business analyst (healthcare domain) training roadmap - zarantech
DESCRIPTION
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 - [email protected] 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.TRANSCRIPT
BA HEALTHCARE DOMAIN Professionals Competency Development Program – Session Schedule
We focus on delivering Role-Specific training rather than Product based Training
Zaran Tech LLC. , http://www.zarantech.com, [email protected] , (515) 309-7846, Page - 1
5550 Wild Rose Lane, Suite 400, West Des Moines IA 50266
Diagnosis Coding and Procedure Coding System (ICD-10)
EDI Transactions and Data Format (4010/5010)
Understanding the Claims Pricing Model
Government Health
Plans (Medicare and
Medicaid)
Claims Data Submission to States/CMS
Government
Regulations and
Guidelines
Discuss Real-Time BRD’s and Test-cases
SDLC
Familiarize with Terminology and
Concepts
Introduction to
Healthcare
Claims Process
Overview
BUSINESS ANALYST TRAINING PROGRAM (HEALTHCARE DOMAIN) ROADMAP
Zaran
Tech L
LC