The future of IBM Maximo: Work Centers and Inspections Can Transform Your Business

closeClose

Administrative Healthcare Data and SAS(R)

  • Tuition USD $1,650
  • Reviews star_rate star_rate star_rate star_rate star_half 519 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 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(R): 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 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

How do I enroll?

A comprehensive listing of ExitCertified courses can be found here. You can register directly for the required course/location when you select "register". If you have any questions or prefer to speak with an ExitCertified education consultant directly, please submit your query here. A representative will contact you shortly.

How do I pay for a class?

You can pay at the time of registration using credit card (Mastercard/Visa/American Express) cheque or PO.

What if I have training credits?

ExitCertified honors all savings programs from the partners we work with. ExitCertified also offers training credits across multiple partners through our FLEX Account.

When does class start/end?

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

Lunchtime?

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.

I've taken 2 AWS courses at ExitCertified both of them IMVP, they're my training provider of choice!

Great resourses were available for us. The instructer was good and knowledgeable in this field.

Good training. The instructor was very knowledgeable and was able to answer questions with a professional demeanor. Course material was comprehensive and I felt I had a solid understanding of the topic after the training concluded.

The class is a good review of the services available in AWS.

In my mind. Myles Brown is an excellent instructor. His teaching approach agrees with me. No discernible stress about public speaking. Very engaging.

Enroll in the course offerings? Will enroll at the drop of a hat if approved. To ask mgmt to approve enrolment is another matter for me. Nothing to do with your company. Just a statement of fact.

Maybe a course on Google and MS Azure like this will be nice. If you have alternative options to mgmt, it is more likely that they shall have to choose one. Allow us to enroll.

Fantastic and great platform for training! Would definitely take another course with them!

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.

Contact Us 1-800-803-3948
Contact Us Live Chat
FAQ Get immediate answers to our most frequently asked qestions. View FAQs arrow_forward