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Showing posts from October, 2023

Turtle (Terse RDF Triple Language), JSON , and XML (eXtensible Markup Language) formats for FHIR resource compared

 In the context of FHIR (Fast Healthcare Interoperability Resources) and healthcare data exchange, Turtle (Terse RDF Triple Language), JSON (JavaScript Object Notation), and XML (eXtensible Markup Language) are three different data serialization formats that can be used to represent FHIR resources. Each format has its own characteristics and is used for specific purposes. Here's a comparison of Turtle, JSON, and XML in the context of FHIR: 1. Turtle (Terse RDF Triple Language):    - Turtle is a lightweight, human-readable syntax for representing RDF (Resource Description Framework) data.    - In FHIR, Turtle is often used for representing FHIR resources in a way that's highly machine-processable and can be easily converted to other RDF-based formats.    - Turtle is designed for representing structured data and relationships between resources.    - It may not be as commonly used as JSON and XML in healthcare interoperability scenarios, but it'...

FHIR : important links and tutorials

Intro to FHIR by James Agnew https://www.youtube.com/watch?v=YbQcJj1GqH0 FHIR for Developers - Getting Started by Gino Canessa https://www.youtube.com/watch?v=m2O6HiA1Z7g&t=2508 ---- Content by Sidharth Ramesh: FHIR Fundamentals - How to Create a FHIR Resource  https://www.youtube.com/watch?v=HdPyV6ggGA4 Interacting with REST Operations - use of publicly available servers  https://www.youtube.com/watch?v=Rk_I7I6whrI ==== Links:   US Core Implementation Guide  https://hl7.org/fhir/us/core/ ----- The MetadataResource represents resources that carry additional publication metadata over other canonical resources, describing their review and use in more details. https://build.fhir.org/metadataresource.html

HAPI - HTTP methods and URIs related to the "AuditEvent" resource in the context of an API or system

 As a functional consultant, you need to understand the meaning and purpose of various HTTP methods and URIs related to the "AuditEvent" resource in the context of an API or system. Here's an explanation of each operation:  Ref Audit event methods at  https://hapi.fhir.org/baseR4/swagger-ui/?page=AuditEvent#/AuditEvent/get_AuditEvent 1. GET /AuditEvent/{id}    - Operation Name: read-instance    - Description: This operation is used to retrieve the details of a specific instance of the "AuditEvent" resource identified by its unique ID. It allows you to read the details of a single audit event.   2. PUT /AuditEvent/{id}    - Operation Name: update-instance    - Description: This operation is used to update an existing "AuditEvent" instance or create a new one if a client-assigned ID is provided. It allows you to modify the details of an audit event or create a new one with a specific ID.   3. DELETE /Audi...

How to win in a competitive market. Product strategy, revenue models and other tips

Product Strategy and Roadmap, Revenue Models, Partnership Models # Product Strategy and Roadmap:    - Develop and maintain a clear and well-defined product strategy for the organization.    - Create a product roadmap outlining the key features, enhancements, and releases over a specified timeline.    - Collaborate with cross-functional teams, including product development, engineering, marketing, and sales, to align the product roadmap with overall business objectives.    - Ensure that the product strategy is consistent with market needs and trends, and make necessary adjustments as required.   # Designing Revenue Models:    - Analyze the market and competitive landscape to identify potential revenue opportunities.    - Develop and test various revenue models, such as subscription-based, one-time purchases, freemium, or other pricing strategies.    - Determine the pricing strategy for products a...

Reskilling in the age of AI

1. **Adaptation is Key**    - Frey and Osborne's study revealed that 47% of US jobs could be automated.    - Even specialized jobs aren't immune to change.    - Encourage stepping out of your comfort zone.    - Create presentations about your job's future and seek diverse feedback. 2. **Embrace Human Qualities**    - AI enhances productivity, but human qualities matter.    - Focus on in-person interactions and differentiation.    - Practice public speaking, attend conferences, and expand your network. 3. **Continuous Learning and Humility**    - Be prepared to re-tool and adapt.    - Skills will constantly evolve.    - Take unique classes and read widely.    - Embrace new perspectives and avoid complacency. 4. **The Winning Mentality**    - The future offers vast opportunities with AI.    - Hard skills are essential, but soft skills are enduring.   ...

HAPI FHIR - designed to help healthcare organizations and developers

HAPI FHIR (HL7 Application Programming Interface Fast Healthcare Interoperability Resources) is an open-source implementation of the FHIR (Fast Healthcare Interoperability Resources) standard for healthcare data exchange. HAPI FHIR is designed to help healthcare organizations and developers build applications and systems that can exchange healthcare information in a standardized, interoperable way. Here are some of the key things that HAPI FHIR can do: 1. FHIR Server: A healthcare organization uses HAPI FHIR to set up a FHIR server that stores and manages patient data in a FHIR-compliant manner. This server allows them to create, read, update, and delete patient records, clinical observations, medications, and other healthcare data. 2. FHIR Client: A mobile health app, built using HAPI FHIR, enables users to access their health records from a FHIR server. Users can view their lab results, medications, and upcoming appointments directly from the app. 3. Data Transformation: A hospital u...

