HealthCare Information Management, Inc. (HCIM)

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New Virtual Examiner<sup>®</sup> and Claims Audit Tool<sup>™</sup> Solution Suite Featuring SymKey<sup>®</sup> Automation

New Virtual Examiner® and Claims Audit Tool Solution Suite Featuring SymKey® Automation

This past July, a large Medicaid health plan licensed the Virtual Examiner® (VE) and Claims Audit Tool™ (CAT) solution featuring SymKey® Virtual Auto-Post™ (VAP) automation for the QNXT™ claims system. This cost-effective integrated solution will help the client to realize potentially millions of dollars in overpayment and rework savings, and generate significant ROI. It will […]

Testimonials

  • Testimonial

    “We’re looking for whatever we can do to automate our business processes accurately and without errors. The less we can do manually, without human intervention, and the more we can do with automated computer processing is the way we want to go. We started with a few companies and kept adding additional SymKey® modules and features. As we were growing in size, it just made sense to secure an Enterprise SymKey® license. The biggest advantage is the fact that we’re able to get through a large volume of changes that would have previously required a manual touch. We’re seeing faster processing times and reduced FTEs.”

    - Scott Bae, SVP of Corporate IS at Heritage Provider Network

  • Testimonial

    “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 at Physicians Medical Group of SCC

  • Testimonial

    “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 at Network Medical Management

  • Testimonial

    “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 at WINhealth Partners

  • Testimonial

    “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 at PrimaryHealth of Josephine County

  • Testimonial

    “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 at Choice Medical Group

  • Testimonial

    “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 at Desert Oasis Healthcare

  • Testimonial

    “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 at Physicians of Southwest Washington

  • Testimonial

    “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 at NAMM-IL

  • Testimonial

    “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 at Physicians of Southwest Washington

  • Testimonial

    “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 Nunez, Claims Supervisor at NAMM-IL

  • Testimonial

    “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 at Tuality Health Alliance

  • Testimonial

    “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 at NAMM-IL

  • Testimonial

    “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 at Physicians Medical Group of SCC

  • Testimonial

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

    - Myrna Javier, Claims Manager at Choice Medical Group

  • Testimonial

    “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 at Bakersfield Family Medical Center

  • Testimonial

    “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 at Tuality Health Alliance

  • Testimonial

    “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®/Virtual Reporter™ – SymKey® automatically applied the adjustment reason codes and denied claims as instructed.”

    - Christina Ortiz, Claims Auditor at Choice Medical Group

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