The 4 Cornerstones of Developing a Value-Based Care Model
The new Value-Based Care Model is no different than what the industry was attempting to accomplish in the 1990s with Integrated Delivery Network Managed Care. It’s been 25 years and we still have data integration, referrals and authorization problems across the healthcare delivery continuum. It’s time for payers and providers to work together! The 4 […]
Data Integration is Critical to a Value-Based Transformation
As the healthcare industry begins to transform to the new Value-Based model, there is now much greater emphasis on quality patient care. The effort by current health plans, health systems, and providers to deliver quality patient care based on current available data is difficult at best and is almost impossible to directly measure in terms […]
Are you ready for the Open Enrollment Scramble?
As we all know, preparing for all of the configuration updates surrounding Open Enrollment every year can be a huge drain on your staff’s time. Not only do they need to manage their current workload, but they also have to dedicate focused time on analyzing, documenting, and configuring all of the new or updated benefit […]
Today’s Conflicting Perspectives in Defining Value-Based Healthcare
In order to address the concept of value in health care, it is important to address a fundamental purpose and mission of health care. Health care is the relationship between a physician and a patient in order to achieve patient wellness. – Bill Bysinger, 2016 If this is the mission, then the objectives should be […]
How to Achieve Value-Based Healthcare Transformation
HCIM’s Strategic Consulting mission is to collaborate with healthcare organizations in developing and executing a Value-Based Care Transformation Plan. We utilize a continuous process improvement model and an architectural approach based on medical expense management, appropriate revenue optimization, and administrative cost containment. HCIM’s Value-Based Care Transformation Methodology: Assist with defining a vision for your organization’s […]
Are You Ready to Transition to Value-Based Healthcare?
The goal of HCIM’s expanded Strategic Consulting unit is to assist organizations with assessing, planning and charting out a future road map to transform their current business model (strategy, operations, medical management and financial stability) to one that ensures they achieve results and realize success in true value-based care. In this video, HCIM President and CEO, […]
CMS Releases Updated 2016 Medicare Physician Fee Schedule
CMS posted the revised 2016 Medicare Physician Fee Schedule this week. Please note that the new conversion factor is 35.8043 instead of 35.8279 and there was a $0.19 reduction in the anesthesia national conversion factor. SymKey® can help adjudicate your claims from Jan. 1 forward whether you already processed your Medicare claims and need to reprocess them or if […]
CIOReview Selects HCIM as 2015’s 50 Most Promising Healthcare Tech Solution Providers
HCIM was honored as one of 2015’s Top 50 Most Promising Healthcare Tech Solution Providers for its cost-effective and flexible technology solutions for healthcare payers and managed care organizations HealthCare Information Management, Inc. (HCIM) was selected as one of the nation’s 50 Most Promising Healthcare Tech Solution Providers by CIOReview, based on HCIM’s innovative automation […]
ICD-10: The check is in the mail…or is it?
Is improper coding causing payment delays or denials? Do you need a refresher course on ICD-10 or in-depth training on coding for your specialty? HCIM has an affordable and easy-to-use training program that includes hundreds of mobile friendly online ICD-10 courses with available CME credits and on demand webinars. These trainings are specifically tailored to […]
CMA Survey Indicates Majority of Physicians Not Ready for ICD-10
According to a May 2015 survey of physician practices just released by the California Medical Association (CMA), 51% of respondents claimed to be only minimally prepared for ICD-10, while 21% stated that they were not at all prepared. With only 107 days to go, this is troubling news to say the least. HCIM offers comprehensive […]