BA HEALTHCARE DOMAIN Professionals Competency Development Program – Session Schedule
We focus on delivering Role-Specific ...
BA HEALTHCARE DOMAIN Professionals Competency Development Program – Session Schedule
We focus on delivering Role-Specific ...
BA HEALTHCARE DOMAIN Professionals Competency Development Program – Session Schedule
We focus on delivering Role-Specific ...
BA HEALTHCARE DOMAIN Professionals Competency Development Program – Session Schedule
We focus on delivering Role-Specific ...
BA HEALTHCARE DOMAIN Professionals Competency Development Program – Session Schedule
We focus on delivering Role-Specific ...
BA HEALTHCARE DOMAIN Professionals Competency Development Program – Session Schedule
We focus on delivering Role-Specific ...
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Business Analyst Healthcare Domain Training from ZaranTech

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healthcare business analysis training, healthcare business analyst training, healthcare business analysis certification, healthcare domain training, healthcare ba training, healthcare ba online training

More info on BA Training visit, http://www.zarantech.com/course-list/ba/business-analyst

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
Claims Process:
1. Claims Process Flow
2. Claims Submission
3. Claims Adjudication Processing
4. Encounters Submission
5. Compliance Check
EDI Transactions-I:
1. 837 EDI Claims; 835 Remittance
2. Edits and Validations
3. Reports and Acknowledgements
EDI Transactions-II:
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.

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Transcript of "Business Analyst Healthcare Domain Training from ZaranTech"

