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Oncology Issues Journal

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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