/year in salary alone — before benefits, payroll taxes, and onboarding costs. Into The Next delivers the same hospital-level expertise, fractionally, so your clients get senior leadership without the overhead.
Pre-Registration & EligibilityPatient registration protocols, insurance verification, eligibility checks & prior authorization management oversight
Point of Service CollectionsCopay collection protocols, patient financial counseling & upfront payment estimate systems
Revenue Cycle Team LeadershipLeading & developing billing teams — providing expertise, accountability & performance management for billing specialists
Claims Oversight & ScrubbingOverseeing clean claim submission, CPT & ICD-10 accuracy, charge capture & lag day reduction
Denial Management & AppealsEvaluating RCM performance by payer, managing denial patterns, appeals strategy & root cause process improvements
A/R & Payer Contract AnalysisMaintaining AR under target, identifying underpayments, payer contract negotiation support & in-source vs. outsource RCM strategy
How Into The Next Plugs Into RhinoMDs
RhinoMDs
Execution Layer
Medical billing & coding (97% acceptance) · AR & denial management · Payment posting & reconciliation · Clean claims submission · Patient statements & collections · Provider credentialing · Insurance enrollment · Eligibility verification · Prior authorization · Virtual medical assistants
Into The Next
Strategy & CFO Layer
RCM performance analysis by payer · Denial pattern strategy & oversight · Payer contract negotiation support · Provider-level P&L modeling · CFO financial infrastructure & reporting · Cash flow management & forecasting · KPI dashboards & financial systems · M&A advisory & exit planning
Together
A Complete Practice Financial Solution
RhinoMDs handles the execution. Into The Next handles the strategy, oversight, and financial leadership above it. Zero overlap. Complete coverage — from first claim submission to exit planning.
Budgeting & Rolling ForecastsAnnual budgeting, monthly reforecasting & 12–24 month rolling forecasts built from the ground up
Driver-Based Financial ModelsRevenue, staffing, clinician utilization, margins & growth scenario modeling for practice owners
Provider Economics & P&LProvider-level P&L models, clinician profitability by payer mix, session volume & compensation structure analysis
Financial Dashboards & InfrastructureReal-time KPI dashboards, data pipelines between EMR/billing systems & financial reporting tools
Cash Flow & Working CapitalCash planning, working capital optimization, month-end close oversight & multi-entity financial reporting
Payer Contract Negotiation SupportData-driven rate analysis, new payer contract modeling & rate vs. volume tradeoff assessments
Acquisition StrategyBuy-side support for practices looking to acquire additional locations or expand their footprint
Valuation & EBITDA BuildingPositioning the practice for maximum valuation ahead of exit, acquisition or investor conversations
Exit Planning (CEPA Certified)Personal and business exit strategy, succession planning & legacy wealth building for practice owners
Due Diligence & Deal SupportTransaction readiness assessment, data room preparation, financial recasting & deal structuring support
West Valley MRI / SoCal Imaging · Los Angeles, CA
$250K
Operating Cost Savings
$130K
Above Plan — Insurance Claims
Came in as Controller & Fractional CFO — reorganized accounting department, identified & recovered uncollected medical insurance claims, and delivered reliable financials for board meetings on time.
"She helped organize our accounting department, saving us operating costs of $250K for the year and collecting $130K above plan in medical insurance claims." — Reymond Gamzeletova, CEO
Platte River Foot & Ankle Surgeons · Nebraska
Multi-Location
Built full financial infrastructure from zero for a founder-led podiatric surgery practice — financial modeling, per-acquisition analysis, practice valuation, and scaling frameworks to support multi-location expansion across Nebraska.
✓ Full financial infrastructure built from zero
✓ Per-acquisition financial modeling delivered
✓ Practice valuation & M&A strategy completed
Breathe Life Healing Centers · Los Angeles, CA
Multi-Facility
Fractional CFO through a multi-facility expansion — financial planning for new building development, cash flow management during construction, and multi-location financial systems for an addiction & behavioral health treatment center.
✓ Multi-facility financial planning executed
✓ New building development supported
✓ Cash flow managed through scaling phase
Your clients could be next.
Medical practices, dental offices, behavioral health, imaging centers, podiatry, surgery — we serve them all.
healthcare.intothenext.com