Physicians Medical Group of Santa Cruz County (PMG) wins bragging rights for the highest claims per hour processed by a SymKey for EZ-CAP client! PMG\u2019s SymKey processing just keeps picking up speed from 2,880 claims per hour in 2011 to 3,151 claims per hour in 2012, with a high volume of claims pouring through SymKey 1.31 for EZ-CAP 5.x on a daily basis. This speed is unprecedented, even for SymKey clients!<\/p>\n
\u201cPMG has been using SymKey for over four years and has consistently experienced extraordinary speeds.\u00a0This can be attributed to their fine-tuned IT infrastructure that so readily supports both EZ-CAP and SymKey. We at HCIM have always been quite impressed with their systems and IT staff,\u201d said Tom Streeter, HCIM\u2019s SVP, Product Solutions.<\/p>\n
\u201cWe are always seeking ways to improve time management in this constantly evolving environment of medical claims administration. Shifting common edits to be run by SymKey supports the more efficient use of claims staff time, which can be applied to the development of new scripts and review of complex claims. SymKey has been a valuable tool,\u201d said Faye Merryman, Claims Supervisor at PMG.<\/p>\n
\u201cThe primary advantage we\u2019ve found with SymKey has been the ability to have scripts written to auto-adjudicate the most common edits or adjustments. We have a variety of contract designs specific to certain providers\/specialties with unique reimbursement methodologies.\u00a0One example that we are especially proud of is our shared endoscopic base procedure adjustment script that automates the correct calculation of a complex contract scenario that cannot be configured in EZ-CAP,\u201d said Faye.<\/p>\n
\u201cInclude the appropriate staff (claims examiners, analysts, and other involved parties) to review processes with the goal of identifying the redundant, time consuming tasks associated with claims processing.\u00a0Then they should prioritize the workflow processes to be automated and tackle them one at a time. Write the automated reports, test them, and then move on to the next scenario until the \u2018low hanging fruit\u2019 is working well. The next phase is to tackle the more complex, multi-layered processes,\u201d said Cindy Martin, Chief Operations Officer at PMG.<\/p>\n
PMG uses SymKey to add the RBRVS modifier flags (including surgery global days) as a note to each claim<\/span>. This saves research time during adjudication and also provides a quick reference in case the Provider or billing staff have questions or dispute reimbursement.<\/p>\n","protected":false},"excerpt":{"rendered":" Physicians Medical Group of Santa Cruz County (PMG) wins bragging rights for the highest claims per hour processed by a SymKey for EZ-CAP client! PMG\u2019s SymKey processing just keeps picking up speed from 2,880 claims per hour in 2011 to 3,151 claims per hour in 2012, with a high volume of claims pouring through SymKey […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,14],"tags":[21],"class_list":["post-6745","post","type-post","status-publish","format-standard","hentry","category-healthcare-information-management","category-symkey","tag-client-spotlights"],"_links":{"self":[{"href":"https:\/\/www.varshabi.com\/HCIM\/wp-json\/wp\/v2\/posts\/6745","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.varshabi.com\/HCIM\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.varshabi.com\/HCIM\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.varshabi.com\/HCIM\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.varshabi.com\/HCIM\/wp-json\/wp\/v2\/comments?post=6745"}],"version-history":[{"count":1,"href":"https:\/\/www.varshabi.com\/HCIM\/wp-json\/wp\/v2\/posts\/6745\/revisions"}],"predecessor-version":[{"id":16542,"href":"https:\/\/www.varshabi.com\/HCIM\/wp-json\/wp\/v2\/posts\/6745\/revisions\/16542"}],"wp:attachment":[{"href":"https:\/\/www.varshabi.com\/HCIM\/wp-json\/wp\/v2\/media?parent=6745"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.varshabi.com\/HCIM\/wp-json\/wp\/v2\/categories?post=6745"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.varshabi.com\/HCIM\/wp-json\/wp\/v2\/tags?post=6745"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}