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Client Spotlight: Physicians Medical Group of Santa Cruz County

Tuesday, April 2nd, 2013

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’s 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!

“PMG has been using SymKey for over four years and has consistently experienced extraordinary speeds. This 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,” said Tom Streeter, HCIM’s SVP, Product Solutions.

How PMG uses SymKey to automate claims adjudication

“We 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,” said Faye Merryman, Claims Supervisor at PMG.

“The primary advantage we’ve 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. One 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,” said Faye.

PMG’s Advice to other SymKey Users

“Include 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. Then 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 ‘low hanging fruit’ is working well. The next phase is to tackle the more complex, multi-layered processes,” said Cindy Martin, Chief Operations Officer at PMG.

What a great idea!

PMG uses SymKey to add the RBRVS modifier flags (including surgery global days) as a note to each claim. This saves research time during adjudication and also provides a quick reference in case the Provider or billing staff have questions or dispute reimbursement.

Posted in Client Spotlights, Corporate Blog, News Room, Recent News, SymKey | No Comments »

CMS Announces 90-Day Enforcement Discretion Period for Operating Rules

Tuesday, January 8th, 2013

CMS announced on Jan. 2, 2013, that they will not initiate enforcement action on the new Eligibility and Claims Status Operating Rules until March 31, 2013. However, the compliance date for using the operating rules remains January 1, 2013. This 90-day grace period is a result of feedback suggesting that a majority of HIPAA covered entities were unable to be in compliance with the operating rules by January 1, 2013. For more information, view the CMS press release.

About the Eligibility and Claims Status Operating Rules >>

Posted in Corporate Blog, HCIM Blog, Industry Blog, Industry News, News Room, Recent News | No Comments »

Client Spotlight: PrimaryHealth of Josephine County

Wednesday, December 19th, 2012

Following a successful 30-day trial period, PrimaryHealth of Josephine County (PHJC), formerly Oregon Health Management Services, licensed SymKey 2.0 for EZ-CAP 6.x on Oct. 20, 2012.

“We decided to begin a free 30-day SymKey trial to see if it could speed up our adjudication process by auto-adjudicating more claims. When Greg and Tom came on site to install SymKey and train our team, we were impressed by their depth of understanding of the EZ-CAP system, claims processing, and adjudication. After Greg wrote a number of reports for us, it became clear that our company would benefit from SymKey,” said Maggie Rollins, Director of Operations at PHJC.

During the three-day onsite installation and training period, HCIM’s Product Solutions Team met with PHJC’s claims operations staff to review their claims workflows and develop numerous innovative reports to automate their Professional and Hospital claims adjudication process. SymKey was able to automate the following commonly-encountered scenarios for PHJC:

  • Deny all claims for providers that are not approved by Medicaid (as indicated by a B7 prefix that EZ-CAP adds to their last name).
  • Identify and deny claims with a diagnosis code that is excluded from Oregon Medicaid.
  • Identify claims where the net pay is greater than the billed amount for that line (due to either contract value or copay) and adjust the net pay to equal the billed charges.
  • Calculate the proper contract value for ambulance claims based on the miles traveled by removing the first 10 miles from the contract value as calculated by EZ-CAP (because the first 10 miles are included in the base rate).
  • Search the claim note field to identify the APC contract value that is imported via EDI and move this amount to the line’s contract value.

“SymKey has reduced the hands-on repetitive keying, thus allowing our adjudicators to do what they do best, adjudicate claims! We saw an immediate savings of at least 10 hours per week, which means that our valuable staff is able to allot their time to more in depth projects. As we continue to develop reports for SymKey to run, we’re able to realize even more time savings by shifting work instead of hiring new staff,” said Rollins.

In the two months since they licensed SymKey, PHJC has reported continuing success and is continuing to look for new ways to automate claims processing with SymKey.

“It was great working with Maggie and Aleesa because they were enthusiastic about SymKey from the beginning and immediately understood how it would be of value to their organization. This value was confirmed during their SymKey trial through the realization of significant staff time savings,” said Tom Streeter, HCIM’s Senior Vice President, Product Solutions.

