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Business Analyst Online & Classroom Training course in MI, Detroit by Vibloo from excellent experienced Business Analysis professionals. Our trainer has good training experience so that best quality output will be delivered. we provide classes through Business Analyst online by using world class interactive system. For Complete Course Overview and to a book demo @ bit.ly/Business-Analysis-with-Healthcare
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Business Analysis Healthcare Domain Classroom & Online Training Mail Id : info@Vibloo.com US: +1-248-436-8449 Skype Id : info.vibloo IND: +91-40-3296-5222
AGENDA • Health Insurance Overview • Health Insurance Claims • Health Insurance Sub-Systems • Health Insurance Transactions and Codes • EDI Transactions-I • EDI Transactions-II • Overview of Claim Adjudication Tools and Government Mandates • Introduction to Business Analysis • System Development Life Cycle (SDLC) • Software Engineering Methods - SDLC • Requirement Analysis Process • BA Templates • Requirement Elicitation • Business Requirement Gathering Tools • Use Cases • UML Methodology • Business Analysis & Modeling Tool • Data Modeling & Techniques • QA/Software Testing Overview • SQL Overview Mail Id : info@Vibloo.com US: +1-248-436-8449 Skype Id : info.vibloo IND: +91-40-3296-5222
Introduction to Business Analysis • Introduction to Business Analysis • Roles and Responsibilities of a Business Analyst • Project Team • Importance of a Business Analyst in the Project Team • BA Deliverables www.vibloo.com/Business-Analysis-with-Health-Care Mail Id : info@Vibloo.com US: +1-248-436-8449 Skype Id : info.vibloo IND: +91-40-3296-5222
System Development Life Cycle (SDLC) • Introduction to Business Analysis • Roles and Responsibilities of a Business Analyst • Project Team • Importance of a Business Analyst in the Project Team • BA Deliverables www.vibloo.com/Business-Analysis-with-Health-Care Mail Id : info@Vibloo.com US: +1-248-436-8449 Skype Id : info.vibloo IND: +91-40-3296-5222
Software Engineering Methods- SDLC • Waterfall Method • Rational Unified Process (RUP) • AGILE Methodology • Spiral Model • V-shaped Model www.vibloo.com/Business-Analysis-with-Health-Care Mail Id : info@Vibloo.com US: +1-248-436-8449 Skype Id : info.vibloo IND: +91-40-3296-5222
Requirement Analysis Process • What are requirements • Requirement Gathering Techniques • Creating Business Requirement Document • Requirement Traceability Matrix (RTM) • GAP Analysis • Impact Analysis • JAD sessions www.vibloo.com/Business-Analysis-with-Health-Care Mail Id : info@Vibloo.com US: +1-248-436-8449 Skype Id : info.vibloo IND: +91-40-3296-5222
BA Templates • Business Case Document • Statement of Work • Project Charter • Meeting Agenda • Meeting Minutes • Business Requirement Document (BRD) • Functional Requirement Document (FRD) • Change Request process document • RTM www.vibloo.com/Business-Analysis-with-Health-Care Mail Id : info@Vibloo.com US: +1-248-436-8449 Skype Id : info.vibloo IND: +91-40-3296-5222
Requirement Elicitation • Requirements Discovery Sessions • Specifying the Activities • Using Use Case Modeling • Using Data Flow Diagramming • Prototyping (Storyboarding, Navigation Flow, Paper prototyping, Screen flows) • Discovering the Information Requirements www.vibloo.com/Business-Analysis-with-Health-Care Mail Id : info@Vibloo.com US: +1-248-436-8449 Skype Id : info.vibloo IND: +91-40-3296-5222
Business Requirement Gathering Tools • Rational Requisite Pro • Caliber RM www.vibloo.com/Business-Analysis-with-Health-Care Mail Id : info@Vibloo.com US: +1-248-436-8449 Skype Id : info.vibloo IND: +91-40-3296-5222
Use Cases • Understanding Use Cases • Use Case Relationships • Extended Relationships • Creating Use cases from Requirements • Creating Use case narratives • Change Management & Version Control Concept www.vibloo.com/Business-Analysis-with-Health-Care Mail Id : info@Vibloo.com US: +1-248-436-8449 Skype Id : info.vibloo IND: +91-40-3296-5222
