Health Care Domain for QA, BA and Others
Course Details (PDF) 
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
