Leaders in Medical Billing

Hosted by Chanie Gluck

Business Health Fitness

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Apr 2026

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About the show

Leaders in Medical Billing is a podcast about leaders in our industry that are growing, disrupting and paving the way for innovation!

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60 recent

September 16, 202632 min

Navigating RCM: Technology and Valuation Insights with Chad Zoretic

What's really driving RCM valuations right now, and how do you separate genuine AI innovation from smoke and mirrors? In this episode, Chanie Gluck sits down with Chad Zoretic, Managing Director and Partnerships/M&A Consulting Practice Leader at VMG Health , to unpack what's happening beneath the surface of today's RCM industry. With 30+ years of experience guiding healthcare M&A deals, Chad shares an insider's view on why purchase price multiples for RCM companies vary so widely, what buyers actually look for during due diligence, and why claiming to be "AI-enabled" isn't enough anymore. He and Chanie dig into practical strategies for adopting new technology without overcommitting, where the biggest automation wins are (hint: front-end and back-end, not AR), and what it really takes to build a business that's attractive to investors, whether or not you ever plan to sell. Tune in for a candid, experience-driven conversation about technology adoption, valuation drivers, and the future of revenue cycle management. In this episode: Why RCM pricing models are compressing and what's driving purchase price multiples How to spot "vaporware" AI claims and what real due diligence looks like A pragmatic, module-by-module approach to adopting new RCM technology The governance and workforce shifts AI adoption demands What actually drives higher valuations for RCM companies preparing for a future exit Sponsors: https://4dglobalinc.com

April 1, 20268 min

#8 - Timing, Advisors & Exit Readiness Putting It All Together

In this final episode of our series on preparing your RCM business for an exit or higher valuation, host Chanie Gluck shares invaluable insights on exit readiness. Drawing from her extensive experience in the medical billing industry, she emphasizes the importance of being prepared on your timeline rather than reacting to external pressures. Discover how to assemble the right advisory team, what buyers expect before a deal, and the essential steps to take in the next 90 days to enhance your business's value. Tune in for actionable advice that will empower you to navigate your exit strategy with confidence! Chapters: (00:00) Introduction (00:30) The Importance of Exit Readiness (01:15) Assembling Your Advisory Team (02:00) Pre-LOI Preparation (03:15) Understanding Buyer Motivations (04:00) Preparing for Diligence (05:30) Exit Readiness Scorecard (06:00) Conclusion Start With Clarity: Download the Exit Readiness Scorecard https://info.4dglobalinc.com/is-your-rcm-business-built-to-exit Sponsors: https://4dglobalinc.com

March 25, 20266 min

#7 - Growth Story: Why Your Next 3 Years Matter More Than Your Last 10

In this episode of Leaders in Medical Billing, host Chanie Gluck delves into the critical elements of preparing your Revenue Cycle Management (RCM) business for an exit or higher valuation. Join us as we explore the importance of crafting a compelling growth story that resonates with potential buyers. Chani shares insights on organic vs. inorganic growth, the significance of a clear growth narrative, and how to position your business for future success. Whether you're in the early stages or looking to sell, this episode is packed with actionable takeaways! Chapters: (00:00) Introduction (00:30) Understanding Growth Stories (01:15) Organic vs. Inorganic Growth (02:00) Crafting a Believable Growth Narrative (03:30) Key Takeaways (04:00) Exit Readiness Scorecard (05:00) Conclusion Start With Clarity: Download the Exit Readiness Scorecard https://info.4dglobalinc.com/is-your-rcm-business-built-to-exit Sponsors: https://4dglobalinc.com

March 18, 20269 min

#6 – Technology, Automation & Scalability in RCM

In this episode, Chanie Gluck shares her expertise on technology, automation, and scalability in the realm of Revenue Cycle Management (RCM). As part of our eight-part series on preparing your RCM business for an exit or higher valuation, we delve into what buyers look for in technology maturity and how it impacts business performance. Discover the importance of automation in reducing labor costs, enhancing efficiency, and ensuring compliance. Chani also discusses the significance of key performance indicators and the role of integrations in making your business adaptable. Join us for actionable insights and strategies that can elevate your medical billing practice! Start With Clarity: Download the Exit Readiness Scorecard https://info.4dglobalinc.com/is-your-rcm-business-built-to-exit Sponsors: https://4dglobalinc.com

March 11, 20267 min

#5 - Leadership, People & Process Can the Business Run Without You

In this episode, Chanie Gluck explores the crucial topic of founder dependency in the medical billing industry. As part of our eight-part series on preparing your RCM business for an exit or a higher valuation, we delve into leadership, people, and process. Discover why key person risk can significantly lower your business valuation and learn actionable strategies to build a second layer of leadership, document processes, and foster a healthy company culture. Don't miss this essential conversation that could transform your approach to business scalability! Chapters: (00:15) Introduction (00:30) Founder Dependency and Key Person Risk (01:30) Building Leadership and Documenting Processes (02:45) Culture, Retention, and Scalability (04:00) Exit Readiness Scorecard (05:15) Conclusion Start With Clarity: Download the Exit Readiness Scorecard https://info.4dglobalinc.com/is-your-rcm-business-built-to-exit Sponsors: https://4dglobalinc.com

March 4, 20267 min

#4 - Client Concentration & Contracts

In this episode, Chanie Gluck dives into the critical topic of client concentration in the revenue cycle management (RCM) industry. Drawing from her extensive experience, she explains how over-reliance on a few clients can jeopardize business valuation and outlines the risks associated with client contracts. Chani shares actionable steps to mitigate concentration risk and enhance the stability of your RCM business. Don't miss this insightful discussion that can help you prepare for a successful exit or higher valuation! Chapters: (00:00) Introduction (01:00) Importance of Client Contracts (02:30) Risks of Client Concentration (05:00) Action Steps to De-risk (08:00) Conclusion and Next Episode Preview Start With Clarity: Download the Exit Readiness Scorecard https://info.4dglobalinc.com/is-your-rcm-business-built-to-exit Sponsors: https://4dglobalinc.com

February 25, 202610 min

#3 - Financials That Increase Valuation

In this episode, Chanie Gluck shares critical insights into the financial aspects that can make or break a medical billing business's valuation. Drawing from her extensive experience, she emphasizes the importance of financial honesty and clean books, explaining how common pitfalls like tax optimization and confusing EBITDA adjustments can jeopardize deals. Listeners will learn about key metrics every RCM owner should monitor, including AR aging, denial rates, and client profitability. Tune in for actionable advice that can help you protect and enhance your business's value. 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.

February 18, 202612 min

#2 - What Buyers Look for in RCM Companies

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.

February 11, 20268 min

#1 - The Exit Mindset - Build to Sell.

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. Start With Clarity: Download the Exit Readiness Scorecard 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.

February 10, 20261 min

Preparing Your RCM Business for an Exit (or a Higher Valuation) - new short solo series - Coming soon

If you own or lead an RCM business, here's a question worth sitting with: Could your business run — and hold its value — without you? A new short solo series is coming to Leaders in Medical Billing . It's about building an RCM business that's structured, scalable, and resilient — whether you plan to sell someday or not. In this series, we'll break down: • What buyers actually look for in RCM companies • Why EBITDA alone doesn't tell the full story • Where value is created — and where it quietly erodes • How founder dependency, client concentration, and process maturity impact valuation This isn't about chasing an exit. It's about building leverage, clarity, and optionality into your business — now. If you want to think like an owner, not just an operator, this series is for you. Preparing Your RCM Business for an Exit (or a Higher Valuation) 🎙️ Coming soon on Leaders in Medical Billing.