Frequently Asked Questions

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We've got answers. Here are some answers to questions we frequently hear.

Traditionally, the revenue cycle is viewed as a linear progression that follows a patient's related clinical and financial record through an overall process. The Front typically covers patient registration and financial clearance. The Middle is typically reserved for clinical documentation processes such as Coding, CDI and HIM functions and the Back focuses on billing and collecting outstanding amounts to various groups (e.g. Insurance companies or patients). Each of these areas contain functions, sub functions and nuanced roles. However, rarely do any of these processes occur in a silo and are interconnected, thus creating more of a "web" rather than simply "moving through the front, middle and back". It's also important to note that patient consumerism is playing a bigger role in healthcare which is disrupting the traditional revenue cycle view. 


The stages of the revenue cycle are as follows:


Front End: Patient Access (Insurance Verification, Pre-authorization) 

Middle: Service Delivery (CDI, Charge Capture, Coding) 

Back End: Receivables Resolution (Claims, AR Follow Up and Denials Management, Collections)