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Healthcare IT Decoded

Harish Rijhwani

Are you Interested in understanding the basics of Health Information Technology or Health-IT? Yes, then look no further.

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Are you Interested in understanding the basics of Health Information Technology or Health-IT? Yes, then look no further.

This course has been designed considering various parameters. I combine my experience of over twenty years in Health IT and more than ten years in teaching the same to students of various backgrounds (Technical as well as Non-Technical). I have leveraged PowerPoint  to explain some of the concepts in an simple but engaging manner.

In this course you will learn the following (Currently the Primary focus is on Hospital IT Systems, will add elements related to Payor and Pharma later)

  • Introduction and Basics - History of Healthcare

  • Revenue Cycle Management - Front, Middle and Back Office

  • Health Insurances - How it all started, The Concept of sliding scale

  • Understanding the Institutional Claim File (UB04) and the various data elements present in the same; Revenue Code, Condition Codes, HCPCS Codes 

  • Electronic Medical Records -

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What's inside

Learning objectives

  • Understand the basics of revenue cycle management (the billing cycle) in healthcare it
  • Demonstrate knowledge of hl7, fhir, edi and other messaging standards
  • Demonstrate knowledge of various terminology standards like icd, snomed, loinc, rxnorm
  • Understand the basics of medical records and their journey towards becoming electronic medical records
  • Understand impact of regulatory changes in healthcare and its impact on technology/it

Syllabus

Introduction and Basics

A quick and short overview of the course and what all would you be learning .

Let us look at some Basics
Provider Types
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The Basics
Revenue Cycle Management
Appointment to Registration
Insurance Eligibility
Admissions & Financial Counseling
Point of Care OPD
Point of Care IPD
Medical Transcription & Coding
Overview of Codes & Standards
Back Office
Medical Billing Example
Health Insurances
History of Health Insurance
A Quick Recap
The Claim File - UB04
Overview of UB04
UB04 Data Elements Part 01
UB04 Data Elements Part 02
Medical Billing Terminology
Electronic Medical Records
History of EMRs - Part 01 (POMR)
Patient Medical Records - Part 02 (SOAP)
Electronic Medical Records (EMRs)
7 Stages of EMR Adoption
EMR Screen Designing
Screen Designing - Validation
Open EMR Demo
Overview of EPIC and Meditech Modules
Tidal Wave of Regulations
History of Regulations
Understanding ARRA
ARRA - Meaningful Use Basics
ARRA - Meaningful Use Details
Accountable Care Organizations
ICD 10 Migration
ICD 10 Migration The Impact
Price Transparency - The General Rule
Price Transparency - Subpart B (Price Transparency File)
Price Transparency - Subpart B (Shoppable Services)
Price Transparency - A Short Demo
Price Transparency - Monitoring and Penalties
Regulations in Healthcare
Data Transmission Standards
Overview of the Standards
Health Level 7 (HL7) Part 01
Health Level 7 (HL7) Part 02
Health Level 7 (HL7) Part 03

A different way of explaining HL7 via a written article.

Integrating Health Enterprise (IHE)
Understanding HIPAA - The link to EDI in Healthcare
Electronic Data Interchange (EDI) - Part 01
Electronic Data Interchange (EDI) - Part 02
Continuity of Care Documentation (CCD) - Part 01
Continuity of Care Documentation (CCD) - Part 02
Continuity of Care Documentation (CCD) - Part 03
FHIR - Part 01
FHIR - Part 02
FHIR - Part 03
DICOM Overview - Part 01
DICOM Overview - Part 02
Terminology Standards in Healthcare
Overview of Terminology Standards
Medication Codes - NDC
Medication Codes - RxNorm
Medication Codes - NDF-RT & MED-RT
Basics of SNOMED-CT
Lab Terminology Codes - LOINC Part 01
Lab Terminology Codes - LOINC Part 02
Terminology Standards
Additional Topics
Patient Health Records
Clinical Quality Reporting

A brief idea about ChatGPT

Two use cases where ChatGPT can be possibly used in the Hospital space

Two use cases where ChatGPT can be possibly used in the Health Insurance space

Two use cases where ChatGPT can be possibly used in the Pharma & Lifesciences space

Health IT Job Market
Overview of Different Organizations
Some Key Entry Roles in Healthcare IT

Good to know

Know what's good
, what to watch for
, and possible dealbreakers
Develops fundamentals of Health Information Technology (Health-IT), including revenue cycle management, health insurance, and medical records
Emphasizes practical knowledge through examples and use cases
Covers industry standards like HL7, FHIR, and EDI
Provides an overview of emerging technologies like ChatGPT

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Activities

Coming soon We're preparing activities for Healthcare IT Decoded. These are activities you can do either before, during, or after a course.

