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Health IT JumpStart: The Best First Step Toward an IT Career in Health Information Technology by Scott McEvoy, Patrick Wilson

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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 ...

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