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Healthcare Domain Training

Online Instructor led Course

Platform: This course is delivered as a highly interactive session, with extensive live examples. This course is Live Instructor led Online training delivered using Cisco Webex Meeting center Web and Audio Conferencing tool.

25,000

No Reviews Yet
1 Interested

About the Course


Role-Specific Training – Traditional training focuses on an overall business process, without regard for the individual's role. By contrast, ZaranTech's series of role-based courses delivers in-depth training on a specific role within the business process.

Hands-on Mentoring – Our expert trainer's work side-by-side with each trainee and teach proven discipline and techniques for successful delivery. Mentoring is "hands-on" as part of actual projects to gain real-time experience.

Real-time Project Experience – Comprehension of practical skills is both reinforced and demonstrated in our training programs by completing Case studies of actual projects.

Certification Exams –Our trainers are all certified and provide expert industry level guidance to certification exams with tips and tricks to guarantee consistency of skills and practices for a successful completion of certification.

Ongoing Education – ZaranTech continues to offer new courses so you can keep up-to-date on latest technologies and best practices.

After reviewing your goals, and assessing your current IT skills capability, ZaranTech will tailor an after-the-training program and placement plan that will meet your needs in successful placement. This includes Resume preparation assistance, Mock interviews (technical and project based), Soft Skills and On-the-job support.

Topics Covered

Modules Covered in this Training

In this training, attendees learn:

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

Resume Preparation Guidelines and Tips
Mock Interviews and Interview Preparation Tips
Topics Covered

Health Insurance - Overview:

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:

Claims Process Flow
Claims Submission
Claims Adjudication Processing
Encounters Submission
Compliance Check
EDI Transactions-I:

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

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

Facets Functional Modules
Data Model
Pricing Workflow
DRG Processing
HIPAA Compliance
Health Information Exchange:

Affordable Care Act / Govt Reforms
Electronic Medical Records
Healthcare Exchange
Review Templates/Sample Artifacts

Who should attend

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

Pre-requisites

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

What you need to bring

Internet and computer/laptop

Key Takeaways

Focus on Hands on training with lot of assignments, practice exercises and quizzes
Assignments, Video recordings after each session posted on Training Blog
Quality Study material
Case Studies based on Real-time project based Scenarios
Certification Guidance
Certificate of Participation at the end.
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About the Trainer

Urvi Shah

B.Tech


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.
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Students Interested 1

Course Id: 20653