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 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

How to use the ICD-10 deadline delay to your advantage

While we don’t yet know the new compliance deadline for ICD-10, here are some great tips on what to do with your 12+ extra months: http://www.healthcareitnews.com/blog/what-do-about-icd-10-delay

No joke – ICD-10 will be delayed until at least 2015!

April 1, 2014 – In a shocking move, both the House and Senate have voted to postpone ICD-10 until at least Oct. 1, 2015, marking the second time ICD-10 has been delayed. The House passed the bill last week and the Senate approved it yesterday evening, without a single debate about ICD-10 in either chamber of Congress because all the contentious volleying was focused squarely on the sustainable growth rate Read More…

Tips & Tricks: Copy and Reverse

Did you know that SymKey can accurately copy and/or reverse a claim, with or without repricing the contract values in the claim detail lines? Create Exact Claim Copy Functionality Use this action to split claims with a DOS that spans a benefit or contract renewal date, or to divide financial responsibility. With the Exact Claim Copy action, SymKey creates an “exact” copy of another claim. You can combine this function Read More…

State of the Payor Industry Survey Indicates Need for Business Process Automation

More than 130 leaders from health plans across the United States responded to HealthEdge’s Jan. 2014 “State of the Payor” industry survey. As a company that offers business process automation solutions, we were particularly interested in question #4 (below), which shows that 81.3% of surveyed payors believe it would significantly reduce their administrative costs to “automate existing business processes” and 55.5% believed it would help to “increase auto-adjudication rates.” HCIM’s Read More…

CMS’ Marilyn Tavenner states that ICD-10 will not be delayed again

On Tuesday, Feb. 25, 2014, CMS Administrator Marilyn Tavenner spoke at the HIMSS Conference in Orlando, Fla., saying that ICD-10 will not be postponed again. “Let’s face it guys, we’ve delayed this several times and it’s time to move on.” For more information, click the heading above.

Endorsements

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

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

NAMM-IL

“SymKey has been a big help with the re-pricing of claims for the new rates for 2010 and 2011. Because of the separate reversal and repricings, the project grew to over 300,000 claims. It would have taken an adjustor weeks to do what SymKey did in just a few days. SymKey has been a great asset to the department.”

Thelma Simpson
Claims Supervisor

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

Choice Medical Group

“Our claims department has been very impressed with the SymKey product. It has tremendously helped them keep up with the volume of claims we receive even when we have had staff turnover.”

Justin Ashe
Director Of Information Technology

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

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

“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

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

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

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

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

Desert Oasis Healthcare

“SymKey is my very best friend. Without SymKey, it would be more difficult to maintain an eight day inventory with current staff.”

Brooke Yates
Claims Data Specialist II

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

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

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

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

Physicians Medical Group of SCC

“We are always seeking ways to improve time management in this constantly evolving environment of medical claims administration. Shifting common edits to be run by SymKey supports the more efficient use of claims staff time, which can be applied to the development of new scripts and review of complex claims. SymKey has been a valuable tool.”

Faye Merryman
Claims Supervisor

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

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

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