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More Info on HealthCare Domain visit, http://www.zarantech.com/course-list/ba/healthcare-domain
More info on BA Training visit, http://www.zarantech.com/course-list/ba/business-analyst
Contact Info: 515-978-9777 (or) Email - firstname.lastname@example.org
HEALTHCARE DOMAIN TRAINING TOPICS COVERED:
Health Insurance - Overview:
1. What is Health Insurance
2. Components of Health Insurance
3. Types of Health Insurance Coverages
4. Types of Health Insurance (HMO, PPO, POS)
5. Provider vs. Payer, and NPI
1. Claims Process Flow
2. Claims Submission
3. Claims Adjudication Processing
4. Encounters Submission
5. Compliance Check
1. 837 EDI Claims; 835 Remittance
2. Edits and Validations
3. Reports and Acknowledgements
1. Other EDI 5010 Transactions
2. ICD-10 Impacts
3. ICD-10 Implementation Roadmap
4. DRG, CPT, HCPCS
5. TR3 Documentation, Companion Guide
Facets - Overview:
1. Facets Functional Modules
2. Data Model
3. Pricing Workflow
4. DRG Processing
5. HIPAA Compliance
Health Information Exchange:
1. Affordable Care Act / Govt Reforms
2. Electronic Medical Records
3. Healthcare Exchange
4. Review Templates/Sample Artifacts
ABOUT THE TRAINER:
- Over 20 years of IT experience in diversified industries -- Healthcare, Auto, Retail, Manufacturing, Utilities and Defense.
- 12 years of structured Project Management experience.
- 7 years of training experience in Project Management, Business Analysis, and QA Testing.
- Experienced with software development methodologies -- waterfall, RUP, Agile.
- Education: Master in Software Engineering and Administration, CMU.
- Certification: PMP, ITIL, EMR & Health Exchange.