Career center

Learners who complete Healthcare IT Decoded will develop knowledge and skills that may be useful to these careers:
Health Information Manager
Health Information Managers are responsible for managing the flow of health information within a healthcare organization. They ensure that patient information is accurate, complete, and secure. This course provides a comprehensive overview of Healthcare IT, including revenue cycle management, health insurance, coding, and electronic medical records. This knowledge will help Health Information Managers better understand the systems and processes they are working with and how they can be used to improve patient care.
Healthcare Data Analyst
Healthcare Data Analysts apply their analytical skills to help drive better outcomes for patients. They use data to identify trends, patterns, and insights that can help improve the quality of care, reduce costs, and make better decisions about patient care. This course provides a strong foundation in the basics of Healthcare IT, including revenue cycle management, health insurance, coding, and electronic medical records. This knowledge will help Healthcare Data Analysts better understand the data they are working with and how it can be used to improve patient care.
Clinical Informaticist
Clinical Informaticists use their knowledge of healthcare and information technology to improve patient care. They work with clinicians to design and implement new technologies that can improve the quality of care, reduce costs, and make better decisions about patient care. This course provides a strong foundation in the basics of Healthcare IT, including revenue cycle management, health insurance, coding, and electronic medical records. This knowledge will help Clinical Informaticists better understand the systems and processes they are working with and how they can be used to improve patient care.
Medical Records Technician
Medical Records Technicians are responsible for managing patient medical records. They ensure that patient information is accurate, complete, and secure. This course provides a comprehensive overview of the basics of Healthcare IT, including revenue cycle management, health insurance, coding, and electronic medical records. This knowledge will help Medical Records Technicians better understand the systems and processes they are working with and how they can be used to improve patient care.
Healthcare IT Project Manager
Healthcare IT Project Managers are responsible for planning and executing healthcare IT projects. They work with stakeholders to define project scope, develop timelines, and track progress. This course provides a comprehensive overview of Healthcare IT, including revenue cycle management, health insurance, coding, and electronic medical records. This knowledge will help Healthcare IT Project Managers better understand the systems and processes they are working with and how they can be used to improve patient care.
Medical Coder
Medical Coders are responsible for assigning codes to medical procedures and diagnoses. These codes are used by insurance companies to determine how much to reimburse healthcare providers. This course provides a comprehensive overview of medical coding, including the basics of coding, the different types of codes, and the rules for assigning codes. This knowledge will help Medical Coders better understand the systems and processes they are working with and how they can be used to improve patient care.
Revenue Cycle Analyst
Revenue Cycle Analysts are responsible for analyzing and improving the revenue cycle process. They work with stakeholders to identify inefficiencies and develop solutions to improve cash flow. This course provides a strong foundation in the basics of revenue cycle management, including appointment scheduling, insurance eligibility, claims processing, and patient billing. This knowledge will help Revenue Cycle Analysts better understand the systems and processes they are working with and how they can be used to improve patient care.
Health Insurance Specialist
Health Insurance Specialists are responsible for helping patients understand and navigate their health insurance plans. They can also help patients with claims processing and appeals. This course provides a comprehensive overview of health insurance, including the history of health insurance, the concept of sliding scale, and the basics of health insurance plans. This knowledge will help Health Insurance Specialists better understand the systems and processes they are working with and how they can be used to improve patient care.
Medical Transcriptionist
Medical Transcriptionists are responsible for transcribing medical dictation into written reports. This course provides a comprehensive overview of medical transcription, including the basics of medical terminology, the different types of medical reports, the rules for transcribing medical dictation, and the use of transcription software. This knowledge will help Medical Transcriptionists better understand the systems and processes they are working with and how they can be used to improve patient care.
Healthcare IT Consultant
Healthcare IT Consultants work with healthcare organizations to improve their use of technology. They can help organizations with a variety of tasks, such as planning and implementing new systems, training staff, and developing policies and procedures. This course provides a comprehensive overview of Healthcare IT, including revenue cycle management, health insurance, coding, and electronic medical records. This knowledge will help Healthcare IT Consultants better understand the systems and processes they are working with and how they can be used to improve patient care.
Data Scientist
Data Scientists use their knowledge of statistics, mathematics, and computer science to analyze data and extract insights. They can work in a variety of industries, including healthcare. This course provides a strong foundation in the basics of data analysis, including data collection, data cleaning, data analysis, and data visualization. This knowledge will help Data Scientists better understand the systems and processes they are working with and how they can be used to improve patient care.
Public Health Analyst
Public Health Analysts use their knowledge of public health and data analysis to improve the health of populations. They can work in a variety of settings, including government agencies, non-profit organizations, and research institutions. This course provides a strong foundation in the basics of public health, including epidemiology, biostatistics, and environmental health. This knowledge will help Public Health Analysts better understand the systems and processes they are working with and how they can be used to improve patient care.
Health Policy Analyst
Health Policy Analysts use their knowledge of healthcare policy and data analysis to analyze the impact of health policies. They can work in a variety of settings, including government agencies, non-profit organizations, and research institutions. This course provides a comprehensive overview of health policy, including the history of health policy, the different types of health policies, and the challenges facing the health policy landscape. This knowledge will help Health Policy Analysts better understand the systems and processes they are working with and how they can be used to improve patient care.
Healthcare Administrator
Healthcare Administrators are responsible for the day-to-day operations of healthcare organizations. They work with a variety of stakeholders, including patients, families, staff, and physicians. This course provides a comprehensive overview of the healthcare industry, including the history of healthcare, the different types of healthcare organizations, and the challenges facing the healthcare industry. This knowledge will help Healthcare Administrators better understand the systems and processes they are working with and how they can be used to improve patient care.
Healthcare Risk Manager
Healthcare Risk Managers are responsible for identifying and mitigating risks to healthcare organizations. They work with a variety of stakeholders, including patients, families, staff, and physicians. This course provides a comprehensive overview of healthcare risk management, including the different types of risks, the risk management process, and the tools and techniques used to mitigate risks. This knowledge will help Healthcare Risk Managers better understand the systems and processes they are working with and how they can be used to improve patient care.

