Scaling New Heights: The Strategic Advantage of Additional SymKey Robots
When faced with increasing claims volumes or special projects like large-scale reprocessing, many healthcare payers look to traditional solutions such as hiring more staff or mandating overtime for existing staff. Both options come with drawbacks; hiring can be a lengthy process along with significant training investment. Even temporary help requires training and supervision that often […]
SymKey Unlocks: Tackling COB Head-on
The COB Challenge Coordination of Benefits (COB) – the perpetual headache for healthcare payers. Manual processes, incomplete member questionnaires, and the eternal struggle of determining the order of benefits. The result? Delayed payments, increase in appeals such as over payment and under payment of claims, and an increase of claim pend ratio. System Limitations Many […]
Understanding Auto Adjudication
Auto adjudication is the process of swiftly processing insurance and public benefit claims, without the need for manual intervention or decision-making for each claim. In essence, it’s about harnessing the potential of technology and smart system configuration to handle claims automatically. It’s often misconstrued as a straightforward process. Configure certain rules and parameters, set up […]
Exciting New Chapter: HCIM has partnered with Metamora Growth Partners
HCIM is excited to announce as of April 2024 we have partnered with Metamora Growth Partners, marking a significant milestone in our journey. This partnership presents an exciting opportunity for HCIM to enhance our existing offerings and continue providing innovative solutions tailored specifically for healthcare payers. “The drive to serve has been at the heart […]
Streamlining Payment Processing: A SymKey Success Story
Ensuring the payment process is accurate, efficient, and timely is crucial for healthcare payers. The SymKey Payment Processing Module is a tool to help streamline the check run process and provides flexibility to make corrections and safeguard proper payment. SymKey Payment Processing Module runs against the claim system database and via Excel or CSV files […]
Understanding the Upcoming Changes in Drug Prices and STLDI Plans
In a major move toward healthcare reform, the HHS along with the Departments of Labor and the Treasury have proposed provisions that address critical issues in the realms of prescription drug pricing and Short Term, Limited-Duration Insurance (STLDI) plans. These actions reflect a commitment to empower consumers and ensure they have access to quality healthcare […]
SymKey Unlocks Efficiency: 10-Month DME Simplified
Manual claims processing can be a costly, time-consuming process marred by potential errors. This is especially true for Durable Medical Equipment (DME) 10-month rentals, which are a complex but crucial part of patient care. Physicians order equipment that provides therapeutic benefits to the patient, and these rentals cover a period of 10 continuous months, at […]
HCIM’s Professional Solutions: Expertise That Delivers
Consulting is often associated with external assistance – but what if it could be so much more than that? HCIM’s Professional Solutions redefines what consulting means. We’re not an extra set of hands; we’re problem solvers, experts, and trusted partners dedicated to your success. Our team is more than just educated; they’re experienced. They’ve walked […]
CMS Proposed Changes: Enhancing Healthcare Access and Coordination
In a significant stride towards improved healthcare, the Centers for Medicare & Medicaid Services has unveiled its calendar year (CY) 2024 Medicare Physician Fee Schedule (PFS) proposed rule. The comprehensive update outlines a vision for improved coverage, increased access, and more equitable healthcare. New Codes and Payments for Underserved Populations: To bridge healthcare disparities and […]
Optimize EZ-CAP System Processing: HCIM’s Benefit Matrix Assessment Package
When it comes to benefit configuration, inefficient workarounds are costly, and improper maintenance efforts put unnecessary strain on resources. Taking the time to address benefit matrix configuration is not something to put off until you find the time – it’s a necessity. HCIM has introduced the EZ-CAP Benefit Matrix Assessment Package, a comprehensive solution that […]