BA Healthcare Administration Online Training

BA Healthcare Administration Online Training

Course Content:

1. Introduction To Business Analysis:
Topics

• Introduction to Business Analysis
• Roles and Responsibilities of a Business Analyst
• Project Team
• Importance of a Business Analyst in the Project Team
• BA Deliverables

2. System development life cycle (sdlc):
Topics

• SDLC
• SDLC Phases and BA involvement in different phases
• Requirement Gathering
• Analysis and Design
• Development
• Testing
• Deployment

3. Software Engineering Methods- Sdlc:
Topics

• Waterfall Method
• Rational Unified Process (RUP)
• AGILE Methodology
• Spiral Model
• V-shaped Model

4. Requirement Analysis Process:
Topics

• What are requirements?
• Requirement Gathering Techniques
• Creating Business Requirement Document
• Requirement Traceability Matrix (RTM)
• GAP Analysis
• Impact Analysis
• JAD sessions

5. BA Templates:
Topics

• 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

6. Requirement Elicitation:
Topics

• 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

7. Business Requirement Gathering Tools:
Topics

• Rational Requisite Pro
• Caliber RM

8. Use Cases:
Topics

• Understanding Use Cases
• Use Case Relationships
• Extended Relationships
• Creating Use cases from Requirements
• Creating Use case narratives
• Change Management & Version Control Concept

9. UML Methodology:
Topics

• What is UML? Use Case Diagrams
• Activity Diagrams
• Sequence Diagrams
• UML Diagrams

10. Business Analysis & Modeling Tool:
Topics

• MS Visio
• Rational Rose

11. Data Modeling & Techniques:
Topics

• Data Dictionary and Glossary
• Data Flow Diagrams
• Data Modeling

12. QA/Software Testing Overview:
Topics

• 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

13. SQL Overview:
Topics

• Introduction to SQL
• Basic SQL queries

14. Health Insurance Overview:
Topics

• 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

15. Health Insurance Claims:
Topics

• 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

16. Health Insurance Sub-Systems:
Topics

• Member
• Provider
• Claims
• Prior Authorization
• Third Party Liability (TPL)
• References (All type of Codes)
• Contracts Management (Managed Care)

17. Health Insurance Transactions And Codes:
Topics

• HIPAA Standards- 4010 vs 5010
• EDI Transactions-I
• 837 EDI Claims; 835 Remittance
• Edits and Validations
• Reports and Acknowledgements
• EDI Transactions-II
• Other EDI 5010 Transactions
• DRG, CPT, HCPCS
• Implementation Guide vs Technical Report Type 3 (TR3)
• Type of Codes Used in Health Insurance
• ICD-9 vs ICD-10 Coding System

18. Overview Of Claim Adjudication Tools And Government Mandates:
Topics

• MMIS & Facets
• National Healthcare Reform
• Affordable Care Act / Govt Reforms
• Electronic Medical Records
• Healthcare Exchange
• Review Templates/Sample Artifacts
• Other Mandates and projects