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Health Care Data and the SAS System

Business Knowledge Series course

Duration: 2.0 days
Course fee: $1,150
EPTO units: 2.2
CEUs: 1.2
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Presented by Craig Dickstein, co-author of Health Care Data and the SAS System

This industry-specific course focuses on the benefits of using SAS software to manage adminstrative health care data. Students will become acquainted with the intricacies of administrative health care data, as well as its related management and analytical use.

Learn how to

Who should attend

Analysts and programmers who need to work with health care data

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Prerequisites
No SAS experience or programming experience is required although you should have some computer experience and the need/desire to learn how to program beyond point-and-click techniques.
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 and Marge Scerbo's book, Health Care Data and the SAS System.
Share Your Thoughts
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.

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