BA Health Care Course content

Business Analysis     1 
 
Course Title     Business Analysis and Health care BA
Mode     Instructor Led 
 Batch Start     Flexible as per student 
Term/Fee      
Location     Online 
Organization      
 
Course Description:  
This course is targeted at novice to the technology. This course is intended to provide BA training. 
 
Course Outline:  
Topics Covered / Weekly Lecture Schedule:  
 
BA 
 
Introduction - What is Business Analysis? 
 
A look at different viewpoints 
What is being analyzed? 
What’s the goal? 
Current trends in business analysis 
Key concepts 
Definition 
IT hierarchy 
BA Prerequisite 
Stages in Business Analysis 
 
The Role of the BA 
The relationship of business analysis to project management 
Differentiating between business analysis and other “analyst” roles 
Customer Needs & IT Needs-1 
The Skill Set Of A BA 
The BA’s Core Knowledge Set 
 
The practice of  Business Analysis 
BA Responsibility 
Requirements Shepherding 
Analysis Workflow 
Dark Side of Business Analysis 
 
SDLC  
SDLC Phases 
Planning 
Defining 
Designing 
Building 
Testing 
Deployment 
Role of BA in SDLC Phase 
 
SDLC Methods 
SDLC Phases 
Waterfall/Sequential Model 
Iterative Model 
Spiral Model 
Agile Model 
Example Case Study 
Difference between wireframe, prototype and model 
 
Requirement Analysis 
Different Stages of requirement 
What is requirement gathering? 
What is requirement Analysis? 
Functional and Non Functional Requirement  
Requirements, Features And Constraints 
Difference between Vision and Scope 
 
Business Requirement 
Establish Project, Vision and Scope 
Problem Statement 
Constraint 
Risk 
Business Executive Summary 
Documenting Project Scope 
Business & Objectives 
Project Description 
 
Documentation 
BRD Document 
SRS Document 
Wireframe 
Data Flow Diagrams 
 
UML Diagrams and Tools 
UML introduction and diagrams 
What is use case? 
Use Case Diagrams 
Use case Diagrams-Relationships in Use case Diagrams. 
Extend and Include Functions. 
Contents of Use Case description Documents  
Activity Diagrams(Brief Introduction) 
Fishbone Diagrams 
Software’s used for preparing UML diagrams, Documentation and Prototypes 
 
Diagnosing the Business Environment 
Business Problem Solving 
Understand the business environment 
Defining a problem 
finding and verifying true causes 
Example Case Study 
 
Change Management Process 
Change of scope 
Change of request 
How to handle change request 
Points to consider in case of CR 
Reason for requirement changes 
 
Project Management 
Project Management tools like jira, basecamp 

BA Healthcare:
Healthcare Introduction and overview
Health insurance claim process
Medicare Vs Medicaid
Health Insurance
What is Health insurance
Components of Health Insurance
Health Insurance Concepts: Premium, Deductible, Co-pay, Co-insurance, Exclusions, OOP Max, EHBs, Capitation versus FFS, In-network, OON, Prior-Auth, Pre-cert, EOB, EOP etc.
Types of Health coverages
Types of Health insurance
Provider Vs Payer, NTI
EDI and Claims
What are EDI transactions, different types, ANSI, ASCX12, EDIX12
 HIPAA EDI 837, 834, 835, 820, 270, 271, 277, 278
EMR & EHR System Overview
LIMS
HIX and HUB Overview
State-run HIX vs Federal HIX
ICD Overview
ICD History
Why ICD codes?
ICD Codes – What does it tell us?
Use of ICD codes
ICD-10-CM Perspective
ICD-10-PCS Perspective
CPT Coding
Types of CPT coding
CPT code vs ICD Codes
HCPCS
Modifiers
Unlisted Codes 
MCD, MCR, MMIS, HIX
FACETS Overview