Chapter 9
Operational Workflow: Back Office
- Revenue management cycle
- Contracts
- Medical billing and coding
- HIPPA and EDI
- Claims process
- Collections process
- Dispute resolution
- Third-party billing
Healthcare is one of the few industries where services are not paid for when they are received. The medical practice provides service to the patient and bills a third-party insurance company to receive payment for the service provided. Cash flow is essential for any business, and managing the flow of money is critical to the viability of a medical practice. The provider’s back-office staff is responsible for the administrative functions of the medical practice, including patient billing and accounting. Medical billing is a complex job that demands knowledge ...
