get app

    Data Science for Healthcare Claims Data

    BY
    Udemy

    Brochure Enquire
    Lavel

    Beginner

    Mode

    Online

    Fees

    ₹ 499 3299

    Quick Facts

    particular details
    Medium of instructions English
    Mode of learning Self study
    Mode of Delivery Video and Text Based

    Course and certificate fees

    Fees information
    ₹ 499  ₹3,299
    certificate availability

    Yes

    certificate providing authority

    Udemy

    The syllabus

    Introduction

    • Welcome to the course
    • Claims Data Defined
    • Why analyze healthcare claims data 
    • Who this course is for

    Theory of Healthcare systems

    • The four functions of any healthcare system
    • The three key actors in claims data
    • Vertical integration of healthcare system functions
    • Healthcare systems quiz

    Healthcare provider payment systems

    • Introduction to healthcare provider payment systems
    • Fee-for-service
    • Capitation
    • Bundled payments
    • Global budgets
    • Summary of healthcare provider payment systems
    • Healthcare provider payment systems

    Theory of claims data

    • The two core challenges for healthcare payers
    • Fact tables and dimension tables
    • Authorisation signals
    • Theory of claims data quiz

    Merging healthcare claims data

    • Introduction to merging data
    • Merging data from a data warehouse
    • Merging an episode of care

    Higher level categorization

    • Introduction to Higher level categorization
    • Consult the data dictionary
    • Consult the Dimensions Tables 
    • (Re)Discover the underlying logic of codes
    • Use existing hierarchies of (inter)national coding systems
    • Ask a domain expert
    • Summary of higher level categorization
    • Higher level categorization quiz

    Relevant resources for this course

    • Get all relevant resources here

    Basic exploration of Healthcare claims data

    • Getting started with the practice dataset
    • Basic filtering of data in Excel
    • Introduction to pivot tables
    • Working with a pivot table in Excel
    • Selecting aggregations in a pivot table
    • Grouping by date in a pivot table
    • Using a pivot table to create and control a chart
    • Introduction to vertical lookup
    • Vertical look-up part 1: Exploring the look-up table in Excel
    • Vertical look-up part 2: Applying the function
    • Vertical look-up part 3: Filling down the results
    • A note on filling down in Excel
    • Vertical look-up part 4: Finalizing the dataset
    • Benefit of introducing categories in claims data

    Extract Transform and Load (ETL) from the Data warehouse using SQL

    • Background information about the practice data warehouse
    • Relational data schema
    • Getting started with Google Big Query
    • Alternative method to get to the Google Big Query Medicare dataset
    • Introduction to SQL in Google Big Query interface
    • Writing a simple SQL script to extract healthcare claims data
    • Merging data using SQL
    • Visualizing the data in Big Query
    • Calculating the age of the patient at the time of knee replacement
    • Confirming the correct code using the where clause and a regular expression
    • Inspecting the compatibility between the tables
    • Concatenate and cast data to allow compatibility
    • Create a subquery
    • Date difference function to calculate age

    Absolute and relative comparisons

    • Absolute and relative comparisons
    • Using a 100% Stacked column chart for relative comparisons
    • Using percentages for relative numbers
    • Per capita calculations using distinct count
    • Using distinct count for relative comparisons in Excel

    Process mining with healthcare claims data

    • Benefits of process mining with healthcare claims data
    • Process mining tools
    • Warning! Please read this word of caution before using Celonis Snap
    • Getting started with Celonis Snap
    • Configure the dataset for process mining
    • Introduction to process mining with Celonis Snap part 1
    • Introduction to process mining with Celonis Snap part 2
    • Discover patient pathways using process mining (part 1)
    • Discover patient pathways using process mining (part 2)
    • Isolate a sub process by focussing on the sub process spider activity
    • Introduction to specifying a sequence order
    • Theory of sequence order when dealing with identical timestamps
    • A note about specifying a sequence order
    • Manipulating the raw data to specify a sequence order (part 1)
    • Manipulating the raw data to specify a sequence order (part 2)
    • A note about concatenation
    • Confirm the correct sequence in a new process map
    • Detect anomalies by comparing the processes of different providers
    • Moving from process mining to statistics and machine learning
    • Process mining quiz
    • Process mining assignment

