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Workflow Ready

  • Patient Registration & Scheduling

    Follow a safe front-office sequence from request identification to documented handoff. Connect this lesson to Scheduling and registration and complete a fictional practice before continuing.

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  • Insurance Verification

    Document a dated, source-based verification while distinguishing known facts from limitations. Connect this lesson to Eligibility and benefits and complete a fictional practice before continuing.

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  • Prior Authorization

    Recognize, track, and escalate authorization requirements without promising approval or payment. Connect this lesson to Referral / Authorization and complete a fictional practice before continuing.

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  • Front Office & Communication Skills

    Communicate clearly, stay within administrative scope, and create useful handoffs. Connect this lesson to Patient inquiry through documentation and complete a fictional practice before continuing.

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  • Medical Coding Basics

    Recognize major code-set and claim-form concepts while respecting qualified-coder boundaries. Connect this lesson to Coding review and complete a fictional practice before continuing.

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  • Charge Entry

    Understand how approved documentation and service information become structured claim data. Connect this lesson to Charge entry and claim creation and complete a fictional practice before continuing.

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  • Claims Management

    Follow claim creation, edits, submission, acknowledgement, status, and correction paths. Connect this lesson to Scrubbing, submission, and status and complete a fictional practice before continuing.

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  • Inactive Insurance on Date of Service

    A fictional eligibility response shows the plan inactive for the intended service date. Choose the safest next action, review the explanation, and continue to Eligibility and Benefits Basics.

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  • Claim Rejected for Missing Information

    A fictional clearinghouse message says a required administrative field is missing. Choose the safest next action, review the explanation, and continue to Claim Rejection vs Claim Denial.

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  • Claim Denied for Authorization

    A fictional processed claim is denied with a message that authorization was not on file. Choose the safest next action, review the explanation, and continue to AR Follow-Up and Denial Basics.

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