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Building a Long-term Strategy for IT Sustainability

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Analyzing the Back-End Revenue Cycle and Important Best Practices

The healthcare revenue cycle is a continuous process that relies on each step to keep revenue flowing. However, many organizations break down the revenue cycle into front- and back-end steps to manage what happens before and after a patient encounter. Back-end revenue cycle deals with revenue collection and management after a patient leaves the exam room and the following days.

Back-end revenue cycle covers claims submission and transmission to denials management and accounts receivable (A/R) management. Efficient back-end processes are vital to revenue collection, reimbursement optimization, and revenue integrity. Obstacles to efficient back-end processes can also impact patient experience.

Healthcare providers must ensure a seamless revenue cycle; back-end optimization is key to quick and accurate revenue collection.

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