Business Process Automation
The Business Process Automation blog is your resource for all things BPA.
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PSW Seeing 3X ROI with SymKey for EZ-CAP
By Angela Reynolds on September 29, 2011
Olympia-based Physicians of Southwest Washington (PSW) licensed the SymKey® for EZ-CAP® Professional and Hospital Claims modules for a three-year licensing period in August 2011, after a successful 30-day Risk Free Trial. Here’s what Tamra Ruymann, Claims Manager at PSW has to say about SymKey:
Return on Investment
“SymKey’s price tag was unbelievable! I didn’t think a small [...]Posted in Business Process Automation, Corporate Blog, HCIM Blog, HCIM's Solutions, Industry Blog, Industry News, News Room, SymKey | Leave a response
SymKey Saves the Day at NAMM-IL
By Angela Reynolds on July 13, 2011
The Problem
North American Medical Management of Illinois, Inc. (NAMM-IL) was recently 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 [...]Posted in Business Process Automation, Case Studies, Corporate Blog, HCIM Blog, HCIM's Solutions, Industry Blog, Industry News, News Room, SymKey | Leave a response
How to identify and deny duplicate claims within EZ-CAP
By Gregory K. Merica on May 19, 2011
While SymKey’s Batch Processing module allows you to create virtually limitless custom scenarios to modify or process claims, there are also several pre-programmed scenarios built into the SymKey Professional and Hospital Claims modules.
Denying Hard Duplicates with SymKey for EZ-CAP
One of the most widely used SymKey for EZ-CAP scenarios automatically denies a list of hard (exact) [...]Posted in Business Process Automation, Corporate Blog, Did You Know?, HCIM Blog, HCIM's Solutions, SymKey, Tips & Tricks | Leave a response
Automate Routine Tasks to Increase Employee Efficiency
By Thomas J. Streeter on October 7, 2010
HCIM’s SymKey® Kwik Actions™ application increases the efficiency and productivity of Claims Operations staff by automating routine tasks within and around their health care benefit administration system. Kwik Actions are custom developed “hotkeys” that users may utilize on demand to perform a predetermined set of screen navigation steps (keystrokes, mouse clicks, screen navigation and database [...]
Posted in Business Process Automation, Corporate Blog, Did You Know?, HCIM's Solutions, Information Technology, SymKey, Tips & Tricks | Tagged Business Process Automation, SymKey, Tips & Tricks | Leave a response
Reduce Operational Costs to Alleviate the Burden of Economy & Health Care Reform
By Michael E. Wilson on October 5, 2010
Continuing economic pressures and recently enacted Health Care Reform mandates place additional pressure on all health plans and managed care/payers to improve their operational efficiencies and reduce associated costs. Future reductions in Medicare reimbursement rates and increased competition will also require everyone to “do more with less money.” Industry mandated changes for HIPAA X12 5010 transactions [...]
Posted in Business Process Automation, Corporate Blog, Did You Know?, HCIM's Solutions, Industry Blog, SymKey | Tagged Business Process Automation, CEO Update, Consulting Services, SymKey | Leave a response
FAQ: The 2010 CMS Fee Schedule was released and is effective retroactively. We have already paid claims for the last several months that now need to be repriced. Can SymKey automatically reprice them?
By Gregory K. Merica on September 24, 2010
Yes, SymKey’s “Reprocess/Pend” standard scenario is a perfect automated solution for repricing paid claims and is very simple to use for EZ-CAP status 9 claims.
Create a .txt file with a list of the paid claim numbers that need to be repriced
Open the SymKey Professional Claims module
Check the “Reprocess/Pend” checkbox about ¾ the way down on [...]Posted in Business Process Automation, Corporate Blog, HCIM's Solutions, Industry Blog, SymKey | Tagged Business Process Automation, FAQs, SymKey | Leave a response
Don’t miss out on Business Process Automation Opportunities
By Michael E. Wilson on June 2, 2010
I recently visited one of our current SymKey® for EZ-CAP® clients in the Midwest. We met with our client’s COO for a couple of hours on a Monday morning. She shared with us the exciting activities and long term strategies that their organization has been working on in their efforts of continuous improvement and striving to bring [...]
Posted in Business Process Automation, Consulting Services, Corporate Blog, Did You Know?, HCIM's Solutions, Industry Blog, SymKey | Tagged Business Process Automation, CEO Update, Consulting Services, SymKey | Leave a response
Can BPA help you ditch the Sticky Notes?
By Michael E. Wilson on May 20, 2010
During my time spent as an Operations Manager, I remember that my claims processors had sticky notes all over their monitors and cheat sheets that they would use to remind them of manual or special processes for certain providers or members. Not everyone had the same sticky notes, nor did they all have the same handwritten [...]
Posted in Business Process Automation, Consulting Services, Corporate Blog, HCIM's Solutions, Industry Blog, SymKey | Tagged Business Process Automation, CEO Update, Consulting Services, SymKey | Leave a response
Tips & Tricks: Using SymKey Batch Processing with an external pricing source to set the contract value of claim lines
By Gregory K. Merica on April 29, 2010
SymKey® for EZ-CAP® versions 1.20 and later include a built-in Batch Processing module that opens up the power of the SymKey® processing engine by allowing users to create their own scenario actions that can directly update nearly any field within an EZ-CAP® claim.
Many clients have unique provider contracts in which the specific pricing either is [...]Posted in Business Process Automation, Corporate Blog, Did You Know?, HCIM's Solutions, Industry Blog, SymKey, Tips & Tricks | Tagged Business Process Automation, SymKey, SymKey Batch Processing | Leave a response
Industry Trend to Reduce Operating Costs and Gain Operational Efficiencies
By Michael E. Wilson on March 22, 2010
During the first part of this new year, we have experienced increased inquiries and requests for product demos of our SymKey® product solution. In fact, we licensed one new SymKey® for EZ-CAP® client last month and are currently working on licensing arrangements with two prospective new clients. I believe this increased interest is due to [...]
Posted in Business Process Automation, Consulting Services, Corporate Blog, Did You Know?, HCIM's Solutions, Industry Blog, Industry News, SymKey | Tagged Business Process Automation, CEO Update, Consulting Services, SymKey | Leave a response