Scenario: This discussion will help you assess the internal and external revenue-cycle workflows and their impact on strategic planning and financial management. It will also enable you to evaluate how the revenue cycle is impacted by insurance plan requirements and regulations and identify front-end, middle, and back-end revenue-cycle processes within operational workflows.

Imagine you work with a healthcare organization, and you are helping the internal audit team analyze quarterly financial performance. The audit team found several claim denials in the outpatient surgery center and has asked you for a better understanding of the situation.

• Explain how technology and human error may contribute to a denial by the insurance company.
• Identify at least one internal process breakdown each from the front-end, middle, and back-end workflows that could lead to a claim denial.

Must provide at least two references or citations for the information provided. DO NOT provide answers without this information- if this is done, I will report a negative comment.