The Pulse: From Patient to Payment: A Deep Dive Into Revenue Cycle Management

Revenue cycle management (RCM) refers to all the administrative and clinical functions that contribute to patient service revenue. In this episode of The Pulse: Examining the Business of Healthcare, Lori Cox sits down with Desiree Diggins Brooks, BSHIM, RHIT, CPMA, CCS-P, to talk about RCM. They outline every step of the revenue cycle — and best practices for each — in addition to:

Risk Adjustment
Modifiers 25 and 59
Telehealth guideline changes
Working with certified vs. non-certified coders
Provider training

About the authors

Lori Cox

MBA, CPC, CPMA, CPC-I, CEMC, CGSC, CHONC, Regional Director, AAPC Services / Director of Client Engagement, AAPC Services / AAPC /

Lori Cox has over 25 years of experience working in the business side of healthcare. She began her career in patient accounts and then moved into billing and coding for a multispecialty clinic. She was eventually promoted to billing supervisor and then to compliance officer, where she wrote, maintained, and trained employees and providers on fraud and abuse. Currently, Cox works for AAPC Services as Director of Client Engagement, performing audits and education for clients across the U.S. She has spoken at HEALTHCON and regional conferences and has traveled the country educating coders and physicians on complex coding topics such as hem/onc and E/M guidelines. Cox is the past member relations officer for AAPC’s National Advisory Board.

Desiree Diggins-Brooks

BSHIM, RHIT, CPMA, CCS-P / Director of Revenue Cycle Management / AAPC Audit Services

Desiree Diggins-Brooks, BSHIM, RHIT, CPMA, CCS-P is the Director of Revenue Cycle Management at AAPC Audit Services. She began her healthcare career in 2009 as a medical assistant before finding her niche in revenue cycle management. She earned an associate degree in health information technology and a bachelor’s degree in health information management. She is a multispecialty coder/auditor.