Proitfusion

Course information

We offer the best opportunity to learn the principal responsibility of a Healthcare Business Analyst which makes you benefit of our know-how, expertise and ability to conceive and industrialize your innovative mobile medical devices and helps to identify problems and improvement areas within a medical facility in order to optimize that facility's performance and boost its profit.

BA 

Introduction - What is Business Analysis? 

A look at different viewpoints 

What is being analyzed? 

What’s the goal? 

Current trends in business analysis 

Key concepts 

Definition 

IT hierarchy 

BA Prerequisite 

Stages in Business Analysis 

The Role of the BA 

The relationship of business analysis to project management 

Differentiating between business analysis and other “analyst” roles 

Customer Needs & IT Needs-1 

The Skill Set Of A BA 

The BA’s Core Knowledge Set 

The practice of  Business Analysis 

BA Responsibility 

Requirements Shepherding 

Analysis Workflow 

Dark Side of Business Analysis 

SDLC  

SDLC Phases 

Planning 

Defining 

Designing 

Building 

Testing 

Deployment 

Role of BA in SDLC Phase 

SDLC Methods 

SDLC Phases 

Waterfall/Sequential Model 

Iterative Model 

Spiral Model 

Agile Model 

Example Case Study 

Difference between wireframe, prototype and model 

Requirement Analysis 

Different Stages of requirement 

What is requirement gathering? 

What is requirement Analysis? 

Functional and Non Functional Requirement  

Requirements, Features And Constraints 

Difference between Vision and Scope 

Business Requirement 

Establish Project, Vision and Scope 

Problem Statement 

Constraint 

Risk 

Business Executive Summary 

Documenting Project Scope 

Business & Objectives 

Project Description 

Documentation 

BRD Document 

SRS Document 

Wireframe 

Data Flow Diagrams 

UML Diagrams and Tools 

UML introduction and diagrams 

What is use case? 

Use Case Diagrams 

Use case Diagrams-Relationships in Use case Diagrams. 

Extend and Include Functions. 

Contents of Use Case description Documents  

Activity Diagrams(Brief Introduction) 

Fishbone Diagrams 

Software’s used for preparing UML diagrams, Documentation and Prototypes 

Diagnosing the Business Environment 

Business Problem Solving 

Understand the business environment 

Defining a problem 

finding and verifying true causes 

Example Case Study 

Change Management Process 

Change of scope 

Change of request 

How to handle change request 

Points to consider in case of CR 

Reason for requirement changes 

Project Management 

Project Management tools like jira, basecamp 

BA Healthcare:

Healthcare Introduction and overview

Health insurance claim process

Medicare Vs Medicaid

Health Insurance

What is Health insurance

Components of Health Insurance

Health Insurance Concepts: Premium, Deductible, Co-pay, Co-insurance, Exclusions, OOP Max, EHBs, Capitation versus FFS, In-network, OON, Prior-Auth, Pre-cert, EOB, EOP etc.

Types of Health coverages

Types of Health insurance

Provider Vs Payer, NTI

EDI and Claims

What are EDI transactions, different types, ANSI, ASCX12, EDIX12

 HIPAA EDI 837, 834, 835, 820, 270, 271, 277, 278

EMR & EHR System Overview

LIMS

HIX and HUB Overview

State-run HIX vs Federal HIX

ICD Overview

ICD History

Why ICD codes?

ICD Codes – What does it tell us?

Use of ICD codes

ICD-10-CM Perspective

ICD-10-PCS Perspective

CPT Coding

Types of CPT coding

CPT code vs ICD Codes

HCPCS

Modifiers

Unlisted Codes

MCD, MCR, MMIS, HIX

FACETS Overview