HCIM stands behind its products because a vendor’s success is largely measured by the success of its clients. This dedication to customer satisfaction drives the symbiotic client-vendor relationship that HCIM strives to foster.

“Everyone has been wonderful to work with! Not only was our onsite visit great, but continuing support is timely, responses to our questions are well thought out, and it’s clear that HCIM has our best interest in mind!” said Rollins.

Posted in Client Spotlights, Corporate Blog, HCIM Blog, HCIM's Solutions, News Room, SymKey | No Comments »

Spotlight on Choice Medical Group

Thursday, September 27th, 2012

Choice Medical Group signed a 3-year license for the SymKey® 1.31 for EZ-CAP® 5.x Professional Claims module and Virtual Auto-Post™ module in July 2012. Choice originally decided to pursue HCIM’s 30-day risk-free SymKey trial in June 2012 to see if it could help them to auto-adjudicate Professional claims and reduce their manual processes. They decided to license SymKey after they saw how fast it processed their claims and realized that they’d be able to do more with less staff and greater accuracy.

“My favorite SymKey feature is how fast Symkey auto-adjudicated thousands of claims in an hour according to our specific needs. We saved at least 1-2 FTEs and expect to realize additional cost savings when we’re able to schedule our reports,” said Christina Ortiz, Claims Auditor at Choice Medical Group. “Virtual Auto-Post™ saved lots of time by not having to review every single CCI edit pulled by Virtual Examiner/Virtual Reporter – SymKey automatically applied the adjustment reason codes and denied claims as instructed.”

At Choice Medical Group, the claims team endearingly refers to SymKey as a person. “SymKey’s an asset to our team and is really an ideal employee because it’s incredibly efficient, always does what it’s told, never calls in sick, and won’t ever quit on us. SymKey has allowed us to automate a high volume of claims so our processors can focus on higher priorities and more complex tasks,” said Blair Bryson, IPA Administrator at Choice Medical Group.

“It’s been an easy weekly check run for me,” said Myrna Javier, Claims Manager at Choice Medical Group.

“We’re very satisfied with SymKey and would like to note that Greg Merica has been very helpful and is always available when we need his assistance,” said Ortiz.

Posted in Client Spotlights, Corporate Blog, HCIM Blog, HCIM's Solutions, News Room, SymKey | No Comments »

09/27/2012: HCIM Partners with Monument Systems, LLC

Thursday, September 27th, 2012

WALNUT CREEK, Calif. – Sept. 27, 2012 – HCIM, a nationally recognized managed care information technology software and consulting services firm specializing in Business Process Automation (BPA), announces its strategic alliance with Monument Systems, LLC. This partnership will result in the development and co-marketing of HCIM’s flagship SymKey® automation solution for the Monument Systems xpress™ core administrative system. HCIM will also provide additional software solutions and consulting services to Monument’s client base.

Michael Wilson, President and CEO of HCIM, sought out this partnership as a way to expand HCIM’s footprint in the healthcare payer industry. Wilson elaborates:

As a result of HCIM’s partnership and ongoing collaboration with Monument Systems, we’re excited to announce the upcoming development of the SymKey® for xpress™ application, which will automate the processing of claims within Monument’s xpress system. Our business process automation solutions have been used since 2000 to improve efficiency, reduce turnaround times, maximize accuracy, and contain operational costs.

HCIM will offer a 30-day risk-free SymKey trial and flexible payment terms to ensure clients achieve a rapid ROI through the automation of their repetitive business processes. HCIM also offers the ScanClaims® product suite, which delivers unprecedented savings and productivity through state-of-the-art OCR scanning, imaging, data scrubbing, validation, and data management of claims and authorizations. HCIM’s other software solutions include Appeals Manager™ for CA AB1455, a new Grievance and Appeals Manager for Medicare Members™, and other BPA operational efficiency solutions.