  1. 1. BA HEALTHCARE DOMAIN Professionals Competency Development Program – Session Schedule We focus on delivering Role-Specific training rather than Product based Training BA HEALTHCARE Professional Role Based Training C L Course Duration: 16 hrs. + Live Case Studies Prerequisite: Anyone with analytical skills Timings: Weekdays & Weekends (after work hours) Mode of Training: Online How Are We Different?  We just don’t teach Business Analyst Concepts but we share our real-time implementation experiences to get the audiences ready to face customers and Implement Solutions.  We don’t make Business Analysts but we make them Complete & Full fledged BA Consultants by training them on Development, Administration & Application Design with Project based real-time scenarios and several Case Studies for practice  Our faculties are not just technical developers or trainers, they are industry experts and consultants for fortune 500 companies who are highly capable of understanding the business and know how technology can be closely connected with people and business.  Our Role-Specific training differs from any other training company in the world h c L e T n a Training Highlights: Benefits:  Focus on Hands on training with lot of  Quality Course Material & E-books assignments, practice exercises and quizzes  24 x 7 Online access to trainers  100 plus hours of Assignments, Assignments, for Doubts Clarification, Course Title: Business Analyst Competency Development Program Video recordings after each session posted on  Project based training with hands on exp Course Duration: 45 hours Training Training Materials: All attendees would receive Training Blog.  Resume Preparation Guidance  Quality Study material  Mock Interviews from Professional   Training presentation on each session, Case Studies based of Real-time project Consultants,  Source Code for examples covered. based Scenarios  Marketing one-on-one with a Recruiter  Certification Guidance Training Format: This course is delivered as a highly interactive session, with extensive live examples. This  Real-time Project Documents  Certificate of Participation at the end. course is delivered in Online using Web and Audio Conferencing.  Onsite Job assistance for 3-4 months What will you learn?  Special Project training programs for trained OPT’s. r a Z Zaran Tech LLC. , http://www.zarantech.com, info@zarantech.com , (515) 309-7846, Page - 1 5550 Wild Rose Lane, Suite 400, West Des Moines IA 50266
  2. 2. BA HEALTHCARE DOMAIN Professionals Competency Development Program – Session Schedule We focus on delivering Role-Specific training rather than Product based Training The Business Analyst Training uses best practices and guidelines from International Institute of Business Analysis (IIBA®) in their Business Analysis Body of Knowledge® (BABOK® v2.0). The training content is customized to meet the practical needs of a Business Analyst professional. In this training, attendees learn: 1. 2. 3. 4. 5. 6. C L Health Insurance - Overview Claims Process EDI Transactions-I: EDI Transactions-II: Facets - Overview Health Information Exchange Attendees also learn: 1. 2. Following professionals should plan on joining:     2. 3. 4. 5. 6. L e T Entry-level IT Business Analysts Non IT professionals aspiring to get into Business analysis/analyst. Self-taught IT Business Analysts wanting to fill in the gaps and put all the pieces together Systems Analysts and programmers interested in expanding their role into the business area n a About the trainer: 1. h c Resume Preparation Guidelines and Tips Mock Interviews and Interview Preparation Tips should attend? Over 20 years of IT experience in diversified industries – Healthcare, Auto, Retail, Manufacturing, Utilities and Defences. 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. r a Z Zaran Tech LLC. , http://www.zarantech.com, info@zarantech.com , (515) 309-7846, Page - 2 5550 Wild Rose Lane, Suite 400, West Des Moines IA 50266
  3. 3. BA HEALTHCARE DOMAIN Professionals Competency Development Program – Session Schedule We focus on delivering Role-Specific training rather than Product based Training BUSINESS ANALYST TRAINING PROGRAM (HEALTHCARE DOMAIN) ROADMAP Familiarize with Terminology and Concepts Introduction to Healthcare Understanding the Claims Pricing Model h c Government Health Plans (Medicare and Medicaid) EDI Transactions and Data Format (4010/5010) e T Claims Data Submission to States/CMS C L SDLC Claims Process Overview L Diagnosis Coding and Procedure Coding System (ICD-10) Government Regulations and Guidelines n a r a Discuss Real-Time BRD’s and Test-cases Z Zaran Tech LLC. , http://www.zarantech.com, info@zarantech.com , (515) 309-7846, Page - 3 5550 Wild Rose Lane, Suite 400, West Des Moines IA 50266
  4. 4. BA HEALTHCARE DOMAIN Professionals Competency Development Program – Session Schedule We focus on delivering Role-Specific training rather than Product based Training Topics covered: Health Insurance - Overview: 1. 2. 3. 4. 5. C L What is Health Insurance Components of Health Insurance Types of Health Insurance Coverages Types of Health Insurance (HMO, PPO, POS) Provider vs. Payer, and NPI Claims Process: 1. 2. 3. 4. 5. 6. Claims Process Flow Claims Submission Claims Adjudication Processing Encounters Submission Compliance Check Testing h c e T EDI Transactions-I: 1. 2. 3. 837 EDI Claims; 835 Remittance Edits and Validations Reports and Acknowledgements n a EDI Transactions-II: 1. 2. 3. 4. 5. r a Other EDI 5010 Transactions ICD-10 Impacts ICD-10 Implementation Roadmap DRG, CPT, HCPCS TR3 Documentation, Companion Guide Facets - Overview: 1. 2. 3. 4. 5. L Z Facets Functional Modules Data Model Pricing Workflow DRG Processing HIPAA Compliance Zaran Tech LLC. , http://www.zarantech.com, info@zarantech.com , (515) 309-7846, Page - 4 5550 Wild Rose Lane, Suite 400, West Des Moines IA 50266
