When does class start/end?
Class hours may vary, please reach out to contact@ascendientlearning.com if you have any questions.
Administrative Healthcare Data and SAS(R)
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...
Read MoreOverview
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
Schedule
FAQ
Does the course schedule include a Lunchbreak?
Classes typically include a 1-hour lunch break around midday. However, the exact break times and duration can vary depending on the specific class. Your instructor will provide detailed information at the start of the course.
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.
How do I find an Ascendient Learning training location?
We have training locations across the United States and Canada - View a complete list of classroom training locations.
Which delivery formats are available?
At Ascendient Learning, we offer training that is Instructor-Led, Online, Virtual, and Self-Paced.
Does Ascendient Learning 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?
Ascendient Learning instructors have an average of 27 years of practical IT experience and have also served as consultants for an average of 15 years. To stay current, instructors spend at least 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 info@ascendientlearning.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.
How do I request a W9 for Ascendient Learning?
View our filing status and how to request a W9.
Reviews
Overall ExitCertified is a great training provider and the remote learning is as effective as in person.
The class was very vast paced however the teacher was very good at checking in on us while giving us time to complete the labs.
had a good time with the course, however some topics were left out due to the compact amount of time for training.
I think the platform is very good and look forward to taking my next course in early October.
Course was great and the instructor had an answer for anything that was asked during the course.
