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

Unlock Efficiency with the EZ-CAP 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 […]

Data Integrity: Are you putting your organization at risk?

For many payers, mundane tasks such as claim adjustments, recoupments, and retroactive changes are relegated to SQL scripts for the perceived benefit of freeing up more time in their examiner’s day. While this seems like an efficient practice that allows staff to focus their attention on more complex tasks, many organizations are unaware that while […]

Enhancing Healthcare Transparency: What You Need to Know

Enhancing Healthcare Transparency

In a recent appearance before the House Energy and Commerce Committee’s Subcommittee on Health, Centers for Medicine & Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure spent some time shedding light on the agency’s most recent efforts. Her testimony included highlighting the agency’s work in implementing the Inflation Reduction Act, which reduced out-of-pocket drug costs for seniors, […]

Healthcare Spending: 5 Key Post-Pandemic Cost and Utilization Trends

The COVID-19 pandemic sent shockwaves through the healthcare industry, disrupting healthcare spending and utilization patterns, and leaving a noticeable impact on how we approach healthcare. Recent data from the Health Care Cost Institute‘s 2021 health care cost and utilization report, a report based on a collection of claims from commercial payers like Aetna, Humana, Kaiser […]