Health Care Data and the SAS System
Duration: 2.0 days CEU: 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
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 Addressed
This course addresses the following software product(s): 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.
U.S. Schedule
16SEP2008 Rockville, MD
| 23SEP2008 Minneapolis, MN
| 18NOV2008 Boston, MA
|
Check for additional and updated schedule information online at
support.sas.com/courses/bhcd.html.
Registration
To register for this course in the US, call 800-333-7660 or visit
support.sas.com/training.
This course is also available for on-site training, or you can create a custom course by combining material from several courses. For more details, contact SAS Education in Cary, NC at 919-531-7321 or send e-mail to
training@sas.com.