  5. 5. BA HEALTHCARE DOMAIN Professionals Competency Development Program – Session Schedule We focus on delivering Role-Specific training rather than Product based Training Health Information Exchange: 1. 2. 3. 4. Affordable Care Act / Govt. Reforms Electronic Medical Records Healthcare Exchange Review Templates/Sample Artifacts C L CASE STUDY # 1 – “Healthcare System” Healthcare System Application: h c L As the Product Manager for Inner Expressions you are asked to provide one of your largest clients with additional features in the EMR ( Electronic Medical Records Management) System. The client has requested an integrated Referral Management System that tracks patients from Primary care into the Specialist departments. Appointments are created by either the Primary Care Physicians themselves or other clinical staff like Nurse Practitioners or Clinical Assistants. Each appointment must go through the appropriate checks including checking if the patient has an active insurance with the client, whether the insurance program covers the condition of the patient, patient’s preference for location and timings and availability of the Specialist doctor. e T Some appointments may have to be reviewed by the Specialists themselves before they can be approved, the administrator of the facility (hospital) must have the ability to choose by appointment type to either make it directly bookable by the Primary Care Staff or as a type that requires review by the specialist. The system should also allow the Primary Care Staff and specialists departments to exchange notes and comments about a particular appointment. If the specialist department requests tests or reports as mandatory for the appointment, the system must ensure that the patient has these available on the date of the appointment. n a r a The system shall also allow users to track the status of patients’ appts & must store the entire clinical history of each patient. This will be used by the hospital for two main purposes; the specialist and the primary care providers will have access to the patients complete medical history before the patient walks in for the appt and hence allowing for better patient care, the Hospital also stores this data in a general data warehouse ( without Protected Health Information) to do analytics on it and come up with local disease management programs for the area. This is aligned with the Hospitals mission of providing top quality preventive medical care. Z The Hospital sets about 300 appointments per day and must support about 50 users at the same time. The existing EMR system is based on Java and an Oracle database system. Tasks:     Identify Actors, Use Cases, Relationships, Draw Use Case Diagrams Identify Ideal, Alternate and Exception Flows Write a Business Requirements Document Zaran Tech LLC. , http://www.zarantech.com, info@zarantech.com , (515) 309-7846, Page - 5 5550 Wild Rose Lane, Suite 400, West Des Moines IA 50266
  6. 6. BA HEALTHCARE DOMAIN Professionals Competency Development Program – Session Schedule We focus on delivering Role-Specific training rather than Product based Training  CASE STUDY # 2 – “Asset Management System” Identify Actors, Use Cases, Relationships, C L Asset Management Application: The asset management system keeps track of a number of assets that can be borrowed, their ownership, their availability, their current location, the current borrower and the asset history. Assets include books, software, computers, and peripherals. Assets are entered in the database when acquired, deleted from the database when disposed. The availability is updated whenever it is borrowed or returned. When a borrower fails to return an asset on time, the asset management system sends a reminder to the borrower and informs the asset owner. L The administrator enters new assets in the database, deletes obsolete ones, and updates any information related to assets. The borrower search for assets in the database to determine their availability and borrows and returns assets. The asset owner loans assets to borrowers. Each system has exactly one administrator, one or more asset owners, and one or more borrowers. When referring to any of the above actor, we use the term "user". All users are known to the system by their name and their email address. The system may keep track of other attributes such as the owner's telephone number, title, address, and position in the organization. h c e T The system should support at least 200 borrowers and 2000 assets. The system should be extensible to other types of assets. The system should checkpoint the state of the database every day such that it can be recovered in case of data loss. Owners and the administrator are authenticated using a user/password combination. Actors interact with the system via a web browser capable of rendering HTML and HTTP without support for JavaScript and Java. n a The persistent storage is realized using an SQL database. The business logic is realized using the WebObjects runtime system. The system includes:        r a a storage subsystem managing persistent data a session subsystem controlling authentication, check out, and check in a notification subsystem sending past due notices Identify Actors, Use Cases, realizing administration requests an administration subsystemRelationships, aDraw Use Case subsystem translating HTTP requests into requests to other subsystems and translating user interface Diagrams results into HTML pages. Identify scenarios and write for all Use Cases Tasks: Z Write up Business Requirement Document OTHER CASE STUDIES: Quarter Bank, Course Registration, Collegiate Sporting system Zaran Tech LLC. , http://www.zarantech.com, info@zarantech.com , (515) 309-7846, Page - 6 5550 Wild Rose Lane, Suite 400, West Des Moines IA 50266

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