Healthcare Admin Basics

Health Insurance Fundamentals
Recognize common plan concepts while separating verification from promises about coverage or payment. Connect this lesson to Eligibility, benefits, adjudication and complete a fictional practice before continuing.
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Medical Terminology & Anatomy
Use basic word parts and body-system context to follow administrative documentation without diagnosing or coding independently. Connect this lesson to Documentation and coding handoff and complete a fictional practice before continuing.
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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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How to Use This Module
Build a safe study rhythm that connects every new term to the claim lifecycle. Connect this lesson to Cross-workflow and complete a fictional practice before continuing.
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RCM Big Picture: The Claim Lifecycle
Trace a healthcare account from scheduling through resolution without treating any step as isolated. Connect this lesson to Entire claim lifecycle and complete a fictional practice before continuing.
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