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Business Analyst: SWOT Analysis
http://ba-guru.blogspot.com/2010/03/swot-analysis.html
Tuesday, March 30, 2010. Analysis is done in strategic planning before the phases of. SWOT stand for Strength, Weakness, Opportunity, Threats. Basically we analyze our company, project under these four headings. I suppose its nothing more than a structured form of brain storming, but because it is simple, it a great way at the start of the project to encourage people to think 'out of the box'. There are lots of tools in market to get templates for SWOT analysis like. Subscribe to: Post Comments (Atom).
ba-guru.blogspot.com
Business Analyst: HL7 Format
http://ba-guru.blogspot.com/2010/04/hl7-format.html
Friday, April 2, 2010. HL7 is a standard developing organization operating in healthcare domain and develop standards to permit exchange of healthcare information between computer applications in encoded format. HL7 format uses Arden syntax for encoding medical information. While interfacing two machines or applications which exchange medical information, some specifications need to be specified like:. Defining the communication protocol it will use. HL7 version to be used (currently 3.0).
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Business Analyst: RUP
http://ba-guru.blogspot.com/2009/03/rup_07.html
Saturday, March 7, 2009. In this phase the business case which includes business context, success factors (expected revenue, market recognition, etc), and financial forecast is established. To complement the business case, a basic use case model, project plan, initial risk assessment and project description (the core project requirements, constraints and key features) are generated. After these are completed, the project is checked against the following criteria:. If the project cannot pass this mileston...
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Business Analyst: JAD
http://ba-guru.blogspot.com/2009/03/jad.html
Saturday, March 7, 2009. The Joint Application Development (JAD) methodology aims to involve the client in the design and development of an application. This is accomplished through a series of collaborative workshops called JAD sessions. Rapid application development (RAD), a variation on JAD, attempts to create an application more quickly through strategies that include fewer formal methodologies and reusing software components. Key participants of JAD session:. 8226; Executive Sponsor. 8226; Identify ...
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Business Analyst: HIPAA
http://ba-guru.blogspot.com/2010/04/hipaa.html
Friday, April 2, 2010. HIPAA stands for ‘Health Insurance Portability and Accountability Act’. HIPAA was started by Congress in 1996 and was produced in two Titles:. Title I protects the health insurance coverage of workers and their families when they change or loose job. HIPAA mandates healthcare organizations to implement privacy and security standards when electronically storing and sending healthcare information. Transaction Code Set Rule. Security Rule (Administration, Physical and Technical).
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Business Analyst: HIPAA Modification Rule
http://ba-guru.blogspot.com/2010/03/hipaa-modification-rule.html
Sunday, March 28, 2010. 1 What was adopted under the HIPAA Modifications. Rule Version 5010 of the X12 standards suite of administrative transactions. Version D.0 of the NCPDP suite for retail pharmacy. Version 3.0 of the NCPDP Suite for Medicaid pharmacy subrogation. Version D.0 orVersion 5010 for retail pharmacy supplies and services, based on trading partner agreements. 2 Why Version 5010? Version 4010 is outdated:. Many situational and required rules did not fit business practices of the industry.
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Business Analyst: Claim Processing
http://ba-guru.blogspot.com/2010/04/claim-processing.html
Friday, April 2, 2010. Claim Processing is a multi-step process of processing the claim submitted by the Provider or the Beneficiary. Two ways to submit a claim:. Entered manually into system). For Hard Copy format: Image of hard copy format is captured for audit and archival purpose using imaging, micro-filming or intelligent character recognition (ICR/OCR); assigns a control number to each claim; claim information is manually entered or using ICR technology; then claims is submitted to the shared system.
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Business Analyst: EDI Transaction Flow in Healthcare
http://ba-guru.blogspot.com/2010/03/edi-transaction-flow-in-healthcare.html
Sunday, March 28, 2010. EDI Transaction Flow in Healthcare. August 1, 2014 at 12:44 PM. Good job; thanks for making it easy to illustrate to colleague. Subscribe to: Post Comments (Atom).
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Business Analyst: Major Changes in HIPAA 5010
http://ba-guru.blogspot.com/2010/04/major-changes-in-hipaa-5010.html
Friday, April 2, 2010. Major Changes in HIPAA 5010. This new rule adopts the use of ANSI X12 version 5010 of EDI transactions in healthcare, replacing the older version 4010A1. This new rule also addresses to adopt ICD-10, which is a modification of Medical Code Set Data. It clarifies the NPI instructions and it’s use. In HIPAA 5010 additional attention is paid to Privacy Issue around “Minimum Necessary” rule. This new rule also eliminates the dependency on Companion Guide.
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Business Analyst: EDI Testing
http://ba-guru.blogspot.com/2010/03/edi-testing.html
Sunday, March 28, 2010. Recommended Types of Testing:. EDI syntax integrity testing. 8211; Testing of the EDI file for valid segments, segment order, element attributes, testing for numeric values in numeric data elements, validation of X12 or NCPDP syntax, and compliance with X12 and NCPDP rules. This will validate the basic syntactical integrity of the EDI submission. HIPAA syntactical requirement testing. The Coupler Mapper Maporators provides extensive set of functions to achieve this type of testing.
