President's Message
By Landon Tooke, CPCO, CHC
What an exciting milestone it is for me to step forward once again as HBMA President, and how grateful I am for the chance to connect with each of you in this new chapter.
Around the HBMA
Landon Tooke returns as HBMA President, bringing more than twenty-five years of experience in healthcare operations and leadership.
HBMA Members SOUND OFF! on industry topics
TOPIC: Tell us how being an HBMA volunteer on one or more committees, the board of directors, or any other way, has helped you and your company.
Around the HBMA
One of the most exciting decisions was the establishment of the Globalization Committee. This group was to be assigned the task of launching HBMA’s global footprint, expanding membership, and offering educational opportunities to RCM companies outside of the U.S.
A look back at the HBMA 2025 Fall RCM Conference in photos
From attendees to speakers to exhibitors to sponsors, the Fall RCM Conference was full of energy. Enjoy some moments that made memories for everyone.
Balancing Artificial Intelligence with a Human Touch
By Michael Kairios, MHRM, SHRM-CP
There is no question that artificial intelligence (AI) is reshaping how businesses operate, make decisions, and engage their people. Its rise has been rapid...
Feature Story
AI is rapidly transforming healthcare’s financial landscape, particularly in RCM. By automating and optimizing key processes, AI promises significant gains in efficiency and accuracy.
Feature Story
The U.S. is the biggest medical coding market in the world and will continue to grow, nearly doubling in market size between 2020 and 2028, according to a recent CRISIL GR&RS Analysis. Hospitalizations, surgeries, and case complexity are also on the rise, contributing to higher coding volumes.
Feature Story
On January 1, 2026, Medicare launched a six-year pilot program in six states... entitled the WISeR Program. This program aims to test outpatient procedures that the CMS suspect are prone to waste, fraud, and abuse and ensures that services are medically necessary.
Scaling RCM Teams Compliantly in an Era of High Risk
The healthcare RCM industry is defined by two relentless pressures: the absolute necessity of compliance and the constant demand for cost efficiency. While RCM firms must maximize reimbursement amidst regulatory complexity (notably HIPAA), the domestic labor market is tightening.
Government Affairs
Reforming the broken Medicare reimbursement system has been HBMA’s top legislative priority for the last several years. Every year, we find ourselves in a mad scramble to prevent Congress from having various Medicare payment cuts go into effect.
Compliance Issues
By Nicole Statley, CPCO, CPMA, CPC
Now that we are in January 2026, it is time to look into the crystal ball and contemplate changes on the horizon for the rest of the year. The healthcare industry is continually in a transformative state that keeps us on our toes and demands that we stay vigilant and aware of its changing landscape.
The Tech Guy
Turning the calendar to 2026 provides the perfect opportunity to reflect on your old technology habits and set up fresh new tech resolutions. Technology is constantly changing, which means you cannot continue the same old, tired methods of using your digital devices and gadgets.
Coding Corner
By Melody W. Mulaik, MSHS, CHC, CPC, RCC, FAHRA, FRBMA
Many billing professionals claim that they merely enter charges provided by their provider clients. However, modifying diagnosis codes or appending modifiers during billing or follow-up constitutes coding.
From the Road
In every organization, success is often driven by two critical roles: leaders and managers. Although the terms are frequently used interchangeably, leadership and management are fundamentally different in purpose, mindset, and approach.
