Introduction:

Healthcare Business Analyst is responsible for identifying needs for change, assessing the impact of the change, capturing and documenting requirements and then ensuring that those requirements are delivered though supporting the business from the implementation process. IT solutions have found its root in each and every field and healthcare sector is not an exception to the rule. Modern healthcare industry is more or less depended on the IT sector. The healthcare industry was going very slow in the implementation of healthcare IT solutions for the very reason that the industry depends more on individual knowledge and judgment than the IT itself. Despite the fact that information technology can not be a substitute for human brains; modern healthcare is highly depended on IT.

Healthcare IT refers to the use of both computer hardware and software that deals with the storage, retrieval, sharing, and use of health care information, data, and knowledge for communication and decision making. Healthcare IT provides the framework which describes the comprehensive management of health information across computerized systems and its secure exchange of information between consumers, providers, government and quality entities, and insurers. Health information technology (HIT) is in general increasingly viewed as the most promising tool for improving the overall quality, safety and efficiency of the health delivery system and is now accepted globally. This includes assisting doctors as coders, clinical work as medical assistant, preparing medical bills for insurance companies, and billing coding procedures. Other things include preparing patients for medical exams, filing, and fixing appointments. Such work must be done with extreme care and one must first learn to carry out these responsibilities.

Objective:

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

Key Features:

1. 30+ Hrs of Instructor Led Online Class
2. One of the best curriculum and in sync with latest Healthcare IT standards
3. Real Time Projects and Assignments
4. Role specific Training
5. Study material access like eBooks, video recording, PPTs, PDFs etc
6. Life time access to Self-Paced e-Learning content.
7. Resume and Interview Tips
8. Real time projects / assignments
9. 100% money back.

Eligibility:

1. This course is suitable for:
2. IT Business Analysts and System Analysts
3. IT Quality Assurance (Testing).
4. Non IT professionals aspiring to get into Healthcare IT Industry.
5. Self-taught IT Business Analysts and Quality Assurance wanting to fill in the gaps and put all the pieces together
6. Technical people who are interested in expanding their role into Healthcare IT.
7. Executives and Managers want to get into Healthcare Industry
8. Have recently employed as a Healthcare Business Analyst
9. Are expected to complete some Business Analysis work as part of their role, but may not be a full time Healthcare Business Analyst
10. 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 Business Analyst role and the need for robust requirements.

CURRICULUM

Business Analysis Basics

1. Definition: Business Problem, Project Work and Operational;
2. Introduction to project Team;
3. Do’s & don’ts of BA?
4. Requirement Gathering versus Elicitation
5. Types of Requirements: with– EXAMPLES

Business Analysis Deliverable: BRD & Business Process flows

1. Requirements (using waterfall and Agile model)
2. Data Flow Diagrams
3. Current Process Flow, Future Process flows

Business Analysis Deliverable Part 2: Use cases

1. Use Cases
2. User Scenarios
3. User Stories

Healthcare Introduction

1. Overview
2. Medicare vs Medicaid
3. Payer vs Provider

Business Analysis Tools & Healthcare Tools

1. HPQC- ALM
2. Visual Use Case or similar tools
3. MS-VISIO
4. FACETS Overview
5. EMR & EHR System Overview
6. Lab Book & LIMS

Healthcare mandates and Acronyms

1. Healthcare in USA
2. Healthcare reform and other mandates
3. Jobs in the healthcare industry MCD, MCR, MMIS, HIX
4. 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.
5. Common terms in healthcare interview.

Types of Insurance & Healthcare Insurance Exchange (HIX)

1. HIX and HUB Overview
2. State-run HIX vs Federal HIX
3. Functions of the exchange – eligibility, enrollment, benefit- plan management, risk, re-insurance & risk
4. EDI & Claims
5. What are EDI transactions, different types, ANSI, ASCX12, EDIX12
6. HIPAA EDI 837, 834, 835, 820, 270, 271, 277, 278
7. EDI implementation guides vs Companion guides
8. EDI transaction parts – loops, segments, delimiters
9. Claims lifecycle from billing to payment
10. Revenue Cycle Management

ICD Overview

1. CPT Coding
2. Modifiers
3. Unlisted Codes
4. HCPC National Level II Codes
5. CPT Coding with Manual
6. ICD History
7. Why ICD codes?
8. ICD Codes – What does it tell us?
9. Use of ICD codes
10. Anatomy and Terminology for Coders
11. Advanced Anatomy and Terminology for Coders
12. Coding for the Non-Coder Preparation Analyzer
13. Anatomy and Terminology Essentials from an ICD-10-CM Perspective
14. Anatomy and Terminology Essentials from an ICD-10-PCS Perspective
15. General Equivalence Mappings (GEMs)
16. ICD 10 Implementation phases
17. ICD-10 Release Timeliness
18. ICD-10 Impact to Payer

Provider Sector

1. EMR/EHR
2. EMR Implementation Projects
3. LIMS/Lab book projects
4. Revenue Cycle Management Projects

JAD Session

1. JAD Session –hand on experience

Resume Preparation

1. Resume Review
2. Resume Preparation Tips
3. Sample Resumes

Interview Preparation:

1. Mock Interviews
2. Interview Preparation Tips
3. Sample Interview Questions
4. How to clear an Interview