    Proxy diagnosis and cohort analysis

    • A note about proxy diagnosis and cohort analysis
    • Proxy diagnosis
    • Method for obtaining a proxy diagnosis
    • Why use a subquery for proxy diagnosis
    • Querying healthcare consumption of diabetics using a proxy diagnosis
    • Identify insuline users (diabetics)
    • Use identified diabetics to capture their full episode of care
    • Capture the episode of care for patients undergoing a total knee replacement

    Tidying healthcare claims data

    • Introduction to tidy data
    • Tidying healthcare claims data with Excel
    • Converting the target variable to a binary field with Excel
    • Getting started with Google Colab
    • Tidying healthcare claims data with Python
    • Converting the target variable to a binary field with Python
    • A note about metric selection

    Predicting Consumption Events

    • Introduction to this section
    • Preparing the data for logistic regression with Python
    • Performing logistic regression
    • Evaluating the performance with a confusion matrix
    • Using a different categorization logic as input for logistic regression (part 1)
    • Using a different categorization logic as input for logistic regression (part 2)
    • Using a different categorization logic as input for logistic regression (part 3)
    • Considerations for advanced machine learning practitioners
    • Applying logistic regression with different metrics

    Detecting Irregularities and Possible Fraud

    • Introduction to this section
    • Preparing the data for unsupervised machine learning
    • Applying Principal Component Analysis
    • A note about the Python code
    • Applying K-means Clustering
    • Calculating the distance from the nearest cluster
    • Combining the machine learning outputs with the original claims data
    • Exporting the machine learning output to a csv file
    • Prepare for case by case analysis guided by the machine learning output
    • Explore the different clusters (part 1)
    • Interpret and rename the different clusters
    • Compare the healthcare providers by patient clusters (part 1)
    • Compare the healthcare providers by patient clusters (part 2)
    • Example of absolute versus relative data
    • Analyzing the distance from nearest cluster (part 1)
    • Analyzing the distance from nearest cluster (part 2)
    • Analyzing the distance from nearest cluster (part 3)
    • Identifying red flags (part 1)
    • Identifying red flags (part 2)
    • Inspecting the red flag indivual patients on a case-by-case basis (part 1)
    • Inspecting the red flag indivual patients on a case-by-case basis (part 2)

    Performance Tracking (Compare defined targets with actual performance)

    • Introduction to performance tracking with healthcare claims data
    • Method part 1: Harmonizing the actual data with the targets
    • Method part 2: Merging the two tables
    • Method part 3: Feed the data into a business intelligence dashboard
    • Trivia: Using compound/composite keys rather than multiple join keys
    • Practice performance tracking with claims data
    • Exploration of the business intelligence dashboard
    • Visually inspecting the targets table
    • Uploading the target table in the data warehouse
    • Preparing the raw claims data for aggregation using SQL (part 1)
    • Preparing the raw claims data for aggregation using SQL (part 2)
    • Aggregating the raw claims data using SQL
    • Creating a subquery containing the actual performance
    • Joining the subquery with the uploaded table
    • Calculating the percentage realized
    • Saving the output as a new table in the data warehouse
    • Feeding the output into the business intelligence dashboard
    • Creating the business intelligence dashboard

    Value based healthcare and health outcome indicators

    • Introduction to value-based healthcare and health outcomes
    • Introduction to types of health outcome indicators
    • Patient reported health outcomes
    • Biological health outcome indicators
    • Adverse health episodes as outcome indicators
    • Aftercare signals as a health outcome indicator
    • Mortality as a health outcome indicator
    • Merging different types of health outcome indicators
    • Challenges with value-based healthcare and health outcomes

    Conclusion

    • Final Words

    Similar Courses

    Introduction to Health Technology Assessment

    University of Glasgow, Glasgow via Futurelearn

    3 Weeks Online
    Beginner     Free

    Traditional Herbal Medicine in Supportive Cancer C...

    Technion - Israel Institute of Technology via Coursera

    3 Weeks Online
    Beginner     Free

    Courses of your Interest

    An Introduction To Coding Theory

    An Introduction To Coding Theory

    IIT Kanpur via Swayam

    8 Weeks Online
    Beginner     Free

    C++ Foundation

    PW Skills

    5 Months Online
    Beginner     Free

    Advanced CFD Meshing using ANSA

    Skill Lync

    4 Weeks Online
    Beginner     ₹ 40,000

    Salesforce Platform App Builder Certification Trai...

