Hope Rachel Hetico; RN, MHA, CMP is the Chief Operating is the Officer at the Institute of Medical Business Advisors Inc. She received her nursing degree from Valpariso University and her Master of Science Degree in Healthcare Administration (MHA) from the College of St. Francis, in Joliette, Illinois. She is author's editor of a dozen major textbooks and a nationally known expert in managed care, reimbursement, case management, health insurance, quality and utilization review, and Joint Commission regulations. Previously, she was national corporate Director for Medical Quality Improvement at