According to Bill Bysinger, EVP of Business Development at Monument Systems:

Monument Systems recognizes the unique solutions that HCIM offers and the value in integrating their powerful technologies with xpress, our enterprise core administrative system. This partnership provides our clients added capabilities in claims processing efficiency and information management that has been shown to help lower costs.

In addition to the product solutions that HCIM has to offer, HCIM’s team of expert consultants will leverage their payer system implementation and configuration expertise as well as their strong background in historical data conversions and best practices as an implementation/historical data conversion resource for Monument’s new Smart Series™. HCIM has also been asked to be a provider of ICD-10 education and consulting services for Monument’s client base.

About HealthCare Information Management, Inc. (HCIM)

Incorporated in July 2000, HCIM delivers technology solutions and consulting services to the managed care/healthcare payer industry. HCIM’s SymKey®, ScanClaims®, Appeals Manager™, and Grievance and Appeals Manager for Medicare Members™ product suites increase productivity by automating and tracking the adjudication of claims, authorizations, grievances, appeals, and provider dispute resolutions. HCIM’s consulting services include ICD-10 assessments, payer system implementation and configuration, operational consulting, business process reengineering, historical data conversion, project management, application development, documentation, staff training, custom reports, and database development and analysis.

About Monument Systems, LLC

Monument Systems, LLC is a leading provider of Core Administrative Systems and Care Management Software to the Health Plan, Delegated IPA, Medicare, Medicaid, and Managed Care markets. The company’s flagship product, Monument Systems xpress™ has been providing highly efficient and cost effective solutions to the market since 1999. The architecture and applications capability of xpress can accommodate any plan, product, benefit or fee schedule model from Medicaid coverage to highly complex capitated arrangements.

Download the PDF!

Posted in Business Process Automation, Corporate Blog, HCIM Blog, HCIM's Culture, HCIM's Solutions, Industry Blog, News Room, Press Releases, Recent News, SymKey | No Comments »

2011 SymKey for EZ-CAP Client Productivity Stats

Thursday, June 28th, 2012

HCIM’s SymKey® for EZ-CAP® application is specifically designed to automate the processing of claims within the EZ-CAP® claims transaction system. Using programmed artificial intelligence and innovative keystroke emulation technology, SymKey can help claims staff to process claims up to 40 times faster. Some of HCIM’s SymKey clients have been able to process over 1,000 claims per hour, in comparison to the 25 claims per hour that a typical claims processor can manually key.

SymKey for EZ-CAP was first licensed in 2004 and is currently in use at 19 client sites. HCIM compiled productivity statistics from 17 SymKey for EZ-CAP clients. The reported clients listed below achieved an ROI of approximately $6 million in 2011 by processing over 7.2 million claims at an average of 447 claims per hour and completing the equivalent workload of 152 full time claims processing staff.

Membership Tier 1
Client  Lives Claims
Touched		 Completed/
Denied		 Complete
Rate		 Total
Hours		 Claims/
Hour		 Staff
Equiv.		 Salary
Equiv.
A  15,000 19,600 12,237 62% 244 80 1.2 $48,595
B  23,000 74,434 72,153 97% 1,050 71 2.1 $82,021
C  24,000 184,801 154,936 84% 64 2,880 3.8 $152,728
D  24,000 14,783 12,112 82% 62 240 0.3 $12,217
Avg.  21,500 73,405 62,860 86% 355 207 1.8 $73,890

 

Membership Tier 2
Client  Lives Claims
Touched		 Completed/
Denied		 Complete
Rate		 Total
Hours		 Claims/
Hour		 Staff
Equiv.		 Salary
Equiv.
E 36,500 38,521 19,311 50% 361 107 1.0 $38,203
F  40,000 366,908 140,723 38% 476 772 7.6 $303,230
G  50,000 251,367 210,634 84% 396 635 5.2 $207,741
Avg.  63,250 328,398 185,334 56% 616 533 6.9 $274,587

 

