Electronic Data Interchange (EDI)

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires that Medicaid and all other health insurance payers in the United States comply with the Electronic Data Interchange (EDI) standards for health care as established by the Secretary of Health and Human Services. Electronic Data Interchange (EDI) is a set of standards for structuring information to be electronically exchanged between and within businesses, organizations, government entities and other groups. These transactions are electronic exchanges relating the shift of information between two parties for precise purpose.

INTRODUCTION:

Electronic Data Interchange (EDI) is a set of standards for structuring information to be electronically exchanged between and within businesses, organizations, government entities and other groups. There are variety of network for each industry where EDI is used. These networks are used to exchange information that would traditionally be exchanged between two parties. Another term is electronic commence which is widely used to describe the paperless exchange of information or data. EDI allows transactions to be exchanged between computer from one organization to computer of another organization. EDI helps the paperless industry to be more organized by mandating the industry standards like HIPAA in healthcare. 

What is HIPAA EDI?

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires that Medicaid and all other health insurance payers in the United States comply with the Electronic Data Interchange (EDI) standards for health care as established by the Secretary of Health and Human Services.

Objective:
  1. Understand and justify the role of the EDI resource in the healthcare IT domain
  2. Describe the EDI transactions use in healthcare and IT stakeholders
  3. Understand the healthcare (Payer and Provider) data submission process
  4. Understand the importance of EDI exchange and data handling
  5. Understand and use the basic principles and rules of EDI transactions
  6. Understand and use basic loop and data segments with corresponding values
  7. Understand the HIPAA documentation
  8. EDI mapping functional and non-functional requirements
  9. Understand and gain hands on experience about the basic competencies required to work as a BA in the healthcare IT sector
  10. Learn how the healthcare market place or exchange work
  11. Learn about EDI data analyst role
  12. Be aware of employers need when applying for any EDI job
  13. Understand how to find best suited position of Healthcare Business Analyst
KEY FEATURES
  1. 20+ Hrs of High Quality e-Learning Content
  2. Transaction covered – 834/837/276/277/275/278/835 etc
  3. Health Care (HIPAA) EDI Training Fundamentals
  4. Heatlhcare care Exchange (HIX)
  5. Heatlcare Market Place
  6. Self-Paced High quality e-Learning content
  7. 24/7 on demand Support
  8. Real time projects
ELIGIBILITY

Anyone having a general understanding of computer with good communication skills can opt for Business Analysis course. This course is suitable for:

  1. Students with a Bachelor or Master’s degree in any stream.
  2. Self-taught IT Business Analysts and Quality Assurance wanting to fill in the gaps and put all the pieces together
  3. Technical people who are interested in expanding their role into Healthcare IT.
  4. Executives and Managers want to get into Healthcare Industry
  5. People who want to start their career in IT / EDI
  6. Need to have Healthcare EDI domain knowledge to complete your job
  7. The course is also suited to anyone embarking on a career within IT or project management who requires an understanding of the Healthcare IT domain as Business Analyst role and the need for robust requirements.