Answer: In SymKey for EZ-CAP v. 1.30 and higher, click the “Documentation” link in the “Help” section on the left side of the SymKey main menu. Select the “Batch Processing Technical Procedure Guide” from the “Documentation” sub menu. The guide provides a detailed overview of the available functionality as well as instructions on how to
Why the change from 4010A to 5010? Key issues for adapting HIPAA 5010 rules are: To accommodate ICD-10 coding. 4010 technology is outdated. It has been in use for five years and was written three years prior to that. Many of the situational and required rules did not fit health care
While attending the March 2010 EZ-CAP Western Regional User Group (WRUG) conference, I was surprised to hear vendors publically apologize to their clients for delays in benefits matrix configuration, due to a lack of practical experience with the EZ-CAP benefits matrix. I’ve always believed that clients should not have to pay
Answer: This is a four-step process: Identify the type of claims that you would like to target (i.e. denying claims that exceed a timely filing threshold). Define what claims fall into this scenario (i.e. timely filing claims may be in-network providers as defined by the “ZZZ” in the Provider Contract
Today, HCIM celebrates the 10th anniversary of three of its co-founders, Michael Wilson (President & CEO), Jeffrey Hall (SVP and Group Director, Consulting Services), and Thomas Streeter (SVP, Technical Development). 10 years ago, these three gentlemen set out with a mission to establish a company that would provide the best
On July 14, 2000, five managed care operations and information technology experts founded HCIM with the goal of addressing the complexities of the managed care payer industry with a combination of consulting services and automated software solutions…
Answer: SymKey for EZ-CAP is designed to work within EZ-CAP’s Professional and Hospital claims modules. As a result, it is able to automate the moving of claims that are in status 1-7 to a status 1 or 3. It can also reprocess status 9 claims by creating a new claim number, entering all
What is HIPAA? HIPAA, which stands for the American Health Insurance Portability and Accountability Act of 1996, is a set of rules to be followed by doctors, hospitals and other health care providers. HIPAA took effect on April 14, 2006. HIPAA helps ensure that all medical records, medical billing, and
HCIM and IBA Healthcare Consultants, Inc. teamed up to bring a new client live with ikaSystems in only 60 days, which included converting the client’s historical data from a legacy MC400 system. This joint implementation effort successfully created over 1,300 benefit plans, migrated over 2,000 providers along with their related
Answer: In SymKey® v. 1.31 and later, only Admin level users have sufficient security rights to configure or change how SymKey responds to EZ-CAP® system error/warning messages. From the SymKey main menu, click the “EZ-CAP Messages” link under the Configuration section. This will open a window that shows every message
Timeline The implementation date for ICD-10 is October 1, 2013, and applies to all encounters and discharges occurring on or after that date. According to data from AHIMMS, one entity cannot force another entity to be compliant prior to the said date, although testing will require a great deal of
I recently visited one of our current SymKey® for EZ-CAP® clients in the Midwest. We met with our client’s COO for a couple of hours on a Monday morning. She shared with us the exciting activities and long term strategies that their organization has been working on in their efforts of continuous