CASE CENTER

Case #001

Clean Claim: Complete RCM Cycle

TRAINING CASE

Complete the billing cycle for Sarah Johnson.

Fictional case: patient registration → eligibility → charge → claim → payment → A/R.

01Review patient demographicsRegistration10 pts

02Verify insurance eligibilityEligibility10 pts

03Enter medical chargeCharge Entry10 pts

04Create and validate claimClaims15 pts

05Submit simulated claimClaims10 pts

06Review payer responseClaim Status10 pts

07Post insurance paymentPayments15 pts

08Resolve remaining A/RA/R20 pts