President's Message
By Landon Tooke, JD, MLS, CHC, CPCO, CHBME
There is a quiet myth that has permeated throughout our industry for decades, one that many of us have repeated to ourselves: “We’re keeping up.” We add a new tool here, revise a workflow there, attend a conference, and update a policy or two. Yet, if we are honest, many RCM leaders still end most weeks feeling behind...
HBMA Members SOUND OFF! on industry topics
TOPIC: Tell us how you invoice your clients (invoices, ACH, etc.).
Around the HBMA
By Cindy Groux, CHBME, Chairperson
Advancing Knowledge and Elevating Standards
A look back at HBMA's 2026 Executive Retreat in photos
Enjoy memorable moments from HBMA's 2026 Executive Retreat at the Kingsmill Resort in Williamsburg, VA from June 9-11. Industry professionals gathered at this exclusive location for high-powered sessions, workshops, and discussion.
Feature Story
By Joseph Rivet, Esq., CCS‑P, CPC, CEMC, CPMA, CICA, CHRC, CHEP, CHPC, CHC, CAC, CACO
Denials, audits, and payor-driven downcoding are no longer episodic challenges but persistent operational realities that shape revenue cycle outcomes. Organizations cannot approach them as isolated events or assign responsibility to a single department.
Strategies for RCM Companies
Physician practices today face unprecedented financial pressure. Rising operational costs, staffing shortages, and evolving payor policies have made RCM more complex than ever.
Feature Story
By Michael Kairios, MHRM, SHRM-CP
In many organizations, performance evaluations are viewed as a necessary evil. While recognized as necessary, the process is often dreaded and viewed as an arduous and tedious administrative exercise. This is because traditional performance evaluations often fail to forge real professional development...
How Building a Reporting Culture Helped Us Develop Our Team and Scale Our RCM Company
In revenue cycle management, most companies believe the job is complete once the reports are delivered... But here is the reality – most of those reports get uploaded to a folder and never reviewed.
Feature Story
Over the past several years, I have worked closely with thousands of U.S. healthcare practices and billing teams. One thing is clear: RCM hiring is no longer a local challenge, it has become a global, system-driven workforce strategy.
Government Affairs
The CMS is making waste, fraud and abuse one of its top priorities... It is organizing its efforts under a new CRUSH Fraud Initiative (Comprehensive Regulations to Uncover Suspicious Healthcare).
Compliance Issues
By Nicole Statley, CPCO, CPMA, CPC
Cloud-based RCM platforms, billing software, and AI tools have become the backbone of medical billing company operations. That shift has turned from what formally was an IT issue into a complete organizational compliance risk.
The Tech Guy
As we move through 2026, we are finding that most individuals and small businesses are not being targeted by hackers; they are being leaked from the inside. One of those ways is through Shadow AI.
Coding Corner
By Mary Suhr, MBA, CPC, RCC, RCC-IR and Tammie Myers, MBA
The AMA’s 2027 CPT® restructuring for maternity care represents a fundamental shift in how OBGYN services are coded, moving away from bundled global obstetric packages to a fully unbundled, encounter-based model.
From the Road
RCM companies continue to face rising costs, shrinking margins, and increasingly complex payor rules. Many billing companies have turned to offshore labor as a strategy to stay competitive.
