Revenue cycle operations teams are responsible for maintaining reimbursement integrity and regulatory compliance across a rapidly expanding oncology service line. Increasing payer scrutiny—particularly for high-cost oncology therapies—has created significant operational strain, treatment delays, and administrative burden for providers.
In this episode, CANCER BUZZ speaks with 2026 ACCC Innovator Award winner Lacy Sheets, MBA, Director of Patient Financial Navigation at St. Luke’s Cancer Institute, about her program’s development and implementation of a Clinical Documentation Integrity Registered Nurse role. Embedded within revenue cycle operations, this role partners directly with physicians, financial navigators, pharmacists, and others to ensure medical necessity documentation is accurate and compliant with payer requirements.
“The whole goal of this [position] is for our patients to be treated...in a more timely fashion...and not have to worry about all of that authorization work, as well as try to eliminate that [burden for] our providers.” – Lacy Sheets, MBA
Guest:
Lacy Sheets, MBA
Director of Patient Financial Navigation, St. Luke’s Revenue Cycle Operations
St. Luke’s Regional Medical Center / St. Luke’s Cancer Institute
Boise, Idaho
Resources:
The views and opinions expressed herein are those of the author(s)/faculty member(s) and do not reflect the official policy or position of their employer(s) or the Association of Cancer Care Centers.
June 30, 2026
At the 2026 ASCO Annual Meeting, the Louisiana Oncology Society received the ASCO Jeffrey C Ward Affiliate Advocacy Award for advancing critical advocacy priorities that have translated into meaningful legislative victories. The Iowa Oncology Society and Washington State Medical Oncology Society were also recognized for their advocacy efforts in 2025 at the meeting, receiving second place awards.
