HealthCare Information Management, Inc.
Turning Complexity into Simplicity.™

HCIM's Business Process Automation Solutions and Services will transform your business HCIM Healthcare Payer Consulting Services HCIM Selected as Top 20 Healthcare Consulting Provider by CIOReview SymKey - Process claims faster, cheaper, easier, and more accurately with less staff and a tighter budget. ICD-When? With less than a year to go, we can help you get ICD-10 under control before time runs out. Automate the Loading of Benefit Plans into QNXT with the SymKey Benefit Plan Loader
Recent News

The Lost Art of Doing Business Face-to-Face: Part 1

I wanted to title this blog “You can’t shake hands in a virtual meeting” because we seem to have lost the art of doing business face-to-face. In this brave new world of technological conveniences, business communication has become dominated by emails, cell phone conversations, and text messages. But what about the handshake? I believe in the inherent personal and professional value of meeting your client or colleague in person to conduct business. This goes Read More…

SymKey’s Reprocess/Pend scenario is a perfect automated solution for adjusting paid EZ-CAP claims 6-10x faster than manually

The SymKey® Reprocess/Pend scenario (available via a query or TXT file) reprocesses EZ-CAP® status 9 paid claims by duplicating the claim and all detail lines, adjusting the original net pay of each line, re-pricing each claim line, adding a Processing Status note to reference the original claim, and then pending the duplicated claim to status 3 for final review by a Claims Analyst. You can combine this with several other Read More…

Tuality Health Alliance Leverages Integrated Suite of Automated Solutions

Tuality Health Alliance (Tuality) is a physician-hospital community organization that contracts with over a dozen health plans. Their physician membership includes approximately 80 primary-care physicians and 200 specialists. Tuality went live with SymKey® for Plexis Claims Manager™ in mid-July, 2014. Within the first month, they were processing an average of 400 claims per hour with SymKey®. Tuality also licensed Virtual Examiner® and Virtual Auto-Post™ this past October and has been Read More…

CMS Announces Technical Issue that Delays Medicare Physician Fee Schedule until 1/15/15

Hold your claims! When CMS has an issue, we all have an issue. The Medicare Physician Fee Schedule that was published in the Federal Register this past November has been cancelled by CMS for correction of unspecified errors. MACs will hold claims until at least January 15, 2015 due to revisions to the conversion factor and relative value units (RVUs), so you will not have the correct fee schedule until Read More…

Why should the U.S. move from ICD-9 to ICD-10?

Carl Natale wrote today in his article “ICD-10 Data: Why U.S. healthcare needs to move on from ICD-9 coding” that while many opponents of ICD-10 say that it won’t improve patient care, the fact is that it will – just not right away. Compiling enough data to make a significant difference can take years, but it will eventually serve to reduce medical uncertainty, identify risk factors, discover links between symptoms Read More…

Endorsements

Physicians Medical Group of SCC

“We have been able to move many of our homegrown solutions into the SymKey product, which ensures that the rules are applied accurately and consistently. We will soon be expanding the use of SymKey into more auto-adjudication areas, and we are confident that it will continue to improve our productivity.”

Cindy Martin
COO

Managed Care Systems

“I’m watching a SymKey scenario right now. It just keyed 62 claims at 1,151 claims/hour. I tease my analysts and say, “Let’s see you key that fast.” On average, my claims analysts process 200 claims/day. They’d be superhuman if they could key half as fast as SymKey! My analysts love using SymKey because it boosts production, reduces errors, and saves them from having to do a lot of tedious manual work.”

Tammy Anderson
Claims Manager

Physicians of Southwest Washington

“At our rate of growth, we’ve needed to hire more claims processors every year and I was actually down a claims processor when we started our trial, but our productivity has improved so much with SymKey that we don’t need to hire any new claims processors at this point. Because SymKey can handle all the claims we throw at it, we can grow our business with a reduction in hiring.”

Tamra Ruymann
Claims Manager

Tuality Health Alliance

“The HCIM staff has been awesome to work with since day one! We really threw some new and interesting challenges at the HCIM staff and they have worked through every complex workflow scenario with us to find automation solutions. Everyone is extremely helpful, quick to respond and readily available to answer all of our questions/concerns. Our only regret is that we didn’t hear about you years ago!”

Chris Senz
COO

NAMM-IL

“SymKey was very instrumental with the volume we encountered. Being able to change statuses was one of the key steps for our review process. This work around enabled us to block our claim categories and review without interfering in our regular claim process. SymKey has been a tremendous help! SymKey made the impossible possible!”

Marina Nuñez
Claims Supervisor

Choice Medical Group

“All I have is SymKey and one auditor. It’s been an easy weekly check run for me.”

