All Courses

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Duration: 2 Hours

Introduction to US Healthcare Domain

The course aims to provide insights into the evolution of US Healthcare, the US Healthcare ecosystem, participants in the US Healthcare, Health IT & Tools and US Healthcare Regulators & Policymakers.

This course will cover the various types of payers in the US healthcare industry, the role of CMS, different types of health insurance plans and various cost components in a health plan, claim adjudication, and a few use cases demonstrating claim adjudication using various components for a subscriber/visit dependent's to a clinic.

Duration: 3 Hours

The role of Payers in US Healthcare - An Overview 

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This course provides insights into EHR, common EHR features, typical EHR Workflow, personas & scenarios, EHR interoperability and scenarios, ONC & Certified EHR, and electronic Quality Reporting. 

Duration: 3 Hours

Electronic Health Records (EHR)

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This course aims to provide a comprehensive knowledge about Revenue Cycle in Healthcare, RCM and how RCM improves revenue cycle, Revenue Cycle process steps, and challenges.  This course also provides an overview on EDI, ERA and EFT and its enrollment process along with sample EDI X12 transactions.

Revenue Cycle Management (RCM)

Duration: 3 Hours

This course covers Healthcare Interoperability, HL7 fundamentals, HL7 message exchange standards and protocols, HL7 message structures, HL7 CDA and FHIR, and IHE Profiles overview along with discussions on the challenges and future of healthcare interoperability.  Use cases will be discussed using applications & tools.

Healthcare Interoperability

Duration: 4 Hours

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US Healthcare Domain Training Courses

As a health IT professional, you will gain wider knowledge on healthcare interoperability messaging standards and structures.  Your approaches and techniques would be better tuned when you design interfaces. You will also gain confidence to propose different interfaces that enable interoperability.  As a business, you will be able to horizontally expand your healthcare interoperability services.

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Introduction to US Healthcare Domain

Duration: 2 Hours

The course aims to provide insights into the evolution of US Healthcare, the US Healthcare ecosystem, participants in the US Healthcare, Health IT & Tools and US Healthcare Regulators & Policymakers.

What will be discussed?

  • Evolution of the US Healthcare

  • The US Healthcare Ecosystem

  • Participants in US Healthcare

    • Different types of participants

    • Health services delivery system

    • Different types of services

    • Different types of payers

    • Types of Health plans

  • Healthcare Regulators and Policymakers

    • Role of CMS, HIPAA, NIST & NCQA

  • Common Healthcare Codes

    • ICD, CPT, HCPCS, SNOMEDCT, LOINC, NDC, DRG, MDC, etc.

  • Healthcare spending and why it is so expensive in the US

    • Where does your money go?

    • Spending that contributes to Healthcare

    • Healthcare spending contributing towards waste 

  • Common terminologies

What value will be added?

As a Healthcare IT professional, you will have a better understanding on how the healthcare system evolved, how health IT systems work together and why standard messaging structure and codes are important.  You will be able to visualize where your client fits in the healthcare ecosystem and help them with better services and scale their business. 

What further related topics can you explore?

  • Trends in US Healthcare industry

  • Drivers of Healthcare cost 

  • How do pharmaceutical industries influence US Healthcare?

 
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The role of Payers in US Healthcare - An Overview

Duration: 3 Hours

This course will cover the various types of payers in the US healthcare industry, the role of CMS, different types of health insurance plans and various cost components in a health plan, claim adjudication, and a few use cases demonstrating claim adjudication using various components for a subscriber/visit dependent's to a clinic.

What will be discussed?

  • Why health insurance?

  • Overview on other insurances

  • Different ways to get health insurance

  • Participants in Health Insurance

  • Types of Health Insurance Programs

  • Type of Health Insurances

  • How do Medicare and Medicaid distribute benefits?

  • Components of a health plan and how it works.

  • Solving a few use cases 

  • Understanding drug formularies

  • Insights into employer-sponsored health plans

  • How does the US reimbursement system work?

  • Healthcare code sets used in claims

  • Overview on medical billing forms & EDI

  • Trends in the payer industry

What value will be added?

As a Healthcare IT professional, you will gain a better understanding on how the healthcare system evolved, how health IT systems work together and why standard messaging structure and codes are important. Also, some of the topics might trigger interest to explore more into payment analytics and integrity.   You will be able to visualize where your client fits in the healthcare ecosystem and help them with better services and scale their business.

What further related topics can you explore?

