In this episode of our solo series, we explore critical insights for RCM business owners aiming to enhance their company's value and prepare for a potential exit. Discover what buyers truly seek in RCM companies, including risk profiles, client concentration, and operational efficiency. We break down the three main types of buyers: private equity, strategic buyers, and tech-enabled buyers, highlighting their differing priorities and what makes RCM businesses attractive yet risky. Tune in to learn how to structure your business for success and understand the key factors that influence valuation.

Start With Clarity: Download the Exit Readiness Scorecard

https://info.4dglobalinc.com/is-your-rcm-business-built-to-exit

This episode is sponsored by 4D Global, empowering medical billing companies through offshore staffing.

In this inaugural episode of our short solo series, we explore the essential foundations of preparing your RCM business for an exit or a higher valuation. Our focus is not merely on selling your company, but on building a strong, scalable, and valuable RCM business that stands the test of time. We discuss the critical factors that drive value in the industry, including leadership depth, financial clarity, and process predictability. Join us as we shift your mindset from running a business to building an asset, and discover why being exit ready is vital for every RCM owner. Whether you aim to sell or simply enhance your operational efficiency, this episode is packed with insights to help you achieve your goals.

https://info.4dglobalinc.com/is-your-rcm-business-built-to-exit

Chapters:

(00:00) Introduction to the Series

(01:15) The Exit Mindset

(03:30) Running a Business vs. Building an Asset

(06:00) Common Myths in RCM

(09:15) What RCM Buyers Care About

(12:00) Conclusion and Next Steps

This episode is sponsored by 4D Global, empowering medical billing companies through offshore staffing.

In this episode of Leaders in Medical Billing, Chanie Gluck sits down with Randi Tapio, a seasoned revenue cycle management (RCM) leader whose career spans hands-on billing, consulting, and building high-performance teams. Randi shares her journey from working the front desk of a doctor's office to running her own billing center, exiting it, and ultimately launching MedCycle Solutions, now in hyper-growth mode.

She opens up about the realities of staffing in RCM, explaining why maintaining a strong team is one of the industry's biggest challenges: "We have to hire three people to keep one — and interview six to hire those three." Randi discusses how she builds and manages a fully remote U.S.-based team, the importance of trust-driven culture, and why strategic hiring and leadership are essential for sustainable revenue cycle performance.

This episode offers valuable insights for RCM leaders navigating growth, workforce challenges, and the evolving balance between human expertise and emerging technology.

This episode is sponsored by 4D Global, empowering medical billing companies through offshore staffing.

In this episode of "Leaders in Medical Billing," host Chanie Gluck welcomes Matt Seefeld, CEO of MedEvolve, to discuss his extensive experience in the healthcare industry. With over 24 years in management consulting, Matt shares insights into process improvement and technology development across the revenue cycle. He reflects on his journey from his early career at StockAmp and Associates to leadership roles at PricewaterhouseCoopers, Deloitte, and InterPoint Partners. Matt also discusses the transition from consulting to building a technology company, and the lessons he's learned along the way.

Tune in to discover valuable takeaways for medical billing professionals and insights into the evolving landscape of healthcare technology.

This episode is sponsored by 4D Global, empowering medical billing companies through offshore staffing.

[00:02:07] Measuring healthcare administrative performance.

[00:06:39] Tech bubble in healthcare.

[00:08:47] Complexity of healthcare revenue cycle.

[00:11:35] AI and coding denials feedback.

[00:15:19] Agentic automation in revenue cycles.

[00:19:40] Waste in healthcare processes.

[00:22:49] AI in patient engagement solutions.

[00:27:32] Importance of data transparency.

[00:29:11] AI automation and benchmarks.

[00:33:06] Social issues in healthcare.

In this special episode of Leaders in Medical Billing, host Chanie Gluck is joined by 4D Global CTO Nishant Mathew to explore how AI is reshaping the revenue cycle. Together, they break down the difference between deterministic and non-deterministic frameworks, discuss the levels of AI maturity in healthcare, and tackle some of the toughest challenges in medical coding.

Whether you're evaluating new tools, leading a billing team, or simply curious about what AI can and cannot do, this episode gives you a clear and practical view of where the industry is headed.

In this bonus episode of Leaders in Medical Billing, we're bringing you the full replay of our most recent, live webinar: AI for Patient Billing.

Hosted by Chanie Gluck, this session features a deep dive into how artificial intelligence is transforming one of the most overlooked — and increasingly critical — parts of the revenue cycle.

You'll hear from two seasoned RCM leaders actually using AI in the field:

• Jeff Robertson, CEO of Nexus, shares how AI tools like Raxia helped one client double monthly patient payments and reduce average days to payment by over 50%.

• John Gwin, CEO of Auctus Group, walks us through his experience using Inbox Health and other platforms to boost collection velocity while maintaining a strong patient experience.

They break down:

• The shift in revenue mix and why patient payments can no longer be ignored

• How to evaluate and select AI tools based on EMR integration, pricing models, and long-term ROI

• The importance of front desk processes — from capturing contact details to coaching staff on payment conversations

• Real-world metrics, implementation timelines, and what to expect as these platforms evolve

Whether you're new to AI or already exploring automation, this episode is packed with tactical insights and hard-won lessons to help you stay ahead.

👉 Listen in, take notes, and start optimizing your patient billing workflows today.

In this episode of Leaders in Medical Billing, Chanie Gluck sits down with Scott Delmarr, President of Congress Billing, to explore how substance use and behavioral health providers can take back control of their revenue cycle. With a background in forensic accounting and a deep understanding of the behavioral health landscape, Scott shares his journey from helping grow his ex-wife's billing company to becoming the go-to consultant for multi-location providers transitioning from outsourced to in-house billing.

Scott discusses the importance of diversifying your workforce, mindset when building high-performing teams (onshore and offshore), and why he believes treatment centers need more transparency and autonomy. He also discusses how he's leveraging tools like Power BI and payer automations to increase visibility and reduce denial rates for his clients.

If you're a behavioral health provider who feels "stuck" with your outsourced billing company—or if you're curious about the economics, risk, and ROI of bringing billing in-house—this episode is a must-listen.

Learn more about Congress Billing: https://www.congressbilling.com/

Sponsored by 4D Global, empowering medical billing companies through offshore staffing and technology.