Membership Tier 3
Client  Lives Claims
Touched		 Completed/
Denied		 Complete
Rate		 Total
Hours		 Claims/
Hour		 Staff
Equiv.		 Salary
Equiv.
H  57,000 3,301 926 28% 35 94 0.3 $10,912
I  63,000 423,237 342,791 81% 429 987 8.7 $349,783
J  65,000 2,821,940 2,292,408 81% 2,590 1,090 58.3 $2,332,182
K  75,000 344,523 262,508 76% 538 640 7.1 $284,730
L  75,000 164,726 115,817 70% 2,022 81 4.5 $181,516
M  76,000 57,930 39,236 68% 44 1,330 1.2 $47,876
Avg.  68,500 635,943 508,948 80% 943 674 13.4 $534,500

 

Membership Tier 4
Client  Lives Claims
Touched		 Completed/
Denied		 Complete
Rate		 Total
Hours		 Claims/
Hour		 Staff
Equiv.		 Salary
Equiv.
N  106,000 600,801 281,239 47% 4,043 149 12.4 $496,530
O  130,000 1,364,575 961,851 70% 2,050 666 28.2 $1,127,748
P  139,000 113,423 42,243 37% 1,328 85 2.3 $93,738
Q  456,000 356,314 301,967 85% 378 942 7.4 $294,474
Avg.  207,750 608,778 396,825 65% 1,950 312 13 $503,123

 

Totals
  Lives Claims
Touched		 Completed/
Denied		 Complete
Rate		 Total
Hours		 Claims/
Hour		 Staff
Equiv.		 Salary
Equiv.
Overall Avg. 90,906 450,074 328,943 73% 1,007 447 9 $379,014
EZ-CAP 5.x Avg. 99,962 535,286 390,323 73% 1,000 535 11 $445,367
Overall Totals 1,454,500 7,201,184 5,263,092 73% 16,109 447 152 $6,064,224

 

Analysis of Results

  • The client productivity statistics were broken down into separate tiers based on membership in order to provide a weighted average that can be used to model ROI for prospective clients with similar membership levels.
  • The “Totals” table illustrates a straight “Overall Average” across all reporting SymKey clients, an “EZ-CAP 5.x Average” across all reporting SymKey for EZ-CAP 5.x clients, and “Overall Totals” for all reporting SymKey clients.
  • Client A was a new SymKey client and only used SymKey for 4 months in 2011, but they realized an immediate ROI in that time. Their Claims Manager said, “SymKey’s price tag was unbelievable! I didn’t think a small company like ours would be able to afford it, but the cost was so reasonable and the ROI was just amazing. I’m seeing a 3x return on my investment!” Their Processing Staff Equivalent and Salary Equivalent were annualized.
  • Client B hours adjusted to account for estimated system downtime.
  • Client C has a membership of 24,000 lives and processed 184,801 claims at a rate of 2,880 claims/hour with an 84% completion rate. Their outstanding statistics were achieved with technology upgrades including state-of-the-art servers running SQL Server 2008, as well as optimized table efficiency through the use of indexes. This client is on EZ-CAP v. 5.3x.
  • Client E was a new SymKey client and only used SymKey for 10 months in 2011. Their Processing Staff Equivalent and Salary Equivalent were annualized.
  • Client H was a new SymKey client and only used SymKey for 4 months in 2011. They licensed the SymKey® Virtual Auto-Post™ module and had not licensed either of the claims modules, which is why their usage was low compared to the other clients. Their Processing Staff Equivalent and Salary Equivalent were annualized.
  • Client J processed 2,821,940 claims at 1,090 claims/hour for the equivalent of 58.3 FTEs for a net savings of over $2 million. They have a Medicare membership base and run 100% of their claims through SymKey to post CCI edit recommendations. Many of their claims are processed two or three times by SymKey to perform multiple scenarios.
  • Client O was impacted by a retroactive fee schedule change that involved processing over 300,000 claims on top of their current workload. A project of this magnitude threatened to bring their normal day-to-day operations to a standstill as staff would’ve had to pour thousands of hours into reprocessing the claims. Their Director of Claims reached out to HCIM and requested two SymKey for EZ-CAP limited duration seat licenses to help recreate and reprice the 300,000+ claims resulting from the retroactive fee schedule change. Instead of taking several months for their staff to adjust the claims, they set up a SymKey scenario to recreate and adjust the claims in a matter of weeks.
  • HCIM’s clients have found that the more they expand their utilization of SymKey, the more productive their claims operations are. HCIM is available to help SymKey clients identify and automate additional manual workflows.
  • HCIM and MZI HealthCare have been collaborating to identify technology best practices that will improve SymKey and EZ-CAP productivity. For more information, please contact support@hcim.com.

