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.
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
Experience with SAS software, programming, or the healthcare industry is required.
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
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.
Complexity and use of membership information.
Uses of enrollment and eligibility data.
Basic structure of provider files.
National Provider Registry.
Uses of provider data.
Evolving Industry Concepts
Brief overview of HIPAA.
Public data sources.
Understanding the what and why of performance measurement.
https://www.exitcertified.com/training/sas/sas-solutions/sas-health-life-sciences/-57681-detail.htmlBHCDA94Administrative Healthcare Data and SAS(R)https://assets.exitcertified.com/assets/CourseImages/4bc5ca002d/AdobeStock_245023951__FitMaxWzEwMDAsMTAwMF0.jpg1650.00USDInStock/Training/SAS/SAS Solutions/Health and Life SciencesThis industry-specific course focuses on the payer side of the industry: the origin, content, management, and use of...1650.00SASClassroom2019-09-10T12:30:22+00:00USD