Overview
The healthcare and health insurance sectors in India are experiencing rapid growth, driven by an expanding network of hospitals, increased health awareness, and rising healthcare costs.This program is specifically designed to develop a trained workforce capable of independently managing both clinical support operations and financial workflows across **hospitals(Healthcare Organizations - HCOs), insurance companies, and Third-Party Administrators (TPAs)**.
Program Outcome
Graduates will master a dual skill set spanning front-end healthcare delivery and back-end revenue management:
- Healthcare Operations & Administration: Managing day-to-day outpatient (OPD) and inpatient (IPD) workflows, optimizing patient flow, ensuring service quality compliance, managing hospital infrastructure, and maintaining patient care standards.
- Insurance & Revenue Cycle Management:Networking/empanellment ,insurance counseling, pre-authorizations, medical billing, tariff management, final claim documentation, government scheme processing, and claims adjudication/auditing for payers,Claim Investigation
Course Details & Administration
- Affiliation: FICS
- Eligibility Criteria:Plus two (+2 / Higher Secondary) and above
- Course Duration: 6 Months
- Mode of Delivery: Hybrid (Online + Offline)
- 5 Months:Coursework (Theory & Concept building)
- 1 Week:Personal Contact Programme (PCP - Practical workshops & simulations)
- 1 Month: Internship (Hands-on hospital/corporate exposure)
Phases
Module 1: Understanding Health & Determinants of Health
Concepts of health, well-being, and socioeconomic factorsinfluencing healthcare.
Module 2: Healthcare Systems & Delivery Models
Public vs. private healthcare structures, primary,secondary, and tertiary care delivery models in India.
Module 3: Legislations for Healthcare Organisations
Legal frameworks, clinical establishment acts,NABH/NABL regulatory compliance guidelines,and patient rights.
Module 4: Organisational Structure of HCO
Hierarchy and departmental workflows(Clinical, Supportive, and Administrative).
Inter-departmental coordination between Nursing,Emergency, Pharmacy, and Front Desk.
Module 5: Medical Terminology
Understanding clinical charts, diagnoses,surgical procedures, and medical acronyms.
Module 6: Healthcare Operations
- Front Office & Frontline Operations:Registration desk management, patient queuing,appointment scheduling, and reducing waiting time.
- OPD & IPD Management:Admission, transfer, discharge workflows,ward allocation, and bed census tracking.
- Quality & Patient Safety:NABH indicators, infection control protocols,and patient feedback mechanisms.
- Materials & Inventory Management:Hospital stores, consumables tracking, and pharmacy-to-ward supply chain management.
- Emergency & Disaster Management:Code protocols like Code Blue and Code Red,triaging systems in emergency departments.
Module 7: Healthcare Billing & Tariff
Medical coding fundamentals, itemized billing, hospital tariff packages, and managing corporate/TPA/Government scheme claims.
Module 8: Health Insurance & Credit Management
Pre-authorization processing, TPA coordination,claim adjudication, credit screening,and cashless hospitalization management.
Module 9: Healthcare Facility & Services Management
- Housekeeping & Environmental Services: Hospital hygiene, sanitation protocols,and linen management.
- Biomedical Waste Management: Segregation, color-coding, and safe disposal regulations.
- Supportive Services:Cafeteria services, security,ambulance logistics, and maintenance utilities.
Module 10: Healthcare Branding & Marketing
Patient acquisition strategies,corporate empanelment marketing,digital presence, and community health camps.