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Breaking Down Silos: Revenue Cycle Tiers Increase Efficiency and Reduce Waste

By Pamela R. Proman, MBA, RTT; William D. James, MHA; and Nancy H. Johnson, MSM

After a review of key performance indicators, including charge lag, month-end close, patient registration, and insurance identification and verification, this cancer program leveraged its EHR and billing data to identify actionable areas for improvement. Four primary impacts of silo mentality were identified: resource waste, incorrect denials, reduced cash flow, and increased risk for financial toxicity. Performance improvements were prioritized using a matrix to grade urgency and importance.

Also in This Issue:

  • Cancer Care Considerations for Sexual and Gender Minority Patients
    Americans who identify as a sexual and gender minority (LGBTQI) have unique healthcare needs that are not being met by most healthcare providers. Discover how improvement in communication, provider education, understanding screening recommendations, and more can help bridge disparities in care.
  • Partnering with Data Analytics to Promote Survivorship Care Plan Success
    Creating and maintaining a survivorship care plan is a complex process, but it is essential to turn the data collected in the report into actionable information that informs clinical and management team decision-making. Learn how St. Luke’s Mountain States Tumor Institute, Idaho, leveraged its data analytics team to create a meaningful survivorship compliance report.
  • Engaging the Community to Improve Patient-Centered Care for Inflammatory Breast Cancer
    Through a community engagement session and focused interviews, researchers from Duke University School of Medicine, N.C., held a consortium to help stakeholders identify barriers to inflammatory breast cancer awareness, diagnosis, and appropriate treatment. Today the Duke Consortium for Inflammatory Breast Cancer is an interdisciplinary initiative of Duke University School of Medicine committed of translating research into action.
  • From Invisible Experts to Active Caregivers: Pathologists Emerge from the Shadows
    Dr. Lija Joseph, a pathologist at Lowell General Hospital, Mass., implemented a pathology consultation program to help cancer patients better understand how the disease affects their bodies. Based on strong patient interest, Dr. Joseph established a twitter presence to spread the word out about the benefits of patient and pathologist interactions.
  • Geriatric Assessment, Multidisciplinary Model is Focus of FITNESS Study in Older Adults
    The care model at the Cancer and Aging Resiliency Clinic (CARE Clinic) pairs patients with a multidisciplinary healthcare team who review not only cancer-specific treatment, but also assess patients for balance, cognition, hearing, nutrition, medications, symptom management, emotional health, and social issues such as caregiver and safety concerns and financial constraints—all in one visit.
  • An Oncology Symptom Treatment Area Hits the Mark: Improving Care While Reducing ER Visits and Hospital Admissions
    Learn how Advocate-Aurora Lutheran General Hospital, Ill., modified an unused space in its inpatient oncology unit to create an outpatient oncology symptom management treatment area where oncology certified nurses see cancer patients outside of traditional office hours.


  • The Time is Here! What You Need to Know for AUC Consultation


  • Central Peninsula Oncology, Soldotna, Alaska


  • Musings on State Oncology Society Membership

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Publications That Keep You Ahead of the Competition

ACCC members consistently give ACCC publications high marks for their timeliness and usefulness. Experts in the field of oncology contribute to ACCC's publications and provide a solution-based approach to educating oncology healthcare professionals about streamlining and improving cancer services, practice management trends and strategies; implementing new treatments and technology; and planning for regulatory and legislative change.

Oncology Issues Journal

Oncology Issues, the official, peer-reviewed journal of the Association of Community Cancer Centers, is one of the only non-clinical, programmatic publications that provides "how-to" articles for the entire multidisciplinary oncology care team. The journal covers a wide range of topics, including:

  • Hospital & physician alignment strategies
  • Quality & performance improvement initiatives
  • Staffing models
  • Cancer service line strategic planning
  • Cancer & population health initiatives
  • Precision medicine & new treatment modalities, such as immunotherapy
  • Community outreach & education
  • Screening & prevention programs
  • Implementation of care delivery models & alternative payment models
  • Clinical research in the community setting
  • Efforts to improve the patient experience & patient engagement
  • Programs to address at-risk and disparate patient populations

Patient Assistance & Reimbursement Guide

This annual publication together information on pharmaceutical and non-pharmaceutical patient assistance programs, foundations, and non-profit assistance programs, co-pay programs, and reimbursement resources. Access the PDF version online with links to program information and enrollment forms.

ACCC Trending Now in Cancer Care Survey

This annual ACCC survey is designed to educate cancer programs and practices on nationwide developments in the business aspects of cancer care delivery. Data can help programs and practices evaluate their own organization's performance relative to similar organizations and assist in short- and long-term budgeting and cancer service line planning. Survey highlights are available online. Full survey results are available to ACCC members only. ACCC uses data from this annual survey to information ACCC education projects.