HCIM

HealthCare Information Management, Inc.   —   Turning Complexity into Simplicity.™
Specializing in Business Process Automation (BPA), HCIM has been delivering technology solutions and consulting services to the managed care/payer industry since 2000. HCIM’s customer-centric approach allows it to exceed the typical customer-vendor relationship by developing a true partnership with its customers. HCIM sets itself apart by being responsive and attentive to the specific needs of its customers. This special attention is the foundation for client-specific strategies and solutions that improve performance and outcomes.

HCIM’s products wrap around claims and authorizations, and are designed to foster improved turnaround times, reduced inventories, and optimized accuracy, which results in a timely return on investment. Applying innovation and technological expertise, HCIM has developed products that augment existing core transaction systems, allowing clients to avoid the expense and downtime of building, implementing, and migrating to a new system.

With an array of development, operational, implementation, and configuration consulting services, HCIM’s staff of professionals provides the support and knowledge needed to enhance its clients’ business operations, positioning them for competition in an ever-evolving healthcare marketplace.

Market

HCIM markets to organizations such as: ASO, EPO, HMO, IPA, MSO, PHO, POS, PPO, TPA, Benefit Administrator, Healthcare Payer Organization, Managed Care Payer Organization, Health Benefits Trust, Health Plan, Health Trust, Medical Group, Medicare Advantage Health Plan, Federal and State Programs. Businesses that use managed care/healthcare payer benefit administration core claims transaction systems such as Amisys, El Dorado, EZ-CAP, Facets, HealthTrio, IDX, ikaClaims, ikaSystems, MC400, PLEXIS Claims Manager (PCM), PLEXIS Quantum Choice (QC), and QNXT.

Products

HCIM’s innovative software solutions enhance healthcare services and operations by increasing productivity through the automation and tracking of the adjudication of claims, authorizations, appeals, and provider dispute resolutions. HCIM also offers a complete work-flow and inventory management product suite that performs state-of-the-art OCR scanning, imaging, data scrubbing, validation, and data management of claims and authorizations. HCIM’s software-based products are complemented by value-added consulting services and the benefit of responsive, well-trained support staff.

Appeals Manager™ – automated solution for provider appeals and resolutions
ScanClaims® – complete work-flow and inventory management solution
SymKey® – advanced automation application for benefits administration systems
     Hospital/Facility Claims – automated adjudication of hospital/facility claims
     Professional/Medical Claims – automated adjudication of professional/medical claims
     Utilization Management – automated adjudication of authorization requests
     Virtual Auto-Post™ – automated posting of Virtual Examiner® claims recommendations
     Batch Processing – automated batch processing of custom scenarios
     Kwik Actions™ – automated work navigation & productivity tool
     Kwik Utility™ – automated batch processing utilities

Services

HCIM’s consultants are extensively trained and/or certified in successfully implementing and configuring the latest technologies and versions of many of the industry’s leading managed care core transaction systems, including QNXT™, Facets®, EZ-CAP®, DIAMOND®950, and AMISYS Advance™ systems, as well as numerous legacy and proprietary (homegrown) systems. HCIM’s Professional Consultants offer implementation/configuration services, operational consulting, and development consulting services to ensure companies realize their full potential. HCIM’s industry-experienced consulting group also offers a full array of project management, project planning, documentation, and staff training services.

Implementation/Configuration Services
HCIM’s knowledgeable consultants specialize in payer software application implementation, system conversions, system configuration, historical data conversions, and business rules configuration.

Operational Consulting Services
HCIM’s skilled consultants offer operational consulting services with an emphasis on benefits administration operations. HCIM’s veteran consultants provide services such as operational assessments, workflow analysis, organizational review, business process reengineering, realignment of resources, and training.

Development Consulting Services
HCIM’s trained professional consultants offer services such as database development, database analysis, custom report development, custom software development, testing, and the interface and integration of third party applications.

For more information, call 888-454-0202 or e-mail info@hcim.com.