Revenue Recovery in Drug Administration: Strategic Insights for Billing & RCM Professionals

Revenue Recovery in Drug Administration: Strategic Insights for Billing & RCM Professionals

Presented by Ashley Carson, Ashley Hunter, & Mary Suhr

Thursday September 25th, 2025
9am PT / 10am MT / 11am CT / 12pm ET

This program is scheduled for 60 minutes and is valid for 1 CHBME credit.

Member Price: $49.00
Non Member Price: $99.00

Description:
As complex reimbursement challenges continue to evolve around physician-administered drugs, ensuring full revenue capture has never been more crucial. This exclusive webinar, designed with HBMA members in mind, addresses the unique operational and billing intricacies faced by revenue cycle and medical billing professionals when navigating drug-related claims.

We’ll explore common gaps in revenue capture—such as undercoded drug units, misapplied modifiers, and coverage mismatches—that can quietly erode margins. Attendees will gain actionable insights into:

•    How to audit drug administration claims for hidden losses
•    Best practices for aligning NDC and HCPCS coding
•    Mitigating denials tied to medical necessity or prior authorization gaps
•    Leveraging data to identify underpayments and billing variances
•    Tools and technologies that streamline compliance and recovery

Learning Objectives:
Course participants will be able to:

• Recognize common causes of revenue loss in physician-administered drug claims.

• Apply correct coding and billing practices for drug administration services.

• Implement strategies to improve denial resolution, identify underpayments, and enhance overall revenue recovery efforts within the drug administration workflow.
   

Speaker Bio:
Ashley Carson
Ashley Carson, the Director of Coding & Compliance at RCCS, has over 20 years of experience in coding, auditing, education, and workflow optimization. She leads a team of coding and compliance experts, ensuring adherence to industry regulations and best practices for healthcare organizations nationwide. Her expertise spans evaluation and management (E/M) coding, surgical coding, and compliance strategies that drive accuracy and revenue integrity.

Prior to her current role, Ashley worked as a professional coding educator, onboarding and training coders, auditing documentation, and developing provider education programs. She has extensive experience working with physician practices and hospital systems, implementing compliance frameworks that enhance coding accuracy and operational efficiency.

Ashley has played a key role in developing and implementing coding compliance programs that improve documentation accuracy and reimbursement outcomes. She has led initiatives to enhance provider education, ensuring compliance with evolving regulatory requirements and industry standards.

Ashley Hunter
Ashley Hunter is a skilled Senior Consultant specializing in revenue cycle management, financial analytics, and healthcare consulting. With extensive experience in financial reporting and business analysis, she helps healthcare organizations optimize revenue cycle processes and improve financial performance. Ashley provides strategic guidance on all aspects of the revenue cycle, from front-end operations like scheduling and authorizations to backend processes like denial management and, reimbursement trends, to support healthcare providers in maintaining sustainable revenue streams.

Prior to her current role, Ashley worked as a Senior Financial Analyst, where she played a key role in the creation and maintenance of financial reports and analysis that informed client decision-making. She also collaborated with leadership teams to develop customized financial strategies, ensuring alignment with organizational goals. Her expertise in data-driven insights and process optimization has allowed her to contribute significantly to healthcare financial strategies.

Ashley has led initiatives to streamline financial analytics and enhance revenue cycle efficiencies for healthcare organizations. She has implemented workflow enhancements that have resulted in measurable reductions in denials and improved cash flow for providers. Her expertise in data analysis has contributed to the development of performance dashboards and financial modeling tools, which she uses in tandem with process observations to improve revenue management. She continues to drive strategic improvements in financial performance and operational effectiveness for her clients.

Mary Suhr
Mary Suhr is the RCM Business Operations Director at RCCS, specializing in revenue cycle performance, coding accuracy, and financial optimization. With over 20 years of experience in healthcare, she has a demonstrated ability to identify revenue opportunities and drive process improvements for hospitals and physician practices. Mary oversees revenue integrity initiatives, ensuring compliance with regulatory standards and optimizing billing and reimbursement strategies.

Prior to her current role, Mary ran her own revenue cycle consulting company, providing services for physician billing, charge reconciliation, denial analysis, and provider education. She also served as the Coding and Revenue Optimization Specialist for a large hospital system, where she implemented efficient revenue cycle workflows and strategies, recovering over $30M in missing charges for her clients.

Mary has successfully developed revenue optimization programs that have led to significant financial improvements for healthcare organizations. Her expertise in reconciliation processes and charge capture initiatives has streamlined revenue cycle efficiency, reducing revenue loss and improving cash flow. She has also played a key role in the development of strategic billing and compliance frameworks to ensure accurate reimbursement and regulatory adherence.