About HCIM

Specializing in Business Process Automation (BPA), HCIM has been delivering technology solutions and consulting services to the managed care/payer industry since 2000. HCIM offers many innovative software solutions, including the SymKey®, ScanClaims®, and Appeals Manager™ product suites, which increase productivity by automating and tracking the adjudication of claims, authorizations, appeals, and provider dispute resolutions. HCIM’s Professional Solutions team offers payer system implementation and configuration, historical data conversions, operational assessments, business process reengineering and analysis, custom report and database development, and ICD-10 impact assessment services.

For more information about HCIM’s products and services, contact HCIM Sales and Marketing at 888-454-0202, option 5, or visit www.hcim.com.

Posted in Business Process Automation, Case Studies, Corporate Blog, HCIM Blog, HCIM's Solutions, Industry Blog, News Room, Recent News, SymKey | No Comments »

Spotlight on Desert Oasis Healthcare (DOHC)

Tuesday, June 19th, 2012

After a successful 30-day risk-free trial, Desert Oasis Healthcare (DOHC), a subsidiary of Heritage Provider Network, Inc., licensed the SymKey® 2.0 for EZ-CAP® 6.x Virtual Auto-Post™ (VAP) module on May 1, 2012. VAP automates the posting of PCG Software Inc.’s Virtual Examiner®/Reporter® (VE/VR) claims recommendations into the EZ-CAP® system. “We were looking to increase examiner production by having edits automatically applied and processing notes posted to the claim,” said Lisa Giminez-Kerstetter, Claims Supervisor at DOHC.

“SymKey Virtual Auto-Post freed up examiners from having to manually enter adjustment codes by having VAP do the work. VAP is fast and accurate. Efficiency is the name of the game,” said Clare Abadie, Claims Director at DOHC. Prior to VAP, DOHC staff spent 60-75 hours per week posting VE/VR recommendations into EZ-CAP. Now their manual edits only take 10-15 hours per week. That means they’re performing the same processes of posting VE edits with 81% less staff hours. “It is AWESOME, and everyone that we have worked with at HCIM has been accommodating,” said Jeanna Erdahl, Claims Examiner at DOHC.

DOHC expects to realize additional time savings through further utilization of VAP as they identify additional scenarios they can automate. “The more innovative we are, the more we realize how SymKey can be utilized,” said Clare Abadie. “We have a new saying around DOHC, ‘How did we ever live without SymKey Virtual Auto-Post?’”

DOHC first licensed the SymKey for EZ-CAP Professional Claims and Payment Processing modules in 2004. In 2011 alone, DOHC processed nearly 165,000 claims with SymKey and saved them MANY staff processing hours – and that was before they licensed the Virtual Auto-Post module. “SymKey’s abilities contribute to the success of the department. We LOVE our Symkey and the people behind the product. The customer service is outstanding – they are responsive, helpful, accommodating, friendly, generous with their time and knowledge, and innovative,” said Clare Abadie.

“SymKey is my very best friend. Without SymKey, it would be more difficult to maintain an eight day inventory with current staff,” said Brooke Yates, Claims Data Specialist II at DOHC. Clare added, “SymKey makes life easier by adding memos and notes, applying adjustment codes, correcting information that was in-loaded incorrectly, adding authorizations and case numbers, adding and/or removing copays, copying claims for adjustments, etc.”

