The revenue cycle comprises processes other than billing and collecting. The billing department is often the focus of the revenue cycle process; however, many functions occur before the claim reaches the billing department to bill and collect on claims effectively. Factors that affect the health center’s ability to receive revenue for services rendered are often controlled by scheduling, registration, information technology, personnel, and providers. This training will provide an overview of the factors influencing the revenue cycle and ways to consider improving the process. The material presented will provide a comprehensive view of the revenue cycle and the importance of each individual function to the whole. The training will not include specific billing, coding, or claim documentation information. An effective revenue cycle requires that all functions be integrated and operate well in order for a claim to be paid properly and on time; your revenue cycle will only be as good as each of the individual processes. The strength or weakness of each function can make or break the entire process.

During this training, participants will:

• Review the various aspects of the revenue cycle and the importance of each role in a successful model.
• Discover influences (internal and external) on health center revenue cycle management and strategize ways to improve or strengthen the RCM process.
• Determine ways to improve processes that result in more efficient workflows in each revenue cycle role.

Presented by Beth Edwards, MSN, RN, CNL, CPNP-PC, EDA, Health Center Operations and Facilities Planner, Capital Link.

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Complimentary for CCALAC Members & Affiliates. 

Instructor Biography:

Beth Edwards joined Capital Link staff as Health Center Operations and Facilities Planner in June 2022. Ms. Edwards brings more than 30 years of healthcare experience to her role at Capital Link, where she is responsible for providing technical assistance to community health centers, primary care associations (PCAs), and other related organizations, as well as assisting health centers to improve operational performance and optimize patient flow in relation to capital projects.  

Prior to joining Capital Link, she worked in several FQHCs as a Director of Operations responsible for strategic planning, clinical outcomes, HRSA site visits, Board Governance, and productivity. She has worked in various medical settings including hospital, outpatient, and ambulatory care. 

She received her undergraduate degree from University of Mobile, her Master of Science in Nursing from Spring Hill College, post-master’s certification from the University of South Alabama, and is currently a licensed registered nurse with certifications as a Clinical Nurse Leader and Pediatric Nurse Practitioner. She also has an Evidence-Based Design Accreditation and Certification (EDAC) from The Center for Health Design. She is located in Irvington, Alabama. 

CCALAC Training Center is generously supported by Cedars-Sinai.