Reading list

We've selected ten books that we think will supplement your learning. Use these to develop background knowledge, enrich your coursework, and gain a deeper understanding of the topics covered in Healthcare IT Decoded.
Provides the official guidelines for coding and reporting using ICD-10-CM. It is an essential reference for anyone who needs to code and report using ICD-10-CM.
This textbook offers an extensive overview of healthcare information management systems. It covers aspects such as planning, design, development, implementation, and the management of computerized systems and patient care technologies, making it valuable supplemental resource to this course.
Topics covered include exploring data standards, the implementation of the HL7 standard, the role of SNOMED-CT in electronic health records, and security and privacy standards. offers valuable insights into various health data standards, complementing this course effectively.
Provides a comprehensive guide to DICOM, a standard for medical imaging. It explains the structure and content of DICOM images, and how to use them to exchange medical images. This book can help learners to understand the basics of DICOM and how to use it in their work.
Provides a comprehensive guide to SNOMED CT, a clinical terminology system. It explains the structure and content of SNOMED CT, and how to use it to code and report clinical data. This book can help learners to understand the basics of SNOMED CT and how to use it in their work.
Provides a comprehensive guide to HL7, a standard for electronic health information exchange. It explains the structure and content of HL7 messages, and how to use them to exchange health information. This book can help learners to understand the basics of HL7 and how to use it in their work.
This comprehensive guide provides insightful information on the US' healthcare insurance system. It explores various types of health insurance, public and private programs, and insurance regulations, making it a valuable resource to expand your understanding of the health insurance landscape covered in this course.
本书系统介绍了数据结构的基础知识和基本理论,涵盖了线性表、栈、队列、树、图等数据结构。
Explores the applications of artificial intelligence in healthcare. It covers topics such as machine learning, clinical decision support, and personalized medicine, offering insights into the potential of AI in healthcare, as touched upon in this course.
Provides a thorough introduction to medical terminology. It covers topics such as anatomy, physiology, and disease processes, and it includes exercises and activities to reinforce learning. Reading this book will aid your understanding of the medical terminology used in this course and in the healthcare field.

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