HCIM and PCG Software Announce Partnership to Reduce the Cost of Healthcare for Payers and Other Managed Care Organizations
HCIM to Serve as the Exclusive Value-Added Reseller for PCG Software’s Virtual Examiner® and Virtual Reporter® HCIM and PCG Software, Inc. (PCG) today announced an exclusive value-added reseller (VAR) agreement to resell PCG’s Virtual Examiner® and Virtual Reporter® (VE/VR) claims recommendation software to the healthcare payer/managed care industry. With the use of more than 30 […]
Managed Care Systems Increases Productivity with the SymKey® Benefit Plan Loader for QNXT™
Open Enrollment is upon all of us this year and the annual challenge of building and maintaining all the benefit plans for the upcoming year begins. HCIM’s SymKey® Benefit Plan Loader™ for QNXT™ (SymKey® BPL) provides you with an automated solution for building and editing your benefit plans. The SymKey® BPL extracts benefit plan information […]
Heritage Provider Network Secures SymKey® Enterprise License
HCIM is pleased to announce that Heritage Provider Network (HPN) is the first EZ-CAP® client to sign a SymKey® Enterprise license. Their Enterprise level agreement includes access to the entire SymKey® for EZ-CAP® suite of solutions, including the Professional, Hospital, and Virtual Auto-Post™ modules for all seven of HPN’s sites. As an added bonus, HPN […]
MedPOINT Management Processes 480 Claims per Hour with SymKey
MedPOINT Management, Inc. has been an HCIM client since 2010 and upgraded to SymKey® 3.0 in February 2014. MedPOINT has been processing an average of 240 Professional/Hospital claims per hour using SymKey®, which is about 11-19x faster than manually. And since MedPOINT has two SymKey® processing engines, they were able to process an equivalent of […]
New HCIM Customer Portal and Ticketing System
In order to provide our clients with the best possible customer service, HCIM has launched a new ticketing system on the TeamSupport platform. The new HCIM Customer Portal allows clients to submit tickets via a web form, track updates, access support documentation, and search the knowledgebase. When clients submit a ticket via the Customer Portal, […]
Tips & Tricks: SymKey’s “set it and forget it” functionality
SymKey’s enhanced user interface and innovative features including the Query Builder, Query Sequencer, and Scheduler, have greatly improved our clients’ productivity. HCIM’s clients rave about the “set it and forget it” functionality that allows them to run SymKey® unattended. The Query feature allows the building of any type of SQL-language report directly within SymKey®, for […]
Tips & Tricks: Copy and Reverse
Did you know that SymKey® can accurately copy and/or reverse a claim, with or without repricing the contract values in the claim detail lines? Create Exact Claim Copy Functionality Use this action to split claims with a DOS that spans a benefit or contract renewal date, or to divide financial responsibility. With the Exact Claim […]
State of the Payor Industry Survey Indicates Need for Business Process Automation
More than 130 leaders from health plans across the United States responded to HealthEdge’s Jan. 2014 “State of the Payor” industry survey. As a company that offers business process automation solutions, we were particularly interested in question #4 (below), which shows that 81.3% of surveyed payors believe it would significantly reduce their administrative costs to […]
New SymKey® 3.0 Functionality: “Add a Line” Scenarios
Do you often need to add a detail line to your claims? If your claims processors are manually performing the following tasks over and over again, it’s time to automate them! SymKey® can add a claim line for: Bundling codes together in a new line to approve or deny Down-coding a level 5 ER visit […]
Do you manually apply the 2% Medicare Sequestration?
The Budget Control Act of 2011 required mandatory, across the board reductions in federal spending, which has been more commonly referred to as sequestration. CMS Announces FFS Payment Reductions – March 8, 2013 Due to the sequestration, CMS announced mandatory 2% payment reductions in the Medicare Fee-for-Service (Part A and Part B) Program and would […]