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RCM Advisor

Quarter 4 2026 - Volume 31, ISSUE 4

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Small Room... Big Impact

How the HBMA Executive Retreat Is Redefining Leadership Education

By HBMA President – Landon Tooke, JD, MLS, CHC, CPCO, CHBME

When we first envisioned the HBMA Executive Retreat, we wanted something different from a traditional conference. Not bigger. Not busier. Different. We wanted an environment where RCM leaders could step out of the noise, sit shoulder-to-shoulder with peers, and wrestle honestly with the decisions that will define their companies over the next five years.

SOUND OFF!

HBMA Members SOUND OFF! on industry topics

By RCM Advisor Editors

TOPIC: Tell us if you charge a set-up fee or minimum amount for small clients.

Spotlight On... Finance Committee

Around the HBMA

By Curt Anderson, MBA, CHBME, Chair and HBMA Treasurer

The Amazing Progress of Our HBMA Industry Association Over the Past Five Years!

SNAPSHOTS!

Review of the 2026 Fall RCM Conference in Photos

By RCM Advisors Editors

Enjoy memorable moments from HBMA's 2026 Fall RCM Conference at the M Resort Spa Casino in Las Vegas NV from September 22-24. Attendees were treated to world-class speakers and sessions, as well as exciting displays and carnival fun in the Exhibit Hall.

Clarifying the Law on Percentage-of-Collections Billing: A Corrective Analysis of Misleading Claims

Feature Story

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

Percentage-of-collections compensation in healthcare revenue cycle management occupies an uneasy space between accepted market practice and highly specific pockets of legal prohibition.

When the Client Says “Just Fix It”

Feature Story

By Katie Roemer, MBA, MOL, CHC, CHPC, CPC

The call comes from the office manager, and it is entirely reasonable in tone. The claim is going to be denied without modifier 25. Everyone knows that the provider goes above and beyond. Can billing add it before the claim goes out?

The Cost of Delayed Decision Making: A Corrective Analysis of Misleading Claims

Feature Story

By Nicola Hawkinson, DNP, RN, RNFA, CPC

Healthcare has never rewarded organizations simply for adopting new technology. It rewards organizations that learn how to use new technology well.

From Typewriters to AI: What We Learn from Four Decades in Medical Billing

Feature Story

By Jeff Hillam

There is a particular type of credibility that only comes from having lived through an entire industry’s evolution, not merely having read about it or reviewed it in a case study but actually sitting at the desk while it happened. Letty Flores, Project Manager at Red House Medical Billing, has that credibility. Her career began with a typewriter and a stack of paper claims...

First Things First: Dealing With Angry Patient Phone Calls

Feature Story

By Merikay Hunt, MS

This is a timeless business principle I learned early in my career when dealing with angry patients

Healthcare Reform Legislation Reflects Growing Congressional Focus on Price Transparency and Physician Reimbursement

Government Affairs

By Jasmine Garner, MPH

Throughout 2026, Congress has introduced and advanced a range of healthcare reform proposals that reflect broader efforts to improve healthcare price transparency, reform physician reimbursement, and strengthen accountability across the healthcare system.

Delayed Rule, Not Delayed Risk: What OCR Expects from You Right Now

Compliance Issues

By Nicole Statley, CPO, CPMA, CPC

The Department of Health and Human Services (HHS) has pushed the projected final action date for the updated HIPAA Security Rule to July 2027, but that delay does not lower the bar the Office of Civil Rights (OCR) is currently enforcing.

How to Avoid Cramming Phone Bill Scams

The Tech Guy

By Burton Kelso

Imagine opening your monthly smartphone statement and discovering that alongside your standard wireless package you have been paying additional charges of $9.99 for a Premium Voice Portal Service or an All-Access Fun Trivia Pass that you have absolutely no memory of purchasing. If this sounds familiar, you are not just experiencing a random billing glitch. You are a victim of a pervasive, highly organized form of digital pickpocketing known as “cramming.”

Charge Validity vs. Coding Accuracy: Why They’re Not the Same Thing

Coding Corner

By Tammie Myers, MBA

A claim comes back denied. The coding team pulls the chart, reviews the note, checks the code against the documentation, and finds nothing wrong. Although the code is textbook correct, the claim still did not pay.

How to Ensure a Vibrant Future in the Medical Billing Industry

From the Road

By Dave Jakielo

As Charles Dickens said in the Tale of Two Cities, “It was the best of times, it was the worst of times.” I didn’t even know that he was in the medical billing industry! However, his quote rings true in our industry today.

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Quarter 4 2026 - Volume 31, ISSUE 4
Quarter 3 2026 - Volume 31, ISSUE 3
Quarter 2 2026 - Volume 31, ISSUE 2
Quarter 1 2026 - Volume 31, ISSUE 1