Business Analyst Healthcare Domain Training from ZaranTech

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

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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

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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.

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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


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:
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Health Insurance - Overview
Claims Process
EDI Transactions-I:
EDI Transactions-II:
Facets - Overview
Health Information Exchange

Attendees also learn:
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Following professionals should plan on joining:

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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

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About the trainer:
1.

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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.

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BUSINESS ANALYST TRAINING PROGRAM
(HEALTHCARE DOMAIN) ROADMAP
Familiarize with
Terminology and
Concepts

Introduction to
Healthcare

Understanding the
Claims Pricing Model

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Government Health
Plans (Medicare and
Medicaid)

EDI Transactions and
Data Format
(4010/5010)

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Claims Data
Submission to
States/CMS

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SDLC

Claims Process
Overview

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Diagnosis Coding and
Procedure Coding
System (ICD-10)

Government
Regulations and
Guidelines

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Discuss Real-Time
BRD’s and Test-cases

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Topics covered:
Health Insurance - Overview:
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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:
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Claims Process Flow
Claims Submission
Claims Adjudication Processing
Encounters Submission
Compliance Check
Testing

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EDI Transactions-I:
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837 EDI Claims; 835 Remittance
Edits and Validations
Reports and Acknowledgements

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EDI Transactions-II:
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Other EDI 5010 Transactions
ICD-10 Impacts
ICD-10 Implementation Roadmap
DRG, CPT, HCPCS
TR3 Documentation, Companion Guide

Facets - Overview:
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Facets Functional Modules
Data Model
Pricing Workflow
DRG Processing
HIPAA Compliance



Health Information Exchange:
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Affordable Care Act / Govt. Reforms
Electronic Medical Records
Healthcare Exchange
Review Templates/Sample Artifacts

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CASE STUDY # 1 – “Healthcare System”
Healthcare System Application:

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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.

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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.

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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.

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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:
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Identify Actors, Use Cases, Relationships,
Draw Use Case Diagrams
Identify Ideal, Alternate and Exception Flows
Write a Business Requirements Document



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CASE STUDY # 2 – “Asset Management System”

Identify Actors, Use Cases, Relationships,

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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.

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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.

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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.

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The persistent storage is realized using an SQL database. The business logic is realized using the WebObjects
runtime system. The system includes:
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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:

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Write up Business Requirement Document

OTHER CASE STUDIES: Quarter Bank, Course Registration, Collegiate Sporting system


Business Analyst Healthcare Domain Training from ZaranTech

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