    Simplilearn

    12 Hours Online
    Beginner

    Data Science Foundations to Core Bootcamp

    Springboard

    7 Months Online
    Beginner     $9,900 $13,900
    NDG Linux Unhatched Essentials Linux I and II

    NDG Linux Unhatched Essentials Linux I and II

    Sona College of Technology, Salem

    140 Hours Online
    Beginner
    Full Stack Developer Course With Placement

    Full Stack Developer Course With Placement

    AttainU

    7 Months Online
    Beginner     ₹ 68,000
    User Experience Design And Research

    User Experience Design And Research

    UM–Ann Arbor via Futurelearn

    35 Weeks Online
    Beginner
    Fundamentals of Agile Project Management

    Fundamentals of Agile Project Management

    UCI Irvine via Futurelearn

    21 Weeks Online
    Beginner
    Artificial intelligence Design and Engineering wit...

    Artificial intelligence Design and Engineering wit...

    CloudSwyft Global Systems, Inc via Futurelearn

    17 Weeks Online
    Beginner

    More Courses by Udemy

    Microsoft Excel 2013 Course Beginners Intermediate...

    Udemy

    Online
    Beginner     ₹399 ₹2,699

    Instagram Bot with Python V2 Giveaway Instagram Bo...

    Udemy

    Online
    Beginner     ₹ 799

    Intro To Computer Science With Python and Jupyter ...

    Udemy

    Online
    Beginner     ₹ 799

    Python for Beginners to Advance

    Udemy

    Online
    Beginner     ₹ 2,499

    Learn Python Turtle Using Block Coding

    Udemy

    Online
    Beginner     ₹399 ₹799

    Master Python Basics For Developer

    Udemy

    Online
    Beginner     ₹475 ₹3,499

    Programming in Python for Beginners

    Udemy

    Online
    Beginner     ₹ 799

    Learn Python 3 Programming from Scratch

    Udemy

    Online
    Beginner     ₹475 ₹1,299

    Automate Your Life With Python

    Udemy

    Online
    Beginner     ₹ 2,899

    Learn Python Python for Beginners

    Udemy

    Online
    Beginner     ₹ 1,799

    Trending Courses

    Digital Marketing Courses Fashion Design Courses Data Science Courses Interior Design Courses Graphic Designing Courses Cyber Security Courses Nursing Courses Tally Courses Data Analysis Courses Web Designing Courses Artificial Intelligence Courses Ethical Hacking Courses Free Digital Marketing Courses And certifications Free Artificial Intelligence Courses And Certifications Free Data Analysis Courses And Certifications Free Cyber Security Courses And Certifications Free Data Science Courses And Certifications Free Cloud Computing Courses And Certifications Free Python Courses And Certifications Free Fashion And Textiles Courses And Certifications Free Graphic Designing Courses And Certifications Free Web Designing Courses And Certifications

    Popular Courses

    General Management Courses Public Health Courses Teaching and Education Courses Financial Management Courses Web Development Courses Mathematics Courses Data Science Courses Cyber Security Courses Programming Courses Digital Marketing Courses Law Courses Leadership Courses Explore all courses

    Popular Platforms

    upGrad Courses Udemy Courses Edx Courses Swayam Courses Coursera Courses Futurelearn Courses Mindmajix Technologies Courses Vskills Courses IIT Kharagpur Courses Emeritus Courses IIT Kanpur Courses NPTEL Courses Explore all platforms

    Learn more about the Courses

    10 Reasons to Enrol Yourself in a Digital Marketing Course 8 Must-Have Skills for AWS Cloud Architects Planning to Upskill Yourself? Enrol for a Program in Data Science 25+ Tips for Improving Your Graphic Design Skills Top Universities in India Offering Cyber Security Courses 15+ Courses for Learning Data Mining How to Make a Career in the Field of Artificial Intelligence Top 10 Benefits Of Holding A Certification In Business Intelligence Which are the best certification courses for Photography in India A Beginner's Guide to Pursue Python Programming Want to Pursue a Career in Blockchain Technology? Here is all that you need to Know How Entrepreneurs Can Use Machine Learning to Make their Business Successful? The Scope of Artificial Intelligence in India Top 10 Online Courses for Travel Lovers 10 Best Certification Courses After Hospital and Healthcare Management
    Providers
    Close

    Download the Careers360 App on your Android phone

    Regular exam updates, QnA, Predictors, College Applications & E-books now on your Mobile

    Careers360 App
    150M+ Students
    30,000+ Colleges
    500+ Exams
    1500+ E-books