Medical Billing Basics
Introduction to the U.S. Healthcare System
Explain the patient, provider, payer, employer, and administrative relationships that shape a workflow. Connect this lesson to Patient inquiry through resolution and complete a fictional practice before continuing.
Medical Billing Workflow Infographic
See the complete care-to-resolution flow and the handoffs between front-end, middle, and back-end RCM. Designed for visual learners and connected to the Claim Submission stage.
AR Follow-Up and Denial Basics
Turn a verified claim status into a documented, policy-aligned next action. This beginner module connects the concept to Claim Status, Denial / Rejection Review, Documentation / Follow-Up and includes a fictional practice activity.
Claim Submission Overview
A high-level, non-coding-authority overview of preparing and sending a claim through approved billing systems. It usually involves Medical billers and authorized claims support staff. and appears during Coding Review, Claim Submission.
Claim Status Follow-Up Workflow
A fact-based workflow for checking claim status and recording a defensible next action. It usually involves Medical billers and AR follow-up specialists. and appears during Claim Status, Documentation / Follow-Up.
Claims and Billing Basics
Describe how a claim moves from documented service to payer processing and follow-up. This beginner module connects the concept to Coding Review, Claim Submission, Claim Status and includes a fictional practice activity.
Claim Follow-Up Notes Template
A structured note template for fictional claim status, payer response, reference details, and the documented next action. It is designed for Medical Biller, AR Follow-Up Specialist learners and connects to the Claim Status and Documentation / Follow-Up stage. Use fictional data only when practicing.