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RCM Advisor

Quarter 2 2026 - Volume 31, ISSUE 2

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Leading the Future of RCM Innovation Together

President's Message

By Landon Tooke, JD, MLS, CHC, CPCO, CHBME

As HBMA members, we have always embraced change – not as something to be feared, but as an opportunity to lead. The 2026 HBMA Innovation Conference in Boston perfectly reflected that spirit.

SOUND OFF!

HBMA Members SOUND OFF! on industry topics

By RCM Advisor Editors

TOPIC: Tell us what month end reports you provide to your clients.

Spotlight On... Education Committee

Around the HBMA

By Vinod Sankaran, Chair

The HBMA Education Committee plays a central role in advancing the knowledge, professionalism, and long-term success of healthcare revenue cycle management (RCM) organizations.

SNAPSHOTS!

A look back at HBMA's 2026 Spring Innovation Conference in photos

By RCM Advisor Editors

From attendees to speakers to exhibitors to sponsors, the 2026 Spring Innovation Conference was full of energy and innovative ideas. Enjoy memorable moments that made this year's conference fun and successful.

How Behavioral Science Can Cut Bad Debt

Feature Story

By James Kanka

I spent my early career in media and startups, convinced that if you crafted the right narrative, people would act. Then I launched a platform to help bloggers monetize their content. We had a compelling story, enthusiastic users, and a beautiful design. We failed...

Improving Health and Wellness While Reducing Operating Costs

Feature Story

By Mark Anderson

A small healthcare RCM billing and claims follow-up company with 28 employees was experiencing decreased profits. They decided to hire a consultant to review their entire operations and financial position. The consultant identified numerous innovative technologies and AI reporting capabilities that improved profitability by 23%.

Why Credentialing Is the Most Undervalued Growth Lever Inside Billing Companies

Feature Story

By Carlos Vaca Martinez

For many billing companies, credentialing is still treated as administrative overhead – necessary, but secondary to coding, claims, and A/R follow-up. In reality, credentialing is one of the most powerful, and most underestimated, drivers of revenue timing, operational efficiency, and client retention inside a billing organization.

Successfully Navigating the RCM Vendor Maze

Feature Story

By Kyle Tucker

One of the highlights of the HBMA Annual and Innovation Conferences is the vendor hall. In fact, if I were forced to choose between the sessions and the vendor hall, the vendor hall would win out.

Percentage-Based Medical Billing

Why It’s a Compliance Trap for Medicare, Medicaid, and Many Commercial Plans

By Laureen Murphy, CPC, CPC-I, RH-CBS, CAH-CBS, CH, CBS, CH, CS / Printed with Permission by MedCycle Solutions

Percentage-based billing (charging a percent of collections or revenue) can be prohibited for Medicare and Medicaid payment arrangements and can violate state fee-splitting rules for commercial claims. Learn what’s risky, what’s illegal in certain contexts, and how to structure compliant billing fees.

CMS Doubles Down on Value-Based Care Despite Questionable Results

Government Affairs

By Matt Reiter

The Trump Administration has been more active than other recent administrations (including President Trump’s first term) in proposing new value-based payment models. The Center for Medicare and Medicaid Innovation (CMMI) has proposed well over a dozen new payment models in the last year.

Outsourcing Smart

Compliance Issues

By Nicole Statley, CPCO, CPMA, CPC

Protecting PHI in an Expanding Healthcare Ecosystem

How To Know When It's Time To Replace Your Wireless Router

The Tech Guy

By Burton Kelso

If you are like most people, your wireless router collects dust while sitting in a corner of your home or office, silently serving your Internet access 24 hours a day. It is the ultimate “set it and forget it” appliance. However, when it comes to your office or home security, having a mindset of, “if it ain’t broke, don’t fix it” can be dangerous.

Just Because It Paid, Doesn’t Mean It Was Right

Coding Corner

By Tammie Myers, MBA and Mary Suhr, MBA, CPC, RCC, RCC-IR

In revenue cycle operations, few outcomes feel as reassuring as a paid claim. Payment often signals progress, confirms movement, and allows teams to turn their attention to the next account.

Physician Revenue Cycle Management in 2026 and Beyond

From the Road

By Dave Jakielo

Challenges, Innovations, and Opportunities for Medical Billing Companies

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Quarter 2 2026 - Volume 31, ISSUE 2
Quarter 1 2026 - Volume 31, ISSUE 1