you will create an analysis report on the staffing system of a healthcare organization based on the identified areas of the back-end process of the
you will create an analysis report on the staffing system of a healthcare organization based on the identified areas of the back-end process of the revenue cycle.
- Describe the staffing competencies needed for hiring team members in the back-end revenue cycle. Consider the following questions to guide your response:
- What competencies are needed for each area of the revenue cycle?
- What makes this competency specific to the healthcare domain?
- Explain the importance of each area of the revenue cycle for preserving revenue integrity. Consider the following questions to guide your response:
- How does each area incorporate operational efficiency?
- How is compliance adherence built into each area?
- Explain the role of leadership in ensuring staffing competencies. Consider the following questions to guide your response:
- What skillsets or knowledge should a leader look for when recruiting somebody for the back-end process?
- How would the leader keep the team updated in skillsets and knowledge?
:Identify processes to prevent lapses and/or gaps in the staffing model. Consider the following questions to guide your response:
- What kind of lapses and/or gaps are possible across the entire process?
- What are the possible reasons behind these lapses and/or gaps?
Discuss the impact of any failure in the Claims Production and Claims Submission areas of the revenue cycle. Consider the following questions to guide your response:
- What are some of the possible events of failure that could happen in the first two areas?
- Who would be impacted by such events?
Discuss the financial impact of initially declined claims and delayed payments to healthcare organizations. Consider the following questions to guide your response:
- Do healthcare organizations face the same financial impact for governmental and private insurance claims?
- What steps can be taken by the backend process staff and by leadership to ensure these delays do not happen?
Step by Step Solution
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Staffing Competencies in the BackEnd Revenue Cycle 1 Billing and Coding Expertise Competency in medical coding ICD10 CPT HCPCS and billing processes ensures accurate claim submission and reimbursement ...See step-by-step solutions with expert insights and AI powered tools for academic success
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Step: 3
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