Introduction

Quality Assurance Analysts are responsible for identifying problems in any solution or process based on the defined quality measures or the acceptance criteria in the Healthcare industry.QA is responsible for making sure all the quality standards are followed and the solution is error free. QA needs to pay attention to the minute details to find the problems or inconsistencies in the solution. QA is the responsible person to report issues and coordinate the full software quality assurance phase where as project manager is for the entire project. Apart from the audit team, QA is the another key resource/team in the healthcare implementations to make sure all the requirements are developed and an organization is fully in complaint with the business standards.

Objective:

1. Understand and justify the role of the Quality Assurance Analyst in the healthcare IT domain
2. Describe the Quality Assurance Analyst 's relationships with healthcare subject matter experts and IT stakeholders
3. Understand the healthcare (Payer and Provider) project lifecycle and the QA's role within project (including how this is affected by approaches using Agile or traditional waterfall model)
4. Understand the importance of project scope
5. Understand the principles and rules of quality assurance
6. Understand and use process of quality assurance techniques
7. Understand the different types of requirement and the need to verify and validate those requirement
8. Plan and document functional and non-functional requirements
9. Understand and gain hands on experience about the basic competencies required to work as a QA in the healthcare IT sector
10. Be aware of employers need when applying for Healthcare Quality Assurance Analyst s job
11. Understand how to find best suited position of Healthcare Quality Assurance Analyst

Key Features

1. 25+ Hours of eLearning
2. 25+ hours of assignments and case studies
3. Hands on with latest project
4. Resume preparation and help
5. Mock-up interview
6. Completion certificate

Eligibility:

The course is suitable for those who:

1. Want to embark on a IT profession as a Quality Assurance Analyst in Healthcare IT
2. Have recently employed as a Healthcare Quality Assurance Analyst
3. Are expected to complete some verification and validation work as part of their role, but may not be a full time Healthcare Quality Assurance Analyst

The course is also suited to anyone embarking on a career within IT or project management who requires an understanding of the Healthcare IT domain as Quality Assurance Analyst and the need for robust requirements.

CURRICULUM

Healthcare QA Basics

* Definition: Business Problem, Project Work and Operational;

* Introduction to project Team;

* Do’s & don’ts of QA?

* Types of Requirements: with– EXAMPLES

Testing Methodologies & Levels

* Black box vs White box

* Unit testing

* System testing

* Integration testing

TESTING ACTIVITIES AND DOCUMENTS

* STLC (Software Testing Life Cycle).

* Test Plan 3. Test Cases (Types / Templates)

* Defect life cycle & management

* Traceability Matrix

* Test Report

* Test Metrics

* 7 Signoff Procedures

Healthcare Introduction

* Overview

* Medicare vs Medicaid

* Payer vs Provider

QA Tools & Healthcare Tools

* HPQC- ALM

* FACETS Overview

* EMR & EHR System Overview

* Lab Book & LIMS

Healthcare mandates and Acronyms

* Healthcare in USA

* Healthcare reform and other mandates

* Jobs in the healthcare industry MCD, MCR, MMIS, HIX

* Health Insurance Concepts: Premium, Deductible, Co-pay, Co-insurance, Exclusions, OOPMax, EHBs, Capitation versus FFS, In-network, OON, Prior-Auth, Pre-cert, EOB, EOP etc.

* Common terms in healthcare interview.

Types of Insurance & Healthcare Insurance Exchange (HIX)

* HIX and HUB Overview

* State-run HIX vs Federal HIX

* Functions of the exchange – eligibility, enrollment, benefit- plan management, risk, re-insurance & risk

EDI & Claims

* What are EDI transactions, different types, ANSI, ASCX12, EDIX12

* HIPAA EDI 837, 834, 835, 820, 270, 271, 277, 278

* EDI implementation guides vs Companion guides

* EDI transaction parts – loops, segments, delimiters

* Claims lifecycle from billing to payment

* Revenue Cycle Management

ICD Overview

* CPT Coding

* Modifiers

* Unlisted Codes

* HCPC National Level II Codes

* CPT Coding with Manual

* ICD History

* Why ICD codes?

* ICD Codes – What does it tell us?

* Use of ICD codes

* Anatomy and Terminology for Coders

* Advanced Anatomy and Terminology for Coders

* Coding for the Non-Coder Preparation Analyzer

* Anatomy and Terminology Essentials from an ICD-10-CM Perspective

* Anatomy and Terminology Essentials from an ICD-10-PCS Perspective

* General Equivalence Mappings (GEMs)

* ICD 10 Implementation phases

* ICD-10 Release Timeliness

* ICD-10 Impact to Payer

Provider Sector

* EMR/EHR

* EMR Implementation Projects

* LIMS/Lab book projects

* Revenue Cycle Management Projects

Practical Session

* Test Plan & test cases Session –hand on experience

Resume Preparation

* Resume Review

* Resume Preparation Tips

* Sample Resumes

Interview Preparation:

* Mock Interviews

* Interview Preparation Tips

* Sample Interview Questions

* How to clear an Interview?

All of the courses are designed considering the industry standard and the best practices from ITIL, ISTQB. All of the QA courses will provide completion certificate.