Graphic for EDI transactions in claim processing in RCM

 Graphical depiction of EDI file types in a claim https://www.nousinfosystems.com/healthcare/payer/edi-modernization

RCM (revenue cycle management) steps defined

RCM technical steps for professionals: https://www.trubridge.com/resources/blog/the-12-essential-steps-of-revenue-cycle-management/ RCM introduction in 10 steps with details.  https://gentem.com/blog/what-is-rcm/ Thing to take care in different steps in RCM process https://qwayhealthcare.com/blog/13-steps-of-revenue-cycle-management/

How various entities in the RCM ecosystem utilize CAC

 In the Revenue Cycle Management (RCM) ecosystem, Computer-Assisted Coding (CAC) is primarily used by healthcare organizations, particularly in the coding and billing processes. Here's how various entities in the RCM ecosystem utilize CAC at different stages: 1. Healthcare Providers (Hospitals and Clinics):    - Clinical Documentation: CAC can assist healthcare providers during the clinical documentation phase, helping clinicians ensure that their notes are clear and complete, which is crucial for accurate coding. 2. Medical Coders:    - Coding: Medical coders use CAC systems during the coding phase. CAC technology helps them by suggesting appropriate codes based on the clinical documentation, thus improving coding efficiency and accuracy. 3. Clinical Documentation Improvement (CDI) Specialists:    - Documentation Enhancement: CDI specialists work to improve the quality and accuracy of clinical documentation. CAC can assist them by highlighting areas w...

Product KANO model of customer needs and delight analysis in Product management

The model assigns three types of attribute (or property) to products and services: 1. Threshold Attributes (Basics). These are the basic features that customers expect a product or service to have. For example, when you book into a hotel, you'd expect hot water and a bed with clean linen as an absolute minimum. 2. Performance Attributes (Satisfiers). These elements are not absolutely necessary, but they increase a customer's enjoyment of the product or service. Returning to our example, you'd be pleased to discover that your hotel room had free superfast broadband and an HD TV, when you'd normally expect to find paid-for wi-fi and a standard TV. 3. Excitement Attributes (Delighters). These are the surprise elements that can really boost your product's competitive edge. They are the features that customers don't even know they want, but are delighted with when they find them. In your hotel room, that might be finding the complimentary Belgian chocolates that the ...

Claim Rejection vs. Claim Denial in RCM

Claim Rejection: Claim rejection occurs at the very beginning of the claims process, typically at the clearinghouse or insurance company's initial intake. It happens when the submitted claim does not meet the basic requirements for processing, often due to errors or missing information. Common reasons for claim rejection include incorrect patient information, missing or invalid provider credentials, incorrect insurance information, or incomplete or improperly formatted claim forms. Rejected claims are not processed by the insurance company but are sent back to the healthcare provider or billing entity for correction and resubmission. Corrected claims are resubmitted by the healthcare provider after addressing the issues that caused the initial rejection. Claim Denial: Claim denial occurs after the insurance company has reviewed the claim and determined that it cannot be paid or processed for various reasons. Denials can result from issues like lack of medical necessity, exceeding c...

Project management reports

https://www.indeed.com/career-advice/career-development/project-management-report With examples:  https://www.wrike.com/project-management-guide/faq/how-to-write-a-project-management-report/

Computer assisted coding CAC

  CAC coding enables healthcare organizations and health information systems to streamline coding processes by leveraging natural language processing, machine learning, and other AI in healthcare technologies. Computer assisted coding CAC does not remove the necessity for medical coding experts to be involved in the health information management process. CAC technology can make medical coders more effective and increase clinical documentation improvement for health systems. Coders can review and revise the medical coding computer requirements, and cross check it against quality metrics and patient data standards in real time.  Today, CAC vendors offer computer assisted coding technology that is most widely used in coding for outpatient services. Some medical specialties using CAC medical coding include radiology, cardiology, pathology and emergency medicine.  One of the primary benefits of medical coding software is its ability to swiftly analyze EHR data and as...

Pre-adjudication & Post-adjudication in medical claims - RCM

Pre-adjudication is the process of “cleansing” or “scrubbing” claims before they are submitted to the claims adjudication system for processing for the first time. This is intended to increase the first-pass-rate (the chance of adjudicating correctly during the first pass) and reduce manual intervention. Post-adjudication is the process of accepting claim files that are pending, identifying and prioritizing the claim header and line-level pend or deferral codes, and subjecting the claim to the appropriate business rules to repair the pend code with the highest priority.  

Tableau - tutorials, interview prep

#. Detailed tutorial https://www.simplilearn.com/tutorials/tableau-tutorial/what-is-tableau #. 17 Powerful Products of Tableau To Transform Your Data Into Insight https://edu4sure.com/powerful-products-tableau#5_Tableau_Creator #. Course. Tableau Data Analyst/Specialist Desktop Certification https://www.udemy.com/course/tableau-2018-tableau-10-qualified-associate-certification/ #. Interview prep . Short questions and answers. See lower side of this page: https://passingbi.com/intq-what-different-products-does-tableau-provide/ #. Tutorial in form of section wise organized reference of operations https://www.tutorialspoint.com/tableau/index.htm

Fresher can certainly do freelancing - can land you a decent full time job in time

Fresher can certainly do freelancing, and there are many STEM (Science, Technology, Engineering, and Mathematics) skills that are feasible for freelancing, even without prior work experience. Freelancing can be an excellent way to gain experience, build a portfolio, and earn income while working on projects related to your field of interest. Here are some STEM skills that can be suitable for freelancing: 1. Web Development: If you have skills in HTML, CSS, JavaScript, and web development frameworks like React or Angular, you can offer web development services to clients looking to build or maintain websites. 2. Graphic Design: Graphic design skills, including proficiency in tools like Adobe Photoshop or Illustrator, can lead to freelancing opportunities in creating logos, marketing materials, and digital artwork. 3. Content Writing: Strong writing skills can be leveraged for freelance content writing in various STEM niches, such as technology blogs, scientific articles, or software doc...