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    Health Foundations 2.0 e-Course

    On-Demand

    Online

    Purchase

    The Health Foundations e-course explores health care terminology, coding, data sources, claims and more. The modules show examples of how you can combine these elements to help provide solutions to actuarial problems.


    Course Outline

    Section 1: Overview
    Section 2: Medical Terminology and Coding
    Section 3: Use of Medical Terminology and Coding
    Section 4: Data Warehouse Detail and Data Quality
    Section 5: Interrelationship of Administrative Systems
    Section 6: Predictive Modeling


    Learning Objectives

    After you complete this e-course, you should be able to:

    • Define medical terminology and coding and their relevance to health care actuarial work.
    • Interpret sources of health care data; decide which source to use and know how to use it.
    • Describe claim information in a data warehouse and evaluate it for quality.
    • Identify a variety of administrative systems and describe the interrelationships between them.
    • Describe the purpose for and applications of predictive analytics in healthcare
    • Understand key considerations in model development


    Length

    50-60 Hours


    Audiences

    • Individuals engaged in the actuarial profession at any level looking to fulfill their CPD requirement.
    • Other professionals interested in or impacted by important topics related to the actuarial field.


    Resource Materials

    The following books are referenced in this e-course. You'll be directed to appropriate readings within the context of the e-course. While these materials are not required, they're recommended to enhance the learning experience.

    • Duncan, Ian. 2014. Managing and Evaluating Healthcare Intervention Programs. Second Edition. ACTEX.
    • Duncan, Ian. 2018. Healthcare Risk Adjustment and Predictive Modeling. Second Edition. ACTEX.


    Notes

    • This e-course is for professional development. It's not intended to substitute for any professionalism requirements for the ASA, CERA or FSA credentials. If you wish to register for an e-learning module to attain a designation, please visit the e-learning module Web page .
    • Ultimately, it's an actuary's responsibility to make a reasonable, good-faith determination of what continuing education opportunities will enhance his or her ability to practice in a desired field. For more information on continuing education requirements, visit soa.org/CE .

     

    E-Course Details

    Competency:
    • Professional Values
    • Results-Oriented Solutions
    Credit:

    7.50 SOA CPD

    Fee:
    $200.00

    Related Links

    E-Course terms and conditions
    E-Course listing
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