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Administrative Healthcare Data and SAS(R)

  • Tuition USD $1,800 GSA  $1,496.22
  • Reviews star_rate star_rate star_rate star_rate star_half 4733 Ratings
  • Course Code BHCDA94
  • Duration 2 days
  • Available Formats Classroom

This industry-specific course focuses on the payer side of the industry: the origin, content, management, and use of administrative healthcare data. During the course, students become acquainted with the providers, payers, and users of the U.S. healthcare system. This course is not a hands-on programming course, but rather, it explores the business of medical claims data, health plan members, and service providers. As a supplement to this course, programmers should consider also registering for Administrative Healthcare Data and SAS®: Hands-On Programming Workshop, a one-day course that focuses on programming methods and techniques that are useful in the healthcare industry. The two courses are offered on contiguous days.

Skills Gained

  • Recognize the different origins, content, and uses of administrative healthcare data.
  • Understand the intricacies of national claims coding structures.
  • Be aware of evolving issues that face industry payers.

Who Can Benefit

  • Analysts and programmers who need to understand and work with administrative healthcare data

Prerequisites

  • Experience with SAS software, programming, or the healthcare industry is not required.

Course Details

U.S. Healthcare System

  • A "30-thousand-foot" view of the industry.
  • Payment systems, payers, and providers.

Healthcare Data Origins

  • Professional and ancillary claims (CMS-1500 claim form).
  • Facility claims (CMS-1450 claim form).
  • Prescription drug data.
  • 837 electronic claims.

Medical Claim Codes

  • Diagnosis codes.
  • Procedure codes.
  • Billing codes.
  • Drug codes.
  • Laboratory codes.
  • Others.

Post-adjudication Data

  • Administrative healthcare data.
  • Data structures, types, and organizations.
  • Data validation and accuracy issues.

The Business of Healthcare Data

  • Business rule development.
  • Available industry rules/guidelines.

Member Files

  • Complexity and use of membership information.
  • Rate setting.
  • Uses of enrollment and eligibility data.

Provider Data

  • Basic structure of provider files.
  • National Provider Registry.
  • Uses of provider data.

Evolving Industry Concepts

  • Brief overview of HIPAA.
  • National identifiers.
  • Public data sources.
  • Industry futures.

HEDIS

  • Understanding the what and why of performance measurement.
  • Overview of several measures.
  • Recommended data structures.

Fraud and Abuse

  • Understanding a major healthcare industry issue.
  • Measuring and detecting fraud.

Looking Ahead - What to Consider Next

When does class start/end?

Classes begin promptly at 9:00 am, and typically end at 5:00 pm.

Does the course schedule include a Lunchbreak?

Lunch is normally an hour long and begins at noon. Coffee, tea, hot chocolate and juice are available all day in the kitchen. Fruit, muffins and bagels are served each morning. There are numerous restaurants near each of our centers, and some popular ones are indicated on the Area Map in the Student Welcome Handbooks - these can be picked up in the lobby or requested from one of our ExitCertified staff.

How can someone reach me during class?

If someone should need to contact you while you are in class, please have them call the center telephone number and leave a message with the receptionist.

What languages are used to deliver training?

Most courses are conducted in English, unless otherwise specified. Some courses will have the word "FRENCH" marked in red beside the scheduled date(s) indicating the language of instruction.

What does GTR stand for?

GTR stands for Guaranteed to Run; if you see a course with this status, it means this event is confirmed to run. View our GTR page to see our full list of Guaranteed to Run courses.

Does ExitCertified deliver group training?

Yes, we provide training for groups, individuals and private on sites. View our group training page for more information.

Does ExitCertified deliver group training?

Yes, we provide training for groups, individuals, and private on sites. View our group training page for more information.

What does vendor-authorized training mean?

As a vendor-authorized training partner, we offer a curriculum that our partners have vetted. We use the same course materials and facilitate the same labs as our vendor-delivered training. These courses are considered the gold standard and, as such, are priced accordingly.

Is the training too basic, or will you go deep into technology?

It depends on your requirements, your role in your company, and your depth of knowledge. The good news about many of our learning paths, you can start from the fundamentals to highly specialized training.

How up-to-date are your courses and support materials?

We continuously work with our vendors to evaluate and refresh course material to reflect the latest training courses and best practices.

Are your instructors seasoned trainers who have deep knowledge of the training topic?

ExitCertified instructors have an average of 27 years of practical IT experience. They have also served as consultants for an average of 15 years. To stay up to date, instructors will at least spend 25 percent of their time learning new emerging technologies and courses.

Do you provide hands-on training and exercises in an actual lab environment?

Lab access is dependent on the vendor and the type of training you sign up for. However, many of our top vendors will provide lab access to students to test and practice. The course description will specify lab access.

Will you customize the training for our company’s specific needs and goals?

We will work with you to identify training needs and areas of growth.  We offer a variety of training methods, such as private group training, on-site of your choice, and virtually. We provide courses and certifications that are aligned with your business goals.

How do I get started with certification?

Getting started on a certification pathway depends on your goals and the vendor you choose to get certified in. Many vendors offer entry-level IT certification to advanced IT certification that can boost your career. To get access to certification vouchers and discounts, please contact Edu_customerexperience@techdata.com

Will I get access to content after I complete a course?

You will get access to the PDF of course books and guides, but access to the recording and slides will depend on the vendor and type of training you receive.

I liked the pace of the course. I like that I have more than instance to use the lab.

Great class I learned a great deal from the material. There would seem to a large amount that I need to learn about.

it was good and very informative. Instructure covered everything in detail.

The exit certified aws course provided a good introduction to the tools available on aws.

Great company -- easy to sign up and very organized. Loved my teacher and class overall.

0 options available

There are currently no scheduled dates for this course. If you are interested in this course, request a course date with the links above. We can also contact you when the course is scheduled in your area.

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