Myrna Javier
Claims Manager

NAMM-IL

“In the few months since we licensed SymKey, we’ve already seen a 50% decrease in the amount of time supervisors have to prepare for check runs and we’ve achieved a higher level of productiveness and effectiveness in our claims processing. We currently run about 80% of our claims through SymKey. Since SymKey can automate our processes, it will allow us to grow without having to hire and train more staff.”

Mary Kouvelis
Senior Operations Director

Physicians Medical Group of SCC

“The primary advantage we’ve found with SymKey® has been the ability to have scripts written to auto-adjudicate the most common edits or adjustments. We have a variety of contract designs specific to certain providers/specialties with unique reimbursement methodologies. One example that we are especially proud of is our shared endoscopic base procedure adjustment script that automates the correct calculation of a complex contract scenario that cannot be configured in EZ-CAP®.”

Faye Merryman
Claims Supervisor

WINhealth Partners

“We have been using SymKey® Virtual Auto-Post™ with xpress™ since December of 2013. After we got everything set up, it became one of the easiest things I do every day. It is a simple matter of reviewing errors on claims and letting SymKey® post the modifier or denial. It also does all necessary documentation. What a time saver.”

Sharon Goodman
Manager of Claims

Network Medical Management

“I run 80% of my claims through SymKey and the new Batch Manager is heaven sent. I just schedule all my reports and SymKey does its thing, so I don’t even have to look at it.”

Kathleen Leaño
Director of Operations

Tuality Health Alliance

“SymKey® has taken our very tedious and quite repetitive manual work and practically eliminated it! We now have time to actually focus on accuracy and proper payment, rather than just data entry. We are becoming true claim examiners. Try and trust. Think outside the box! Understand that SymKey® is another examiner, so anything that you can do, SymKey® can do it faster with accuracy 100% of the time!”

Julie Spiert
Operations Manager

PrimaryHealth of Josephine County

“Everyone has been wonderful to work with! Not only was our onsite visit great, but continuing support is timely, responses to our questions are well thought out, and it’s clear that HCIM has our best interest in mind!”

Maggie Rollins
Director of Operations

Desert Oasis Healthcare

“SymKey’s abilities contribute to the success of the department. SymKey makes life easier by adding memos and notes, applying adjustment codes, correcting information that was in-loaded incorrectly, adding authorizations and case numbers, adding and/or removing copays, copying claims for adjustments, etc. We LOVE our Symkey and the people behind the product. The customer service is outstanding – they are responsive, helpful, accommodating, friendly, generous with their time and knowledge, and innovative.”

Clare Abadie
Claims Director

Choice Medical Group

“My favorite feature is how fast SymKey auto-adjudicated thousands of claims/hour according to our specific needs. We saved at least 1-2 FTEs and expect to realize additional cost savings when we’re able to schedule our reports. Virtual Auto-Post™ saved lots of time by not having to review every single CCI edit pulled by Virtual Examiner/Reporter – SymKey automatically applied the adjustment reason codes and denied claims as instructed.”

Christina Ortiz
Claims Auditor

Choice Medical Group

“SymKey’s an asset to our team and is really an ideal employee because it’s incredibly efficient, always does what it’s told, never calls in sick, and won’t ever quit on us. SymKey has allowed us to automate a high volume of claims so our processors can focus on higher priorities and more complex tasks.”

Blair Bryson
IPA Administrator

Desert Oasis Healthcare (DOHC)

“SymKey Virtual Auto-Post freed up examiners from having to manually enter adjustment codes by having VAP do the work. VAP is fast and accurate. Efficiency is the name of the game. The more innovative we are, the more we realize how SymKey can be utilized. We have a new saying around DOHC, ‘How did we ever live without SymKey Virtual Auto-Post?”

Clare Abadie
Claims Director

NAMM-IL

“We were presented with a monumental task. Our Fee Schedules were updated and we had to reprocess over 300,000 claims. It would take thousands of staff-hours just to enter all these claims, not to mention auditing for accuracy of copay, eligibility, coding, etc. SymKey recreated the 300,000 claims so that our focus was on auditing the repricing payments. Thank you SymKey for all the hours you saved us.”

Karen Cherone
Claims Supervisor

Physicians of Southwest Washington

“SymKey’s price tag was unbelievable! I didn’t think a small company like ours would be able to afford it, but the cost was so reasonable and the ROI was just amazing. I’m seeing a 3x return on my investment!”

Tamra Ruymann
Claims Manager

Managed Care Systems

“We have seen considerable improvement in productivity in the QNXT system with the use of SymKey. For the first time, authorization requests that we have identified as “auto auth” are actually going in clerk-free. Since the middle of July we have lost two FTEs and have two additional employees on leave and have so far been able to absorb the workload.”

Janice Jones
UM Director

Bakersfield Family Medical Center

“I am really enjoying SymKey® 3.0. The processing time has gotten faster and my work day has gotten shorter – all of which are a good thing!”

Sharlene Ramey
EDI Analyst, MIS

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