SymKey Unlocks: Eliminating Unwanted Duplicate Lines
Claims are divided into two primary parts: the claim header, which contains essential details like member, provider, and location, and claim lines, which represent the services performed. While this structure supports efficient organization, specific scenarios – such as creating new claims – can result in unintended line duplication. The Problem Unexpected Line Duplication: When a […]
Flexible and Efficient Automation: SymKey Query Builder and Scheduler Features
As healthcare providers continually seek ways to improve efficiency, SymKey’s user interface delivers flexible automation and user-friendly features. Query Builder and Query Sequencer: Craft SQL statement and Query Sequencer that automatically run one query after the other, in a unique order within SymKey to handle complex claims processing scenarios. This tool is indispensable for creating […]
Demystifying SymKey Implementation: Quick, Supported, and Flexible
When considering new technology, particularly one that promises to streamline operations as significantly as SymKey does, it’s natural to feel a mix of excitement and apprehension. The concerns about time, resources, and the sheer scale of implementation are valid, particularly for those who have endured less-than-ideal experiences in the past. These fears, while understandable, are […]
SymKey Provider Module: Rapid Implementation, Rapid Results
The recent deployment of the SymKey Provider Module at a Management Services Organization (MSO) in Southern California highlights our commitment to delivering quick solutions with immediate impact. Completed in just 30 days, the implementation process was smooth and efficient, leading to impressive productivity in the first two months. Performance Overview in the Initial Two Months: […]
Trust in Technology: Senate Report Scrutinizes Medicare Advantage Plans
Technological advancements have the potential to transform healthcare, offering tools for better management and efficiency. However, a recent Senate report presents a critical view of how leading Medicare Advantage insurers like UnitedHealthcare, Humana, and CVS are deploying such technologies. The report uncovers how these insurers have increased their use of algorithmic tools, leading to a […]
Provider Survey Reveals the Growing Challenge of Claims Denials
In recent years, healthcare providers have faced increasing challenges with claims denials, a trend that has worsened significantly since 2022. According to Experian Health’s 2024 State of Claims survey, the primary culprits for these denials include prior authorizations and inaccuracies in data submission. The survey gleaned insights from 210 healthcare staff members responsible for administration […]
SymKey Unlocks: Beyond SQL Scripting
The SymKey Solution SQL scripts have long been a staple in healthcare claims processing, managing everything from data updates to claims adjustments. Yet, they carry inherent limitations that can risk data integrity and compliance. Transitioning from SQL Scripts to SymKey is Straightforward You don’t have to throw away your existing SQL work. Instead, your SQL […]
Empowering Kindness: How Ben’s Bells Strengthen Communities
At our recent 2024 All Colleague Meeting, the HCIM team came together to collaborate, celebrate, and take time to embrace the spirit of community and kindness. Our colleagues participated in a mobile studio session with Ben’s Bells, painting ceramics destined for the community. This event wasn’t just about crafting beautiful ceramics but a profound exercise in […]
Reduce Manual MIPS Adjustments with SymKey
The 2024 updates to the Merit-based Incentive Payment System (MIPS) significantly impact healthcare professionals, influencing both management practices and compensation for Medicare Part B services. With eligibility criteria encompassing everything from patient volumes to service thresholds, MIPS has set a complex standard that demands precise compliance and operational efficiency. While many Core administrative systems have […]
How SymKey Simplifies Sequestration
Sequestration, a common hurdle for any healthcare payer under Medicare’s Fee-for-Service (FFS) program, often involves tedious manual processes. Let’s delve into this challenge and discover how SymKey frees you from this time-consuming burden. What is Sequestration? Simply put, it’s a federal budget control measure that reduces the amount Medicare pays to providers through mandatory reductions […]
