{"id":9628,"date":"2016-02-26T13:57:10","date_gmt":"2016-02-26T21:57:10","guid":{"rendered":"http:\/\/www.hcim.com\/?p=9628"},"modified":"2020-02-26T22:42:43","modified_gmt":"2020-02-26T22:42:43","slug":"reprocessing-previously-paid-historical-claims-can-be-a-piece-of-cake","status":"publish","type":"post","link":"https:\/\/www.varshabi.com\/HCIM\/2016\/02\/26\/reprocessing-previously-paid-historical-claims-can-be-a-piece-of-cake\/","title":{"rendered":"Reprocessing Previously Paid Historical Claims can be a Piece of Cake!"},"content":{"rendered":"<p>Oftentimes claims staff\u00a0put off the dreaded task\u00a0of manually\u00a0reprocessing previously paid claims because it can\u00a0be difficult and time-consuming. Do you ever run into any of the following problems?<\/p>\n<ul>\n<li>CMS makes corrections to the Medicare Physician Fee Schedule (MPFS) and you must retroactively reprocess Medicare fee-for-service claims<\/li>\n<li>Members are identified as retroactively termed after the claims were already paid so those claims need to be reprocessed<\/li>\n<li>Claims that were paid to the incorrect\/ineligible provider or vendor need to be reprocessed<\/li>\n<li>An individual claim line needs to be added, removed, or adjusted on a claim<\/li>\n<li>Need to reprice a claim or claim line<\/li>\n<li>Need to reverse and adjust a copayment<\/li>\n<li>Need to calculate an over\/underpayment<\/li>\n<li>Need to reprocess claims processed through a third party repricer (APC\/DRG)<\/li>\n<\/ul>\n<p>Payers can utilize HCIM&#8217;s SymKey\u00ae robotic automation software to make these changes as easy as pie&#8230;or cake. For more information, <a href=\"http:\/\/www.hcim.com\/products\/symkey\/\" target=\"_blank\" rel=\"noopener noreferrer\" shape=\"rect\">click here<\/a> or complete the form on the sidebar.<\/p>\n<p style=\"text-align: center;\">If you&#8217;re a current SymKey\u00ae client, learn how to reprocess your claims:<br \/>\n<a href=\"http:\/\/hcim.com\/tips-tricks-copy-and-reverse\/\" target=\"_blank\" rel=\"noopener noreferrer\" shape=\"rect\">Tips &amp; Tricks: Copy and Reverse<\/a><br \/>\n<a href=\"http:\/\/hcim.com\/symkeys-reprocesspend-scenario-is-a-perfect-automated-solution-for-adjusting-paid-ez-cap-claims-6-10x-faster-than-manually\/\" target=\"_blank\" rel=\"noopener noreferrer\" shape=\"rect\">SymKey Reprocess\/Pend Scenario<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Oftentimes claims staff\u00a0put off the dreaded task\u00a0of manually\u00a0reprocessing previously paid claims because it can\u00a0be difficult and time-consuming. Do you ever run into any of the following problems? CMS makes corrections to the Medicare Physician Fee Schedule (MPFS) and you must retroactively reprocess Medicare fee-for-service claims Members are identified as retroactively termed after the claims were [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":9629,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,14],"tags":[],"class_list":["post-9628","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthcare-information-management","category-symkey"],"_links":{"self":[{"href":"https:\/\/www.varshabi.com\/HCIM\/wp-json\/wp\/v2\/posts\/9628","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=9628"}],"version-history":[{"count":1,"href":"https:\/\/www.varshabi.com\/HCIM\/wp-json\/wp\/v2\/posts\/9628\/revisions"}],"predecessor-version":[{"id":16471,"href":"https:\/\/www.varshabi.com\/HCIM\/wp-json\/wp\/v2\/posts\/9628\/revisions\/16471"}],"wp:attachment":[{"href":"https:\/\/www.varshabi.com\/HCIM\/wp-json\/wp\/v2\/media?parent=9628"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.varshabi.com\/HCIM\/wp-json\/wp\/v2\/categories?post=9628"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.varshabi.com\/HCIM\/wp-json\/wp\/v2\/tags?post=9628"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}