“Desert Oasis Healthcare has been a delightful client to work with over the past 7+ years. Their staff has been tremendously enthusiastic about SymKey, declaring it the most productive claims processing tool. They continually look for new ways to use SymKey, through the batch processing of Professional claims and most recently with Virtual Auto-Post. It’s been wonderful working with Clare, Brooke, Lisa, Jeanna, Scott and others there,” said Tom Streeter, HCIM’s Senior Vice President, Product Solutions.

Posted in Client Spotlights, Corporate Blog, HCIM Blog, HCIM's Solutions, News Room, Recent News, SymKey | No Comments »

04/03/2012: HCIM Transforms the Face of Consulting

Tuesday, April 3rd, 2012

WALNUT CREEK, Calif. – April 3, 2012 – HealthCare Information Management, Inc. (HCIM) announced today that they are propelling consultant interviews into the 21st century by allowing clients to screen HCIM’s experienced healthcare payer professional consultants via HCIM’s exclusive virtual interview process. Using video conferencing, clients can interview potential consulting resources just as they would in a traditional face-to-face interview.

HR professionals know that the most important factors in a face-to-face interview are facial expressions and body language. These indicators are essential to assessing the candidate’s character, personality, sincerity, and compatibility with the organization. HCIM believes that hiring managers should not go in blind when interviewing consultants.

With all the technological advancements these past few years, HCIM has found video conferencing to be an amazing opportunity to restore personal interaction when an in-person interview isn’t practical or cost-efficient. HCIM’s proprietary virtual interviews are recorded and made available to the interviewer(s) for reference. Even traditional interviews lack this added bonus which allows the interviewer and other team members to review the recording throughout the decision making process. Copious note-taking during the interview makes it difficult to concentrate on asking the right questions and carrying on a real dialog. This allows the interviewer to be in the moment and to return to the recording for body language analysis.

Free iPad 3

By helping to transform the face of consulting, each client that contracts to hire an HCIM consultant through this groundbreaking virtual interview process will receive a free iPad 3. There is no limit to this special limited time offer. Please contact HCIM at services@hcim.com for additional information about the special promotion or for more details on virtual interviews.

Expect Only the Best

In 2011, HCIM began transforming the face of consulting by introducing protection from project rework with their Performance Assurance program. Now they’re changing the approach for selecting the right consultant. This innovative yet simple solution demonstrates HCIM’s commitment to providing the best advice, products, services, and support. HCIM’s consultants bring this same innovation to their projects through creative solutions and valuable toolsets. As with HCIM’s Performance Assurance program, HCIM encourages healthcare payers to expect the same level of service from any consulting firm they work with.

Responsive to Industry Conditions

HCIM is sensitive to the economic and regulatory challenges facing the healthcare payer industry and as a result is offering a lower hourly bill rate. HCIM’s competitive rates are available upon request.

About HCIM

Incorporated in July 2000, HCIM delivers technology solutions and consulting services to the managed care/payer industry. HCIM offers many innovative software solutions, including the SymKey®, ScanClaims®, and Appeals Manager™ product suites, which increase productivity by automating and tracking the adjudication of claims, authorizations, appeals, and provider dispute resolutions.

HCIM’s Professional Solutions team offers payer system implementation and configuration, historical data conversions, operational assessments, business process reengineering and analysis, custom report and database development, and ICD-10 impact assessment services.

For more information about HCIM’s products and services, contact HCIM Sales and Marketing at 888-454-0202, option 5, or visit www.hcim.com.

Download the PDF!

Posted in Consulting Services, Cool Things I've Seen, Corporate Blog, Did You Know?, HCIM Blog, HCIM's Solutions, Industry Blog, Industry News, News Room, Press Releases, Recent News | No Comments »

Don’t take your foot off the gas just yet

Friday, February 17th, 2012

CMS issued a statement yesterday that “HHS will initiate a process to postpone the date by which certain health care entities have to comply with International Classification of Diseases, 10th Edition diagnosis and procedure codes (ICD-10)” and also said that “HHS will announce a new compliance date moving forward.”

