I've seen a bump in efficiency with a mashout, but it comes with a consequence of slightly increased FG. My theory is that the mashout stimulates a brief burst of alpha amylase activity as the temp comes up through its optimum range.
As for complete conversion, I guess I'm not crushing quite fine enough or something because I don't typically get results that are consistent with 100% conversion. Even when I mash for 120min it doesn't seem like I get 100%, I don't know if you can expect that from a mash that favors beta amylase.