DNYANSAGAR INSTITUTE OF MANAGEMENT AND RESEARCH
MBA-II / SEM-IV / (2024-25)
COMPREHENSIVE CONCURRENT EVALUATION
Faculty Name: Prof. Ujjval More
Subject: Healthcare Analytics Sub Code: 410 SE–IL-BA-14
Sr. No. Parameter / Component Marks Date of Exam/Submission
1 Written Home Assignment 50 03/03/2025
2 Case Study 50 08/03/2025
Component 1. Written Home Assignment
Instructions:
1. The last date of Submission is 08/03/2025.
2. Written Home Assignment should be hand written and in your own words; copied Written
Home Assignment and case study from peers onother open sources will not be considered for
assessment.
3. The content should cover all the points & justify the marks for Written Home Assignment and
case study.
4. Incomplete Written Home Assignment will not be accepted.
5. Student name, specialization, Written Home Assignment questions must be clearly mentioned.
Prof. Ujjval More www.dimr.edu.in
DNYANSAGAR INSTITUTE OF MANAGEMENT AND RESEARCH
Component 1. : Written Home Assignment: (50 Marks)
1) Explain Biomedical Image Analysis and Biomedical Signal Analysis.
2) Discuss Applications and Practical Systems for Healthcare.
3) What is the History of EHR? Explain Components of EHR.
4) List Benefits of EHR, Barriers to Adopting HER and Challenges of Using EHR Data.
5) Discuss Social Media Analysis for Detection and Tracking of Infectious Disease Outbreaks.
6) Explain Analysis of Data from Online Doctor and Patient Communities.
7) Discuss Introduction to Visual Analytics and Medical Data Visualization.
8) Discuss Other Clinical Methods and Visual Analytics for Patients.
9) Define Types of Healthcare Fraud and how to Identifying Healthcare Fraud from Data.
10) How to Identify Fraudulent Claims. - Bayesian Approach & Non-Bayesian Approaches.
Component 2. Case Study: (50 Marks)
Coding Auditing RAC - Health System
Client Details
For a major health system with multiple hospitals located across the state, Vee Technologies provides
various services, including coding, auditing, and RAC (Recovery Audit Contractor) review. The
recovery audit program is an audit program to identify improper Medicare payments, including
overpayments and underpayments as a result of coding issues. All the hospitals in this health system
send the audit recommendations they receive from RAC to Vee Technologies coders to validate the
audit findings.
Challenges
These hospitals were struggling to keep the DNFB down and were facing a shortage of in-house
resources. Workforce constraints at the hospitals were also leading to higher costs. Two of the
hospitals in this health system had coding quality issues for in-house coders and requested Vee
Technologies auditors to perform coding audits for both inpatient and outpatient facilities. The
hospital group was also receiving an increased number of first appeal coding denials from RAC.
Vee Technologies Process Excellence
We were able to staff coders from our university-based coding school, most of whom are certified
from AHIMA or AAPC, who are cross trained to work on multiple specialities, including inpatient
and outpatient chart types. Our quality team reviewed the charts coded by the client coders and gave
Feedback by sharing our audit recommendations. These recommendations enabled the client to
improve coder accuracy and quality. The Vee Technologies team also reviewed assigned medical
records and was successful in identifying documentation and clinical indicators which supported the
coding. This helped the hospitals to request second-level appeals and discuss the claim with the
Recovery Audit Contractor.
Prof. Ujjval More www.dimr.edu.in
