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FREE RCM Starter Bootcamp — Module 2: Health Insurance Fundamentals Active ang insurance ng patient—pero enough na ba iyon para masabing covered at payable ang service? Not always. In Module 2 of the FREE RCM Starter Bootcamp, we simplify the health insurance terms and plan rules that aspiring Medical Virtual Assistants need to understand before working with eligibility, benefits, authorizations, claims, patient balances, and denial prevention. This beginner-friendly Taglish training connects insurance terminology to real Revenue Cycle Management workflows. In this training, you’ll learn: ✅ Why active coverage is only the first checkpoint ✅ What must still be verified before a service ✅ Patient, member, subscriber, payer, and guarantor basics ✅ Copay, deductible, coinsurance, and out-of-pocket maximum ✅ Allowed amount and contractual adjustment ✅ Commercial vs. government insurance ✅ HMO, PPO, EPO, and POS plan types ✅ Original Medicare Parts A and B ✅ Medicare Advantage, Part D, and Medigap ✅ Medicaid and CHIP fundamentals ✅ Workers’ Compensation basics ✅ Coordination of Benefits and payer order ✅ COBRA continuation coverage ✅ How front-end insurance errors become back-end AR problems ✅ Insurance verification and documentation standards This session is designed for: • Aspiring Filipino Medical Virtual Assistants • Medical billing beginners • Career shifters and fresh graduates • Insurance verification assistants • Prior authorization assistants • Healthcare virtual assistants • AR and Revenue Cycle Management beginners The goal is not only to memorize definitions. The goal is to understand how insurance information affects scheduling, registration, verification, authorization, claim routing, patient responsibility, denial prevention, and payment follow-up. Important beginner reminder: Active insurance does not automatically confirm: • Provider network status • Service coverage • Benefit limitations • Referral requirements • Prior authorization requirements • Medical necessity rules • Patient responsibility • Primary and secondary payer order Healthcare is case-specific. Always verify the exact plan, date of service, provider, service, payer requirements, and documentation. --- Chapters 00:00 Welcome, announcements, and participant questions 15:00 MVA Workflow Lab simulator preview 24:00 Upcoming training and registration questions 35:00 Medical VA opportunities and career discussion 50:00 Module 2 officially begins 55:00 Learning outcomes and training rules 59:00 Health Insurance pre-assessment 01:30:00 Insurance in the Revenue Cycle 01:35:00 Why active coverage is not enough 01:40:00 Eligibility, benefits, authorization, and network risks 01:50:00 Four questions to ask during verification 02:00:00 Copay, deductible, and coinsurance 02:15:00 Out-of-pocket maximum 02:30:00 Allowed amount and contractual adjustment 02:35:00 Commercial and government insurance overview 02:45:00 Government programs and managed care 02:50:00 HMO plan basics 03:00:00 PPO, EPO, and POS plans 03:10:00 Medicare Part A and Part B 03:20:00 Medicare Advantage or Part C 03:25:00 Medicare Part D and Medigap 03:30:00 Medicare Secondary Payer and Workers’ Compensation 03:35:00 Medicaid fundamentals 03:40:00 CHIP fundamentals 03:45:00 Coordination of Benefits 03:50:00 COBRA continuation coverage 04:05:00 Participant questions and special payer topics 04:20:00 Insurance verification and documentation standards 04:25:00 Practice scenarios and final review 04:30:00 Next-module preview and closing --- About MVA Simplified MVA Simplified helps aspiring Filipino Medical Virtual Assistants understand U.S. healthcare administration and Revenue Cycle Management through beginner-friendly, workflow-based Taglish lessons. Headset on, kape ready? Let’s simplify U.S. healthcare. One workflow. One term. One skill at a time. Educational Disclaimer This training is for educational and practice purposes only. It does not provide job placement, professional certification, legal advice, medical advice, or a guarantee of employment. Healthcare workflows and payer requirements may vary by plan, payer, state, provider, specialty, date of service, and clinic policy. Only fictional examples and mock information should be used during training. Never share real Protected Health Information or client data through public or unauthorized platforms. #MedicalVA #HealthInsurance #MedicalBilling #RevenueCycleManagement #RCM #InsuranceVerification #USHealthcare #Healthcare101 #MVASimplified

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