Business Analysis Healthcare Online & Classroom Training

Business Analysis
Healthcare Domain
Classroom & Online Training
Mail Id : info@Vibloo.com
Skype Id : info.vibloo
US: +1-248-436-8449
IND: +91-40-3296-5222

 Introduction to Business Analysis
 System Development Life Cycle (SDLC)
 Software Engineering Methods - SDLC
 Requirement Analysis Process
 BA Templates
 Requirement Elicitation
 Business Requirement Gathering Tools
 Use Cases
 UML Methodology
 Business Analysis & Modeling Tool
 Data Modeling & Techniques
 QA/Software Testing Overview
 SQL Overview
 Health Insurance Overview
 Health Insurance Claims
 Health Insurance Sub-Systems
 Health Insurance Transactions and Codes
 EDI Transactions-I
 EDI Transactions-II
 Overview of Claim Adjudication Tools and
Government Mandates
AGENDA
US: +1-248-436-8449
IND: +91-40-3296-5222

Introduction to Business Analysis
 Introduction to Business Analysis
 Roles and Responsibilities of a Business Analyst
 Project Team
 Importance of a Business Analyst in the Project Team
 BA Deliverables
www.vibloo.com/Business-Analysis-with-Health-Care
US: +1-248-436-8449
IND: +91-40-3296-5222

System Development Life Cycle (SDLC)
 Introduction to Business Analysis
 Roles and Responsibilities of a Business Analyst
 Project Team
 Importance of a Business Analyst in the Project Team
 BA Deliverables
US: +1-248-436-8449
IND: +91-40-3296-5222

Software Engineering Methods- SDLC
 Waterfall Method
 Rational Unified Process (RUP)
 AGILE Methodology
 Spiral Model
 V-shaped Model
US: +1-248-436-8449
IND: +91-40-3296-5222

Requirement Analysis Process
 What are requirements
 Requirement Gathering Techniques
 Creating Business Requirement Document
 Requirement Traceability Matrix (RTM)
 GAP Analysis
 Impact Analysis
 JAD sessions
US: +1-248-436-8449
IND: +91-40-3296-5222

BA Templates
 Business Case Document
 Statement of Work
 Project Charter
 Meeting Agenda
 Meeting Minutes
 Business Requirement Document (BRD)
 Functional Requirement Document (FRD)
 Change Request process document
 RTM
US: +1-248-436-8449
IND: +91-40-3296-5222

Requirement Elicitation
 Requirements Discovery Sessions
 Specifying the Activities
 Using Use Case Modeling
 Using Data Flow Diagramming
 Prototyping (Storyboarding, Navigation Flow, Paper prototyping, Screen flows)
 Discovering the Information Requirements
US: +1-248-436-8449
IND: +91-40-3296-5222

Business Requirement Gathering Tools
 Rational Requisite Pro
 Caliber RM
US: +1-248-436-8449
IND: +91-40-3296-5222

Use Cases
 Understanding Use Cases
 Use Case Relationships
 Extended Relationships
 Creating Use cases from Requirements
 Creating Use case narratives
 Change Management & Version Control Concept
US: +1-248-436-8449
IND: +91-40-3296-5222

UML Methodology
 What is UML?
 Use Case Diagrams
 Activity Diagrams
 Sequence Diagrams
 UML Diagrams
US: +1-248-436-8449
IND: +91-40-3296-5222

Business Analysis & Modeling Tool
 MS Visio
 Rational Rose
US: +1-248-436-8449
IND: +91-40-3296-5222

Data Modeling & Techniques
 Data Dictionary and Glossary
 Data Flow Diagrams
 Data Modeling
US: +1-248-436-8449
IND: +91-40-3296-5222

QA/Software Testing Overview
 Introduction to QA Methodology
 Role of BA in Testing
 Creating Test Plans
 Creating Test Cases
 Creating Test Results
 GUI and Unit Testing
 System Testing
 User Acceptance Testing
 Production Testing
US: +1-248-436-8449
IND: +91-40-3296-5222

SQL Overview
 Introduction to SQL
 Basic SQL queries
US: +1-248-436-8449
IND: +91-40-3296-5222

Health Insurance Overview
 What is Health Insurance?
 Why Do We Need Health Insurance?
 Health Insurance Coverages
 Healthcare Hierarchy
 Major Health Insurance Companies
 Health Insurance Terminologies
 Types of Health Insurance Plans
US: +1-248-436-8449
IND: +91-40-3296-5222
 Types of Managed Care Plans: HMO, PPO, POS
 Key Players in Healthcare
 Types of Providers
 In Network vs Out of Network Providers
 Medicaid
 Medicare
 Healthcare Glossary

Health Insurance Claims
 HIPAA
 Protected Health Information (PHI)
 What is Health Insurance Claims?
 Claims Invoice Types
 Mode of Claims Submission
 Sample X12
 Sample XML
US: +1-248-436-8449
IND: +91-40-3296-5222
 Sample IRL
 Claim Adjudication Process
 EDI Transaction Sets Used in Various Industries
 HIPAA Transaction Sets
 X12 Envelope Structure
 X12 Loops and Segments

Health Insurance Sub-Systems
 Member
 Provider
 Claims
 Prior Authorization
 Third Party Liability (TPL)
 References (All type of Codes)
 Contracts Management (Managed Care)
US: +1-248-436-8449
IND: +91-40-3296-5222

Health Insurance Transactions and Codes
 HIPAA Standards- 4010 vs 5010
 Implementation Guide vs Technical Report Type 3 (TR3)
 Type of Codes Used in Health Insurance
 ICD-9 vs ICD-10 Coding System
US: +1-248-436-8449
IND: +91-40-3296-5222

EDI Transactions-I
 837 EDI Claims; 835 Remittance
 Edits and Validations
 Reports and Acknowledgements
US: +1-248-436-8449
IND: +91-40-3296-5222

EDI Transactions-II
 Other EDI 5010 Transactions
 DRG, CPT, HCPCS
US: +1-248-436-8449
IND: +91-40-3296-5222

Overview of Claim Adjudication Tools &
Government Mandates
 MMIS & Facets
 National Healthcare Reform
 Affordable Care Act / Govt Reforms
 Electronic Medical Records
 Healthcare Exchange
 Review Templates/Sample Artifacts
 Other Mandates and projects
US: +1-248-436-8449
IND: +91-40-3296-5222

Business Analysis Healthcare Online & Classroom Training

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