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Chapter 11 addresses the last component of the revenue cycle, the back-end processes. The processes discussed include claims production, claims submission, determining expected reimbursement, adjudication,
Chapter 11 addresses the last component of the revenue cycle, the back-end processes. The processes discussed include claims production, claims submission, determining expected reimbursement, adjudication, benefits statements, claims reconciliation, and collections. Many of these processes are executed by the financial department or business office. However, health information management and coding professionals provide expert advice for producing accurate claims and reconciliation of claims based on medical record documentation
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