How to Effectively Solve Challenges in Your Revenue Cycle

SUMMARY

Navigating today’s healthcare revenue cycle requires more than just routine billing knowledge—it demands strategic insight, regulatory awareness, and cross-functional collaboration. This half-day interactive workshop is designed to help physician practices and healthcare business offices proactively identify, analyze, and resolve pain points across the revenue cycle continuum—from patient access and front-end workflows to claim submission, denial resolution, and final collections. Participants will walk away with practical strategies to reduce delays, prevent denials, and improve net revenue outcomes.

Led by two seasoned experts with decades of experience in coding, billing, AR management, and payer contracting, this session will dissect the most common breakdowns in pre-service authorization, medical necessity verification, coding and documentation compliance, claims management, and appeals. You’ll engage in real-world case scenarios, review payer policy pitfalls, and learn actionable tactics to enhance claim success rates and boost collections. Whether you’re a seasoned leader or a front-line team member, this workshop will equip you with tools to build a more resilient, compliant, and financially sustainable revenue cycle operation.

Learning Objectives:

• Understand the full revenue cycle lifecycle (“cradle to grave”) and pinpoint where the most common bottlenecks and revenue leaks occur.
• Strengthen pre-registration workflows, including eligibility verification, pre-certification, and authorization tracking, to minimize preventable denials.
• Identify high-risk denial trends and implement denial management best practices to drive timely appeals and reduce rework.
• Develop winning appeal strategies, including crafting effective appeal letters, leveraging payer guidelines, and monitoring overturn rates.
• Assess and mitigate bad debt risk, while optimizing patient financial engagement and collections strategies.
• Enhance collaboration across departments (front desk, billing, coding, compliance, AR) to streamline handoffs and reduce errors.
• Apply current payer regulations, Medicare policies, and medical necessity standards (e.g., LCDs/NCDs) in your workflows to remain compliant and audit ready.
• Use KPIs and performance dashboards to monitor financial health, AR aging, and denial trends in real time.

This workshop is essential for any team looking to improve reimbursement accuracy, defend against revenue erosion, and position their practice for success under today’s regulatory and payer scrutiny.

Who would benefit from this topic?

• Revenue cycle managers
• Physician Practice Managers
• Billing Managers
• Medical Billers
• Accounts Receivable Representatives
• Medical Coders
• Front Office Coordinators

What’s the presenters’ background/expertise on this topic?

Janice Jacobs has over 40 years of experience in revenue cycle management, coding, and compliance.

Corella Lumpkins has over 36 years of experience in every aspect of the healthcare revenue cycle on both the provider and payer side.

Together, they are uniquely equipped to guide participants through the complexities of today’s payment landscape.

About The Author

Janice Jacobs, CPA, CPC, CCS, CPCO


Ms. Jacobs has over thirty years of healthcare industry experience, including hospital accounting and auditing, inpatient, outpatient and professional fee coding and compliance, and revenue cycle management. Before joining BRG, Ms. Jacobs was a director at a professional services firm, where she developed their Regulatory Compliance and Coding Practice. She also was a director in the Healthcare Compliance and Investigations practice of a global management consulting firm, where she worked on engagements at some of the country’s top academic medical centers, including Stanford, Duke, Johns Hopkins, and the University of Illinois at Chicago.

Ms. Jacobs is a Certified Public Accountant licensed in the State of Pennsylvania, a Certified Professional Coder and Certified Professional Compliance Officer with the American Academy of Professional Coders (AAPC), a Certified Coding Specialist and AHIMA-Approved ICD-10 Trainer with the American Health Information Management Association (AHIMA), and a Radiation Oncology Certified Coder with the American Medical Auditing Company (AMAC).

About The Author

Corella Lumpkins, CPC, CPCO, CDEO, CPB, CPMA, CPPM, CPC-I, CEMC, CHC, CCS, CCS-P, Manager of Coding, Compliance & Provider Education, Loudoun Medical Group P.C.


Corella has over 36 years of experience working in every area of the healthcare revenue cycle. She holds a bachelor’s degree in health services administration and has an extensive background in auditing, billing, coding, CDI, denial management, education, practice management and implementing corporate compliance programs. Lumpkins works closely with providers, staff and students and is a certified instructor teaching both the Certified Professional Biller (CPB)® and CPC® curriculum. Corella is a national speaker, author, an AAPC mentor, Project Extern host employer, and President of the Leesburg, Virginia local chapter. Corella also served as a member of the 2022-2025 AAPC National Advisory Board.