Medical Insurance and Revenue Cycle Foundations

Five lessons, each with its depth declared

Depth is not a general promise. Each lesson states the levels actually published, its language, and its length.

1. 01

   The insurance transaction: who pays whom

   40 minL1L2EN only

   • MI-01Identify the parties in an insurance transaction and the money flow between them
2. 02

   Eligibility and pre-authorisation

   45 minL1L2EN only

   • MI-04Perform an eligibility check and decide proceed / pre-auth / self-pay
3. 03

   Anatomy of a claim, end to end

   45 minL1L2L3AR + EN

   • MI-05Sequence the claim lifecycle and name the artefact produced at each stage
   • MI-06Complete a claim's required data elements and identify missing or contradictory fields
   • MI-13Recognise indicators of fraud, waste and abuse in claims and documentation, and state the record-based response
4. 04

   Documentation that supports the claim

   50 minL1L2EN only

   • MI-07Judge whether documentation supports the services billed
   • MI-13Recognise indicators of fraud, waste and abuse in claims and documentation, and state the record-based response
5. 05

   Denials: cause, category, cure

   50 minL1L2EN only

   • MI-09Distinguish a rejection from a denial and classify a denial by root cause
   • MI-10Choose the correct corrective action for a denial

Lesson four is the complete one: published at all three levels, in Arabic and English. The rest are published at L1 in English. See the depth model

What the certificate requires, before you buy

The standard is visible in advance rather than discovered afterwards.

• Pass the exam at 75% or above
• Pass the claim-review practice