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US Healthcare Domain Certification Course Highlights

tick Learn at your own pace
tick Unlimited LMS portal access
tick Get course certificate
tick Includes trainer presentations
tick Interview questions & answers

US Healthcare IT Sector outlook


US-Healthcare-sector-outlook

Source : www.reportsanddata.com

Tech companies in this sector


Some of the key players operating in the global healthcare IT market include:

e-MD's GE-Healthcare Hewlett-Packard-Enterprise AGFA-Healthcare
Philips-Healthcare Carestream Athena-Health McKesson eClinical-Works
AGFA-Healthcare eClinical-Works McKesson

US Healthcare Domain Business Analyst Salaries

Salary in India
Salary-in-India

Source : Glassdoor.com
Salary in USA
Salary-in-USA

Source : Glassdoor.com

US Healthcare Domain Training Syllabus

Basics of US Healthcare Domain
  • What is Health care
  • Health Insurance
  • Major entities oh Healthcare
  • Basic Hospital Flow
  • Types of of Insurance
Member
  • Member eligibility
  • Member Enrollment
  • Member Services
Provider

Creating Cross-Tabulated Reports using:

  • Who is a provider?
  • Types of Provider
  • Types of provider facilities
  • Provider Contracting
  • Key Information about Providers
  • In - network and out - Network
  • Why OON provider
Plans and Products

Creating Cross-Tabulated Reports using:

  • What is a Health plan
  • Types of Health plan
  • Plan Key Information
  • Benefit Determination
  • OOP
  • Indemnity Plans
  • Commercial plans(HMO,PPO,POS)
  • Consumer Driver Health plan
  • Medicare,Medicaid,Medigap,SHIP
Claims Processing

Creating Cross-Tabulated Reports using:

  • Overview of Claims
  • Claim life cycle Introduction
  • Pre Adjudication
  • Authorization and Referral
  • Coordination of Benefits
  • Claim Edits
  • Claim Adjudication
  • Post Adjudications
  • EOB
  • Electronic Remitance Advice - ERA
HIPPA & EDI

Creating Cross-Tabulated Reports using:

  • What is PHI
  • HIPPA privacy rules
  • HIPPA Benifits
EDI FORMATS

Creating Cross-Tabulated Reports using:

  • EDI uses
  • 837 Claims Form
  • EDI Facts
  • EDI Transactions
  • Basic X12 Formats
  • EDI File Layouts
Fraud and Abuse

Creating Cross-Tabulated Reports using:

  • Fraud and Abuse
  • Types of Fraud
  • Stark Law
Course Project 1

Aster Health – Health plan selection management


Aster Health wants to enable a mobile application where individuals will be able to use it for enrolling in new plans, check their coverage and eligibility, Find Care and Costs and View Claims submitted. The healthcare payer wants to replace the existing manual member enrolment and inquiries, with an easy access online portal/mobile application. The company has signed a multi-year deal with TransTech Inc to develop and manage the new system.


Project Objectives: Create the process flow for the member to search and select health plans in order to consider for enrolling, if satisfied with health plans offered.

Course Project 2

Daisy Hospitals – Member Eligibility Verification


Daisy Hospitals wants to enable a web application where the Provider or Provider’s office personals will be able to verify the eligibility of patients who book an appointment for an encounter with a Physician. The hospital expects to reduce the number of calls made to the Payer for verifying Patient’s eligibility. The company has signed a multi-year deal with eHealth Inc to develop and manage the eligibility verification system.


Project Objectives: Create the process flow for the Provider or Provider office personnel to submit the eligibility verification request.


Testimonials

Adithi KP

Adithi KP

Business Analyst Intern at ZH Healthcare

★★★★★

I opted for US healthcare also. The trainer was very talented and gave a in-depth knowledge about US healthcare as ...Read More a whole. It was a great value addition to me. I'm extremely thankful to Ms.Suma Shetty for the same.Read Less

Archana Gune

Archana Gune

Senior Business Analyst at Prot Systems

★★★★★

Needed a niche domain and understanding of this domain thoroughly which I know I have achieved...Read More 100%, course content was very informative and detailed , Trainer Gaurav was Excellent and thorough knowledge of this domain, Great communication skills and strong command over language . Having great patience. Took time to answer all the queries of students. Great communication skills and strong command over language . Having great patience. Took time to answer all the queries of students.Read Less


View more Reviews



US Healthcare Domain Course Certification

US-Healthcare-Certificate


US Healthcare Domain Course Pricing

(Please Select Currency)

  
US healthcare Domain Training

₹ 1,999

₹ 2,222

(10% OFF )

Expires in 01 D 11 H 09 M 25 S


  • Learn at your own pace
  • 1-year course access (extendable)
  • Key terms Flashcards
  • 2 Course Projects
  • Trainer Presentations

US Healthcare Domain Training (Combo with Interview Q&A)

₹ 2,700

₹ 3,176

(15% OFF )

Expires in 01 D 11 H 09 M 25 S


  • Learn at your own pace
  • 1-year course access (extendable)
  • Key terms Flashcards
  • 2 Course Projects
  • Trainer Presentations
  • Interviews Questions Q & A Audio Book


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