  • Claim Analytics

  • Payment Integrity

  • Financial Trend Analytics

  • Plan and Benefit Design

 
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Electronic Health Records (EHR)

Duration: 3 Hours

This course provides insights into EHR, common EHR features, typical EHR Workflow, personas & scenarios, EHR interoperability and scenarios, ONC & Certified EHR, and electronic Quality Reporting. 

What will be discussed?

  • What is Health IT?

  • Different types of Health IT systems

  • What is an EHR?

  • Common EHR features

  • Walkthrough of the features using an EHR  

  • Different personas & scenarios

  • What is EHR interoperability?

  • Walkthrough of a few message exchanges from EHR

  • What is a certified EHR?

  • Privacy & Security requirements for any EHR

  • EHR & Accessibility standards

  • EHR & Quality reporting 

  • Certified Health IT Product List 

What value will be added?

As a health IT professional, you will enrich your knowledge in EHR and its features and how these systems enable interoperability with health IT other systems. The wealth of knowledge gained enables you to provide better solutions and approaches to your client.  Moreover, the understanding of the ONC and certified EHR will empower you to provide better consulting to your clients and win new business.

What further related topics can you explore?

  • EHR customization for specialties

  • EHR Reporting & Analytics

  • Developing EHR Interfaces

 
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Revenue Cycle Management (RCM)

Duration: 3 Hours

This course aims to provide comprehensive knowledge about Revenue Cycle in Healthcare, RCM and how RCM improves revenue cycle, Revenue Cycle process steps, and challenges.  This course also provides an overview on EDI, ERA and EFT and its enrollment process along with sample EDI X12 transactions.

What will be discussed?

  • What is Revenue Cycle?

  • Basics of healthcare revenue cycle management (RCM)

  • Process steps involved in RCM

  • Discussion on key process steps

  • Eligibility/Health Benefit verification

  • Prior-Authorization

  • Utilization Review

  • Claims submission & ERA

  • Denial Management

  • Collections

  • How does RCM improve Revenue Cycle performance?

  • Challenges in Revenue Cycle

  • How does technology helps drive RCM?

  • Why do providers and payers use Clearing Houses?

  • Overview on EDI, ERA & EFT

  • Electronic transactions

  •  EDI X12 outbound and inbound samples and discussions

  • Key vendors

What value will be added?

As a health IT professional, you will gain a greater understanding of the healthcare revenue cycle and RCM.  A clear understanding of challenges or leakage in the revenue cycle will compliment you with a different perspective on solving your clients’ billing cycle issues.  The insights you get on EDI X12 transactions will trigger the interest to further explore EDI X12 and develop interfaces.

What further related topics can you explore?

  • How to optimize RCM?

  • Interfacing with clearing houses

  • Develop billing interfaces

  • Major players in RCM

 
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Healthcare Interoperability

Duration: 4 Hours

This course covers Healthcare Interoperability, HL7 fundamentals, HL7 message exchange standards and protocols, HL7 message structures, HL7 CDA and FHIR, and IHE Profiles overview along with discussions on the challenges and future of healthcare interoperability.  Use cases will be discussed using applications & tools.

What will be discussed?

  • What is healthcare Interoperability?

  • Building Blocks of Interoperability

  • Why standards?

  • Standards development organization

  • Types of Standards

  • Message exchange standards

  • Pre-FHIR Standards

  • FHIR Standards

  • HL7v2 Overview

  • Design principles

  • Types of messages

  • Business cases of CDA

  • Examples using ADT, ORU

  • Overview of CDA

  • Design principles & Implementation guide

  • Business cases for CDA

  • Example using Transition of Care document

  • IHE Profiles Overview

  • IHE Methodology

  • IHE Domains

  • Example IHE XDS transaction

  • HL7 FHIR Overview

  • FHIR Basics

  • Reference to Implementation Guide

  • Relationship with HL7v2/CDA/IHE profile

  • Example of usage with Patient Demographics

  • Exercise mapping workflows to standards for possible inbound and outbound messaging

  • Challenges with interoperability in healthcare

  • Future of healthcare interoperability

What value will be added?

As a health IT professional, you will gain wider knowledge on healthcare interoperability messaging standards and structures.  Your approaches and techniques would be better tuned when you design interfaces.  You will also gain confidence to propose different interfaces that enable interoperability.   As a business, you will be able to horizontally expand your healthcare interoperability services.

What further related topics can you explore?

  • HL7 Certifications

  • FHIR based healthcare interoperability

  • Emerging tools and technologies in healthcare interoperability

 
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