Domain
Where are we?
Hospitals, clinics, diagnostic labs and home & virtual care — working with patients, insurers, TPAs, government schemes and regulators.
How the healthcare — provider business actually flows
Hospitals, clinics, diagnostics and home care — how care is delivered, documented, coded, billed and paid. Every session in this track hangs off this one flow, so you always know which part of the business you are looking at.
- Register & schedule
- Deliver care
- Document & protect
- Code & charge
- Bill & collect
- Follow up
The nine layers of the Healthcare — Provider domain
Every BDC track answers the same nine questions in the same order, so knowledge from one domain transfers to the next. Here is what each layer looks like in Healthcare — Provider.
Business
How does it make money?
Turning delivered care into collected revenue. KPIs: clean claim rate, denial rate, days in A/R, net collection rate, bed occupancy.
Process
How does the work flow?
Book → Register → Triage → Consult → Order & result → Treat → Discharge → Bill & collect → Follow up.
System
Which applications run it?
EHR/EMR, HIS/practice management, LIS, RIS & PACS, pharmacy & eRx, RCM/billing, patient portal and the integration engine.
Data
What information matters?
Patient (MRN/UHID), encounter, order, result, charge and claim — coded with ICD-10, CPT, SNOMED CT, LOINC and RxNorm.
Integration
How do systems talk?
HL7 v2 ADT/ORU, FHIR R4 APIs, DICOM imaging, C-CDA documents, X12 270/271 eligibility, 278 prior auth, 837 claims and 835 remittance.
Transaction
Follow one, end to end.
Patient books → Registered (MRN) → Consult documented → Lab order sent → Result returned & acknowledged → Charges captured & coded → 837 claim sent → 835 posted
Testing
How do we prove it works?
Duplicate patient records, interface reconciliation, order-to-result traceability, charge capture, PHI masking and role-based access.
Real-world scenario
What happens on a live project?
One mis-mapped HL7 field attaches a lab result to the wrong MRN. Six hours pass before anyone notices. Trace the message and write the interface test that catches it.
Sessions in the Healthcare — Provider track
Ten sessions, one per framework layer, closing with a proctored certification assessment. Session 01 is free for everyone, in English and Telugu.
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How a hospital, clinic, lab or home-care business really works — the nine-stage journey, the systems behind it, the standards that move the data and what QA must get right.
- The four provider types and care settings
- The nine-stage provider journey
- Who pays — and why it changes the project
- The systems behind a provider
- Standards, code sets and identifiers
- Encounter
- MRN
- EHR
- Provider
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HCP-S02
How Providers Get Paid
UpcomingSelf-pay, insurance, cashless, government schemes and value-based care — and the numbers a revenue cycle manager watches.
- The five payment models and what each rewards
- Clean claim rate and denial rate
- Days in A/R and net collection rate
- Cost to collect and avoidable rework
- Where revenue is actually lost
- Fee-for-service
- Capitation
- Denial rate
- Days in A/R
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HCP-S03
Care to Cash: The Provider Process
UpcomingBook, register, triage, consult, order, treat, discharge, bill, follow up — and what each step must capture.
- Scheduling, registration and consent
- Triage, consultation and the care plan
- Orders, results and acknowledgement
- Discharge summary and follow-up
- Charge capture and the claim
- Triage
- Charge capture
- Discharge
- Encounter
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HCP-S04
The Provider Systems Landscape
UpcomingEHR, HIS, LIS, RIS/PACS, pharmacy, RCM, portal and the integration engine — what each one owns.
- EHR / EMR and the clinical record
- HIS / practice management and patient accounts
- LIS, RIS and PACS
- Pharmacy, eRx and the patient portal
- RCM, clearinghouse and the integration engine
- EHR
- HIS
- LIS
- PACS
- RCM
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HCP-S05
Provider Data, Code Sets & Identifiers
UpcomingThe entities, vocabularies and identifiers that make provider data mean the same thing everywhere.
- Patient, encounter, order, charge and claim
- ICD-10 / ICD-11 and CPT / HCPCS
- SNOMED CT, LOINC, RxNorm and DRG
- MRN, encounter id, NPI, member id, claim id
- ABHA and the ABDM registries
- ICD-10
- CPT
- LOINC
- MRN
- ABHA
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HCP-S06
HL7, FHIR, DICOM & X12 in a Hospital
UpcomingHow provider systems actually talk — the standards behind every interface, and how they fail.
- HL7 v2 ADT, ORU and order messages
- FHIR R4 APIs and resources
- DICOM imaging and C-CDA documents
- X12 270/271, 278, 837 and 835
- Dropped, duplicated and mis-mapped messages
- HL7
- FHIR
- DICOM
- X12
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HCP-S07
Follow One Encounter, End to End
UpcomingA single patient visit traced from the booking screen to the money landing in the bank.
