Health Care Domain Training for QA , BA and Others.

Course Details (PDF)


Course Contents

  • Introduction to Healthcare
    • Industry Standards
    • Transactions
    • HIPAA and non-HIPAA EDI Standards
    • Terminologies
  • Transactions in Details
    • Build EDI Transactions from scratch
    • 270-271, 276-277, 837, 835, 278, 275 transaction in details
    • Crosswalks and clearing house concepts
    • Trading partner concepts in health care
    • Non-HIPAA Transactions like CCR CCD
    • Communication through web service, xml
    • Assignment for building transactions using standards
  • Claims processing in details with steps and exercise
  • Claims processing systems and use cases
  • Crosswalks and government business like CMS medicare and FEP
  • Clinical and Care management
    • Design and plans and products
    • Design of health records
    • Care management portfolio
    • Private business and nation-wide business through ITS systems
  • Project Work
    • Actual project from BCBS involving clearing house, transactions and systems
    • Exercise involves use case survey, test plan, test cases, environment, specifications, analysis, RUP methodology
    • Health care databases, international business, health information network
  • Mock interviews and list of questions
  •  Help with resume building and references
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