Recent News

  • HHS to Delay ICD-10 Compliance Deadline to Oct. 2014 upon Approval of Proposed Rule

    In a much anticipated announcement, HHS Secretary Kathleen Sebelius announced a proposed rule that will postpone the ICD-10 compliance deadline by one year, to Oct. 1, 2014. The new deadline will give payers and providers a little over two years to implement ICD-10. This is great news for the healthcare payers that were running behind on their ICD-10 implementation due to HIPAA 5010 and various other industry mandates.

    The proposed rule would implement several administrative simplification provisions of the Affordable Care Act, including the establishment of a unique health plan identifier under the HIPAA standards. The health plan identifiers would have a standard length and format, which would allow providers to automate many of their billing processes and other administrative tasks. HHS estimates that the health plan identifier along with the other provisions in the proposed rule will save health plans and providers up to $4.6 billion over the next 10 years.

    Comments are due 30 days from the date the proposed rule was published in the Federal Register.

    View the press release
    View the HHS proposed rule
    View a fact sheet about the one-year ICD-10 deadline delay
    View a fact sheet about HHS’ proposed unique health plan identifier rule

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

    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!

    Don’t take your foot off the gas just yet

    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 >>

    ICD-10 Webinar Series for QNXT Users

    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 >>

    Free ICD-10 Educational Webinar Series Hits Home

    Over 130 EZ-CAP users registered to attend HCIM and AXIOM Systems’ joint ICD-10 Educational Webinar Series, entitled “ICD-10’s Impact on Your Business.” Word traveled fast after MZI Healthcare encouraged its EZ-CAP client base to attend the free series via their EZ-Communicator email notice.

    Featured speaker and leading ICD-10 and 5010 subject matter expert Peggy Honts of AXIOM Systems presented on ICD-10’s projected impact on key areas of a healthcare payer organization’s business and concluded the series with some helpful ICD-10 implementation strategies. Attendees appreciated the ICD-10 code analysis, real-life examples, and insight into impacted business areas that are often overlooked. HCIM received great feedback from this Summer 2011 series.

    If you missed the webinar, you can view the ICD-10 Webinar eKit for a copy of the Mind Mapping Tool PDF, a 5010 and ICD-10 Benchmarks Timeline, a sample WEDI ICD-10 Timeline to help with your project plan, a free code converter, an exclusive special offer for an ICD-10 Impact Assessment, recordings from the four webinars, PDFs of all the session presentations, and more.

    Below are the webinar polling results.

    Which of the following business areas would you like to discuss throughout this webinar series?
    90% – Reporting Impacts
    80% – Claim/Encounter Processing
    62% – Information Technology (IT)
    56% – Vendor Management
    52% – Disease/Population Management
    40% – Monitoring Business Metrics
    38% – Member Management
    30% – Customer Service
    28% – Testing/Trading Partner Management

    What do you think will be your biggest hurdle with ICD-10?
    33% – Resources (skills required for ICD-10)
    33% – Staff Training
    25% – Vendor Readiness
    08% – Budget/Competing Priorities
    00% – Executive Management Commitment

    What is the sense of urgency around ICD-10 in your organization?
    50% – On the radar, work is just beginning
    20% – Aware, but no action yet
    20% – Somewhat urgent
    10% – Very urgent
    00% – No urgency at all

    How complete is your impact assessment?
    27% – Not started yet
    35% – 1-25% complete
    24% – 26-50% complete
    08% – 51-75% complete
    05% – 76-100% complete

    If you have any questions or would like to discuss your ICD-10 implementation, please email info@hcim.com or call 888-454-0202, option 5.