- Booking and registration create the record
- Order flows to the lab and the result comes back
- Charges captured and coded
- 837 claim submitted and adjudicated
- 835 posted and the patient balance closed
- Encounter
- 837
- 835
- Traceability
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HCP-S08
Testing Provider Systems
UpcomingThe six areas where provider defects live — and why patient safety changes how you test.
- Duplicate records, merge and MRN rules
- Interface reconciliation and negative acknowledgements
- Order-to-result traceability and abnormal flags
- Charge capture, scrubbing and denial coverage
- PHI masking, role matrices and audit logs
- PHI
- Traceability
- Break-glass
- Reconciliation
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HCP-S09
Real-World: The Result on the Wrong Patient
UpcomingOne mis-mapped HL7 field attaches a lab result to the wrong MRN — a safety event, not a bug.
- How the mapping change reached production
- Why nobody noticed for six hours
- Tracing the message through the engine
- The clinical and regulatory impact
- The interface test that would have caught it
- HL7 mapping
- Patient safety
- Incident
- Regression
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HCP-S10
Healthcare Provider Certification Assessment
UpcomingThe whole provider track in one place — a short recap video, then a proctored online assessment that applies all nine framework layers to a real-world scenario.
- Nine-layer recap of the provider domain
- The five things most people get wrong
- 30 questions · 45 minutes · 70% to pass
- Webcam-proctored, one question at a time
- Certificate with a verifiable ID
- Assessment
- Certification
- Proctored
- Nine layers
Healthcare — Provider terms you will hear on every project
The vocabulary that separates someone who can follow a healthcare — provider requirements discussion from someone who cannot.
- EHR
- MRN
- HL7
- FHIR
- ICD-10
- 837
Certified Healthcare — Provider Domain Practitioner — BDC-HCP
Finish the ten sessions, pass the online proctored assessment, and submit a scenario analysis to earn this domain's certificate. Each domain certifies separately.
Step 01
Learn
Watch every session in the Healthcare — Provider track and work through the handbook, framework workbook and test scenario checklist.
Step 02
Assess
Sit the online domain assessment — proctored with webcam on, no copying, no switching tabs and no looking answers up.
Step 03
Certify
Submit a real-world scenario analysis and receive your BDC-HCP certificate.
Enrolment
₹3,999₹5,999
Including GST · $59 outside India · launch price
One payment unlocks the whole Healthcare — Provider track: all 10 sessions in English and Telugu, every handbook, workbook and deck, the proctored assessment and the BDC-HCP certificate. Session 01 stays free for everyone. Taking more than one domain? Two are ₹9,999 and all seven tracks are ₹19,999 for a year.
Common questions
What is healthcare — provider domain knowledge, and why do QA and BA roles need it?
Hospitals, clinics, diagnostics and home care — how care is delivered, documented, coded, billed and paid. Turning delivered care into collected revenue. KPIs: clean claim rate, denial rate, days in A/R, net collection rate, bed occupancy. Without that picture, testers write cases against screens instead of against the business, requirements get read literally, and defects that matter most are the ones nobody thought to look for. This track gives you the business first and the systems second.
What does the Healthcare — Provider track cover?
Ten sessions following the nine-layer BDC framework: 01 Healthcare — Provider at a Glance; 02 How Providers Get Paid; 03 Care to Cash: The Provider Process; 04 The Provider Systems Landscape; 05 Provider Data, Code Sets & Identifiers; 06 HL7, FHIR, DICOM & X12 in a Hospital; 07 Follow One Encounter, End to End; 08 Testing Provider Systems; 09 Real-World: The Result on the Wrong Patient; closing with the Healthcare Provider Certification Assessment.
Is the Healthcare — Provider training free?
Session 01, the "at a glance" overview, is free for everyone in both English and Telugu. The remaining sessions, materials, assessment and certificate unlock when you enrol for this domain's certification, which costs ₹3,999 including GST, or $59 outside India — a launch price, down from ₹5,999. It is one payment for lifetime access to this domain — there is no subscription.
Are the sessions available in Telugu?
The website and the main sessions are in English. Separate Telugu explanation videos are published on the YouTube channel for released sessions, in conversational Telugu with technical terms left in English.
Who teaches these sessions?
Chandramouli Pasumarthy, Director of Quality Engineering and Delivery with 20+ years in the IT industry, leading QA and delivery for enterprise programmes across healthcare, retail, financial services, government and logistics.
Start the Healthcare — Provider track
Session 01 is free. Create an account to keep your progress, download the summary notes, and get each new session as it releases.