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
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
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
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.
On February 1, 2014, CORE released an updated version of the CORE Code Combinations for use with the CAQH CORE 360: Uniform Use of CARCs and RARCs Rule. The CORE
January 2, 2014 – The Department of Health and Human Services (HHS) published a proposed rule today regarding certification (also referred to as attestation) under the Affordable Care Act, which
HCIM President & CEO, Michael Wilson, was recently interviewed for “The Benefits of ICD-10 to Medical Practices” article written by Shelly K. Schwartz and published in Physicians Practice: For all
There’s officially only one year left before the ICD-10 compliance deadline and CMS has no plans to extend the date, so it’s time to get moving! Although the extra year
Do you often need to add a detail line to your claims? If your claims processors are manually performing the following tasks over and over again, it’s time to automate
The Budget Control Act of 2011 required mandatory, across the board reductions in federal spending, which has been more commonly referred to as sequestration. CMS Announces FFS Payment Reductions –
HCIM’s SymKey® Benefit Plan Loader tool for QNXT™ allows you to update your benefit plan data 6-8x faster! Seamlessly integrates with your QNXT™ claim system and extracts your benefit plans
Check CMS’ website for the 2014 General Equivalence Mappings (GEMs) for diagnosis codes and inpatient procedure codes. The GEMs show forward/backward mapping between the 2014 ICD-9-CM codes and the 2014 ICD-10 codes. CMS has announced that they will post the 2014 Reimbursement Mappings in October 2013.
For other recent ICD-10 news and resources, visit the CMS ICD-10 website.
If you’re in the ICD-10 testing phase, you may want to view the updated ICD-10 end-to-end testing checklists that CMS and NGS released last month. Download the Payer ICD-10 Testing Checklist
For more information or for vendor and provider checklists, visit CMS’ ICD-10 webpage.