BA Healthcare Training
Ba Healthcare Training
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
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