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.

1. 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?

1. 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?

1. 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?

Answer rating: 100% (QA)

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 ... View the full answer