Health Care Data and the SAS System

Business Knowledge Series course

This course is not currently scheduled.

Duration: 2.0 days
Course fee:
EPTO units: .
CEUs: 1.2

Presented by Craig Dickstein, co-author of Health Care Data and the SAS System

This industry-specific course focuses on the origin, management, and use of administrative health care data with an emphasis on the use of SAS software tools. Students will become acquainted with the providers, payers, and users of the SAS health care system.

Learn how to

recognize the different types and uses of administrative health care data
understand national medical coding structures
use SAS programming techniques to address the problems caused by the complexity of health care data.

Who should attend

Analysts and programmers who need to work with administrative health care data

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Prerequisites

Experience with SAS or the health care industry is not required.

Course Contents

U.S. Health Care System

introducing the types and complexity of health care data
identifying the types of health care systems, payers, and providers
identifying the types of health care
reviewing different systems of payment for services

Health Care Data Files

CMS-1500 claim form
CMS-1450 claim form
Prescription Drug data
understanding some fields found on these records
identifying required and verified fields across file types

Health Care Codes

Diagnosis codes
Procedure codes
Billing codes
Drug codes

Post-adjudication Data Structures

understanding post-adjudication data
defining/discussing various data structures, types, and organizations
overview of data validation issues

Working with Health Care Data

effort optimization - how best to get started with the data
understanding some simple data concepts
data organization to aid processing
understanding the foundations of data manipulation

The Business of Health Care Data

understanding the players in health care data analysis
developing strategies for approaching the subject
business rule development

Member Files

becoming familiar with the complexity an use of membership information
reviewing some of the file formats
enrollment and eligibility data

HIPAA

overview of HIPAA
reviewing national code sets
discussing electronic transfer
introducing national identifiers

Provider Data and Access to Care

becoming familiar with the basic structure of provider files
discussing issue of access to care
reviewing methods of reporting access to care

HEDIS

understanding what HEDIS is and why it exists
overview of several measures
recommended data structures

Fraud and Abuse

introduce fraud and abuse in the health care industry
measuring and detecting fraud

Looking Ahead - What to Consider Next

moving from data management to analytics

Software

This course addresses Base SAS.

Course Materials

Students receive a hardcopy of the course notes and, in some courses, can choose to take home a copy of the course data. You also receive a copy of Craig Dickstein, Marge Scerbo, and Alan Wilson's book, Health Care Data and SAS.

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Are there additional topics you'd like for this course to address? Would you like for this course to be offered at another training facility? Let us know by adding to our Interest List.

Course fee and EPTO units will differ for on-site training.

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