Many people still believe that the new ICD-10 CM and PCS code set transition from ICD-9-CM will simply involve one-to-one mapping, but it will also require one-to-many general equivalency mappings
Over the span of my career, I have led or been involved in numerous system installations and conversions. It seems like each project involves an out of date or unsupported
HCIM’s SymKey® Kwik Actions™ application increases the efficiency and productivity of Claims Operations staff by automating routine tasks within and around their health care benefit administration system. Kwik Actions are
According to the RAND Science and Technology Policy Institute’s comprehensive technical report on The Costs and Benefits of Moving to the ICD-10 Code Sets, providers will incur costs for computer reprogramming, the training
Continuing economic pressures and recently enacted Health Care Reform mandates place additional pressure on all health plans and managed care/payers to improve their operational efficiencies and reduce associated costs. Future reductions
Yes, SymKey’s “Reprocess/Pend” standard scenario is a perfect automated solution for repricing paid claims and is very simple to use for EZ-CAP status 9 claims. Create a .txt file with
CMS Progress in Implementing the New Standards CMS is well into the process of readying its FFS Medicare systems to handle the 5010/D.0 standards. All Medicare systems will be ready
Answer: In SymKey for EZ-CAP v. 1.30 and higher, click the “Documentation” link in the “Help” section on the left side of the SymKey main menu. Select the “Batch Processing Technical Procedure Guide” from the
Why the change from 4010A to 5010? Key issues for adapting HIPAA 5010 rules are: To accommodate ICD-10 coding. 4010 technology is outdated. It has been in use for five
While attending the March 2010 EZ-CAP Western Regional User Group (WRUG) conference, I was surprised to hear vendors publically apologize to their clients for delays in benefits matrix configuration, due
Answer: This is a four-step process: Identify the type of claims that you would like to target (i.e. denying claims that exceed a timely filing threshold). Define what claims fall
Today, HCIM celebrates the 10th anniversary of three of its co-founders, Michael Wilson (President & CEO), Jeffrey Hall (SVP and Group Director, Consulting Services), and Thomas Streeter (SVP, Technical Development).
On July 14, 2000, five managed care operations and information technology experts founded HCIM with the goal of addressing the complexities of the managed care payer industry with a combination of consulting services and automated software solutions…
Answer: SymKey for EZ-CAP is designed to work within EZ-CAP’s Professional and Hospital claims modules. As a result, it is able to automate the moving of claims that are in status 1-7
What is HIPAA? HIPAA, which stands for the American Health Insurance Portability and Accountability Act of 1996, is a set of rules to be followed by doctors, hospitals and other
