Facets Training
Introduction to Facets
Learn about Facets, a comprehensive healthcare administration and management system. Understand the core features and functionalities of Facets, and its role in managing healthcare operations and services.
Facets Architecture and Components
Explore the architecture of Facets and its key components. Learn how the system is structured, including its modules, data flows, and integration points with other systems.
Facets Configuration and Setup
Study how to configure and set up Facets to meet specific business requirements. Learn about system settings, user roles, and security configurations to ensure a proper setup.
Claims Processing
Understand the claims processing workflow in Facets. Learn how to manage claims from submission to adjudication, including handling exceptions, reviewing claims data, and generating reports.
Member and Provider Management
Learn how to manage member and provider information in Facets. Explore how to add, update, and maintain records, and understand the processes for managing relationships and interactions.
Reporting and Analytics
Explore the reporting and analytics capabilities of Facets. Learn how to generate standard and custom reports, analyze data, and use Facets' tools to gain insights into healthcare operations.
Facets Integration and Interoperability
Study how Facets integrates with other systems and platforms. Learn about data exchange, interoperability standards, and how to ensure seamless integration with external applications.
System Maintenance and Troubleshooting
Understand best practices for maintaining and troubleshooting Facets. Learn how to perform routine maintenance, handle system issues, and ensure the ongoing stability and performance of the system.
Case Studies and Practical Exercises
Engage with case studies and practical exercises to apply Facets concepts. Work on real-world scenarios to develop hands-on skills in managing and utilizing Facets for healthcare administration.
Facet Syllabus
1. Application Support
Diagnosis Codes Application
- Indicative Section
- Diagnosis Codes Effective and Termination Dates
- User Warning Messages Section
Place of Service Description, Medical Application
- Indicative Section
Procedure Codes Application
- Indicative Section
Revenue Codes Application
- Indicative Section
User-Defined Codes Application
- Indicative
Explanation Codes Application
- Explanation Section
Subscriber/Family
Parent Group Application
- Indicative Section
- Address Section
- Billing/Cap Info Section
- Class/Plan Section
- Related Entities Section
- Policy Information Section
- Rate Data Section
- Subgroups Section
- Claims Pay Hold Section
- Incoming Accumulators Section
- Contacts Section
- Notes Section
- Attachments Section
- TCS Letters
Subgroup Application
- Indicative Section
- Address Section
- Class Section
Subscriber/Family Application
- Subscriber Section
- Members Section
- Addresses Section
- Subgroups Section
- Class Section
- Eligibility Section
- Eligibility Inquiry Section
- Payment Information Section
- Auto Actions Button/Section
- Fam. Accum. Ptr Section
- User Warning Messages Section
- Members Section
- Medicaid Section Tab
- Provider Relationship Section Tab
Enrollment Application
- Subscriber Section
- Modeling
- Member Section
Plan
Plan Descriptions Application
- Indicative Section
Product Application
Product Application
- Indicative Section
- Business Info Section
Component Descriptions Application
- Application Support Application Group
Product Components
- Administrative Information Application (AIAI)
- Automatic Action Criteria Application (MCRD)
- Automatic PCP Assignment Application/MCPA
- Benefit Summary Descriptions Application (Application Support Application Group)
- Benefit Summary Application (BSBS)
- Coordination of Benefits (COB) Rules Application (CBCB)
- Duplicate Claim Rules, Medical Application (DUMD)
- Indicative Section / Indicative Section Tab
- Explanation of Benefits (EOB) Information Application (EBCL)
- Processing Control Agent Application (PCAG)
- User Warning Message Descriptions Application
- User Warning Messages Application (WMUD)
- Warning Messages Application (WMWM)
Service Conversion
- Service Code Conversion
- TOS Codes
Class/Plan Definition Application
- Indicative Section
Service ID Descriptions Application (SEDS)
- Indicative Section
Service/Procedure Conversion Application (TPCT)
- Indicative Section
- Matching Criteria
- Service/Procedure Conversion and Service/Revenue Code Conversion
- Linking procedure codes in the Service/Procedure Conversion application
Service/Revenue Code Conversion Application (RCCT)
- Indicative Section
Supplemental Revenue Code Conversion Application (SRCT)
- Indicative Section
Supplemental Conversion Qualifier Group Application (SCQG)
- Indicative Section
Supplemental Procedure Conversion Rules Application (SPCR)
- Indicative Section
Supplemental Revenue Conversion Rules Application (SRCR)
- Service Conversion Hierarchy
2. Claims
Facets Claim Flow
Medical Claims Processing Application
- Entering a Medical Claim
- Indicative Section
- Line Items Section
- Medical Claims Processing Section Tabs
- Line Items Section
- Medical Claims Processing Menu Options
- Coordination Of Benefits Dialog Box (COB Button)
- Match UM Reviews Dialog Box (Match UM Button)
- Override (Overrides Button)
- National Drug Code Dialog Box
- Claim Segments
Hospital Claims Processing Application
- Indicative Section
- Hospital Admit / Discharge Date Warnings
- Line Items Section
- Hospital Claims Processing Section Tabs
- Line Items Section
- Claims Inquiry Application
- Medical Section
- Viewing Detailed Claims Information
- EOB/Remittance Section
- Benefit Summary (F6)
- Claim View
- Limit Contributing Claims (Alt+V+L)
- Related Service Accums (Alt+V+R)
- Processed/Translated Codes / Diagnosis or Procedure (Alt+V+P+D/P)
- Claims Inquiry Application
- History Section
- Notes Section
- Payment Reductions Application
- Line of Business Application
- Hospital Claims Processing Application
Claims Processing Application (Claims Level Override)
- Provider Application (Payment Info Section)
Member Accumulator Application
- Accumulators Section
Family Accumulator Application
- Accumulators Section
3. Provider
Provider Related Entity Application
Common Practitioner Application
- Indicative Section
- Affiliations Section
- Certifications Section
- Professional History Section
- Languages Section
- Malpractice Coverage Section
- Registration Section
- Sanctions Section
- Relationships Section
- Practitioners Section
The Practitioner Application
- Indicative Section
- Addresses Section
- Capitation Sections
- Common Practitioner Section
- Covering Providers Section
- IPAs Section
- Networks Section
- NPI History Section
- Out of Network Section
- Payment Info. Section
- Programs Section
- Provider Groups Section
- Referral Provider Section
- Sponsoring Section
- Tax Information Section
Provider Group Application
- Indicative Section
- Facilities Section
- Practitioners Section
IPA Application
- Indicative Section
Facility Application
- Indicative Section
- Accreditations Section
- Beds Section
- Staff Section
4. Network/Plan Structure
Network Application
- Indicative Section
Component Prefix Descriptions Application
- Indicative Section
Network Set Application (NWST)
- Indicative Section
Network Set (NWST) Structure
- Indicative Section
Training
Basic Level Training
Duration : 1 Month
Advanced Level Training
Duration : 1 Month
Project Level Training
Duration : 1 Month
Total Training Period
Duration : 3 Months
Course Mode :
Available Online / Offline
Course Fees :
Please contact the office for details