Are You Ready? Is Your RCM Meeting Regulatory Requirements?

Learning Objectives

• Summarize current and emerging healthcare regulations impacting RCM
• Interpret compliance risks and enforcement trends in the regulatory landscape
• Differentiate the effects of federal policy shifts (Medicaid, HBE, ACA) on RCM strategies
• Evaluate the RCMTAM framework for compliance-readiness in RCM operations

Overview

As regulatory demands continue to evolve, healthcare organizations must ensure their revenue cycle management (RCM) strategies are not only compliant but also resilient. This session provides a comprehensive update on key regulations—including price transparency, the No Surprises Act (NSA), the One Big Beautiful Bill Act (OBBA) and the latest federal healthcare reforms—while examining how technology can support compliance and protect revenue amid these changes. Attendees will gain insights into enforcement trends, policy shifts and how the Revenue Cycle Management Technology Adoption Model (RCMTAM) can guide organizations in aligning their RCM operations with regulatory expectations.