UML Methodology • What is UML? • Use Case Diagrams • Activity Diagrams • Sequence Diagrams • UML Diagrams www.vibloo.com/Business-Analysis-with-Health-Care Mail Id : info@Vibloo.com US: +1-248-436-8449 Skype Id : info.vibloo IND: +91-40-3296-5222
Business Analysis & Modeling Tool • MS Visio • Rational Rose www.vibloo.com/Business-Analysis-with-Health-Care Mail Id : info@Vibloo.com US: +1-248-436-8449 Skype Id : info.vibloo IND: +91-40-3296-5222
Data Modeling & Techniques • Data Dictionary and Glossary • Data Flow Diagrams • Data Modeling www.vibloo.com/Business-Analysis-with-Health-Care Mail Id : info@Vibloo.com US: +1-248-436-8449 Skype Id : info.vibloo IND: +91-40-3296-5222
QA/Software Testing Overview • Introduction to QA Methodology • Role of BA in Testing • Creating Test Plans • Creating Test Cases • Creating Test Results • GUI and Unit Testing • System Testing • User Acceptance Testing • Production Testing www.vibloo.com/Business-Analysis-with-Health-Care Mail Id : info@Vibloo.com US: +1-248-436-8449 Skype Id : info.vibloo IND: +91-40-3296-5222
SQL Overview • Introduction to SQL • Basic SQL queries www.vibloo.com/Business-Analysis-with-Health-Care Mail Id : info@Vibloo.com US: +1-248-436-8449 Skype Id : info.vibloo IND: +91-40-3296-5222
Health Insurance Overview • What is Health Insurance? • Why Do We Need Health Insurance? • Health Insurance Coverages • Healthcare Hierarchy • Major Health Insurance Companies • Health Insurance Terminologies • Types of Health Insurance Plans • Types of Managed Care Plans: HMO, PPO, POS • Key Players in Healthcare • Types of Providers • In Network vs Out of Network Providers • Medicaid • Medicare • Healthcare Glossary www.vibloo.com/Business-Analysis-with-Health-Care Mail Id : info@Vibloo.com US: +1-248-436-8449 Skype Id : info.vibloo IND: +91-40-3296-5222
Health Insurance Claims • HIPAA • Protected Health Information (PHI) • What is Health Insurance Claims? • Claims Invoice Types • Mode of Claims Submission • Sample X12 • Sample XML • Sample IRL • Claim Adjudication Process • EDI Transaction Sets Used in Various Industries • HIPAA Transaction Sets • X12 Envelope Structure • X12 Loops and Segments www.vibloo.com/Business-Analysis-with-Health-Care Mail Id : info@Vibloo.com US: +1-248-436-8449 Skype Id : info.vibloo IND: +91-40-3296-5222
Health Insurance Sub-Systems • Member • Provider • Claims • Prior Authorization • Third Party Liability (TPL) • References (All type of Codes) • Contracts Management (Managed Care) www.vibloo.com/Business-Analysis-with-Health-Care Mail Id : info@Vibloo.com US: +1-248-436-8449 Skype Id : info.vibloo IND: +91-40-3296-5222
Health Insurance Transactions and Codes • HIPAA Standards- 4010 vs 5010 • Implementation Guide vs Technical Report Type 3 (TR3) • Type of Codes Used in Health Insurance • ICD-9 vs ICD-10 Coding System www.vibloo.com/Business-Analysis-with-Health-Care Mail Id : info@Vibloo.com US: +1-248-436-8449 Skype Id : info.vibloo IND: +91-40-3296-5222
EDI Transactions-I • 837 EDI Claims; 835 Remittance • Edits and Validations • Reports and Acknowledgements www.vibloo.com/Business-Analysis-with-Health-Care Mail Id : info@Vibloo.com US: +1-248-436-8449 Skype Id : info.vibloo IND: +91-40-3296-5222
EDI Transactions-II • Other EDI 5010 Transactions • DRG, CPT, HCPCS www.vibloo.com/Business-Analysis-with-Health-Care Mail Id : info@Vibloo.com US: +1-248-436-8449 Skype Id : info.vibloo IND: +91-40-3296-5222
Overview of Claim Adjudication Tools & Government Mandates • MMIS & Facets • National Healthcare Reform • Affordable Care Act / Govt Reforms • Electronic Medical Records • Healthcare Exchange • Review Templates/Sample Artifacts • Other Mandates and projects www.vibloo.com/Business-Analysis-with-Health-Care Mail Id : info@Vibloo.com US: +1-248-436-8449 Skype Id : info.vibloo IND: +91-40-3296-5222