This will certainly be a welcomed reprieve for some providers and payers who are desperately behind and already swamped with their day-to-day operations, but don’t take your foot off the gas pedal just yet – the earlier you transition, the better. If you’re already in the middle of your ICD-10 implementation, just remember that if you stop now, it may cost you a lot more to re-start in the future.

Peggy Honts of AXIOM Systems advises, “Don’t lose your focus, momentum and resources currently budgeted to this effort. Don’t give up this extra ‘run-way’ – you will never get it back. There are always multiple priorities to satisfy in healthcare and it is not expected to get easier in the next year or two. Without knowing what extension will be granted, it is risky to bet your success on an ICD-10 reprieve.”

So while HHS may extend the ICD-10 deadline a year or two, consider taking your head start and running with it, so you can focus on growing your business while everyone else is struggling to comply with ICD-10 down the road. Make a strategic decision to complete your ICD-10 implementation before others and start benefiting from the many touted benefits of ICD-10 before your competition does.

Stay tuned for the latest information on the ICD-10 deadline…

View the “HHS announces intent to delay ICD-10 compliance date” press release >>
View the CMCS Bulletin about postponing the ICD-10 compliance deadline >>

Posted in Corporate Blog, HCIM Blog, ICD-10 Resource Center, Industry Blog, Industry News, News Room, Recent News | No Comments »

ICD-10 Webinar Series for QNXT Users

Thursday, January 5th, 2012

88 QNXT users enjoyed HCIM and AXIOM’s Oct./Nov. 2011 webinar series on “ICD-10’s Impact on Your Business,” which was offered exclusively to QNXT users as a result of HCIM’s sponsorship of the Q-Users Group.

Throughout the four-part series of one hour webinars, ICD-10 expert Peggy Honts gave a brief overview of the ICD-10 coding system, explained the differences between ICD-9 and ICD-10, demonstrated a code analysis example using real ICD-10 codes, explained the financial impacts ICD-10 may have on different business areas, the risk mitigation factors involved, implementation best practices and recommended next steps. She also delved into the impact ICD-10 will have on:

  • Network Management
  • Claim/Encounter Processing
  • Information Technology (IT)
  • Member/Patient Management
  • Medical Management
  • Monitoring Business Metrics
  • Customer Service
  • Project Management Impacts
  • Staff Training
  • Reporting
  • Vendor Management
  • Testing/Trading Partner Management

Free Webinar eKit

If you missed any of the webinars, you can view the recordings and presentations on HCIM’s QNXT Webinar eKit. You’ll also find valuable ICD-10 resources, including:

  • Mind Mapping Overview: View the different areas of your business that could be affected by the ICD-10 transition using HCIM and AXIOM’s ICD-10 Payer Mind Map.
  • Conduct a Preliminary Assessment: Determine if you’re on track for a timely implementation and prioritize upcoming tasks with the AHIMA ICD-10-CM/PCS Readiness Assessment and Prioritization Tool.
  • Develop a Comprehensive Project Plan: Leverage the ICD-10 implementation tasks and estimated completion times in NCHICA and WEDI’s free ICD-10 Timeline to help develop your own ICD-10 project plan.
  • Stay on Track: Gauge your progress on both the ICD-10 and HIPAA EDI standards implementations with NCHICA and WEDI’s 5010 and ICD-10 Timeline Benchmarks.
  • Code Converter: Convert between ICD-9-CM and ICD-10-CM diagnosis codes and access a comprehensive code index using this free website.

More Information

To schedule a private webinar session for your company, email us at education@hcim.com or call 888-454-0202, option 5.

Sign up for an ICD-10 Assessment >>

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Posted in Corporate Blog, HCIM Blog, ICD-10 Resource Center, Industry Blog, Industry News, News Room, Recent News | No Comments »

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