HCIM CEO Quoted in Article about the Benefits of ICD-10

HCIM President & CEO, Michael Wilson, was recently interviewed for “The Benefits of ICD-10 to Medical Practices” article written by Shelly K. Schwartz and published in Physicians Practice: For all the doomsday predictions surrounding ICD-10, it’s easy to forget that the complex new coding system slated to go live next year is designed to deliver, […]

ICD-10 is only 365 days away!!!

There’s officially only one year left before the ICD-10 compliance deadline and CMS has no plans to extend the date, so it’s time to get moving! Although the extra year from the ICD-10 extension was intended to give payers and providers time for more testing, many healthcare payer organizations haven’t begun implementing ICD-10 yet. ICD-10 […]

Congratulations to Amy Coon on her 5-Year Anniversary as an HCIM Consultant

We are pleased to congratulate Amy Coon on her 5-year anniversary at HCIM. As a Client Services Professional Consultant, Amy has been engaged on a long term project that’s required her focused attention on delivering timely and accurate solutions. She has thrived in that challenging environment, so much so that our client stated that they would like to engage another HCIM consultant exactly like Amy. Based upon that request, we’re fervently working on developing a cloning machine.

CMS Releases 2014 ICD-10-PCS Guidelines, Code Tables and Index

On May 17, 2013, CMS released the 2014 ICD-10-PCS Materials, including guidelines, code tables, index, what’s new, a quick reference guide, and more. On October 1, 2014, ICD-10-PCS will replace ICD-9-CM, Volume 3, for coding inpatient procedures. Of course, CPT codes will still be used for outpatient procedures and services.

CMS also clarified that there will be no national requirement for the reporting of ICD-10-CM codes in Chapter 20, External Causes of Morbidity, although providers are encouraged to voluntarily report external cause codes. However, as with ICD-9-CM, providers may still be required to report ICD-10-CM external cause codes by their state or payer(s).

Kimberly Magras Celebrates Five Years with HCIM

Five years ago today, Kim Magras joined HCIM as an Executive Assistant and worked her way up to Administrative Services Coordinator three years later. She now oversees the company’s administrative services, including human resources, payroll, benefits, Colleague onboarding and training, policies and procedures administration, event coordination, vendor management, and managing HCIM’s Colleague Resource Center. “Kim […]

New CMS ICD-10 Implementation Guide for Payers

On March 13, 2013, CMS issued an updated ICD-10 Implementation Guide for Payers, which details why we’re transitioning to ICD-10, gives an overview of ICD-10 and its benefits, outlines the difference between ICD-9 and ICD-10, and explains how to implement the ICD-10 code set. CMS recommends breaking down the ICD-10 implementation project into six phases: […]

HCIM Congratulates Tim Brandt on 5-Year Anniversary

Tim Brandt joined HealthCare Information Management, Inc. (HCIM) on Oct. 29, 2007. Over the past five years, Tim has proved to be an invaluable asset to HCIM. He is primarily responsible for the formulation and development of automation in SymKey for EZ-CAP and SymKey for PCM. Tim has been integral in the development, enhancement, and […]

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

HCIM 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.

How Will ICD-10 Affect your Business?

CMS’ July 12, 2012 News Update on “Steps to Assess How the ICD-10 Transition will Affect your Organization” reinforces what HCIM and AXIOM explained in our “ICD-10’s Impact on your Business” webinar series: Even if the ICD-10 deadline is delayed, it’s still critical to continue with the implementation in order to not lose momentum and […]

HCIM Hosts 2012 Annual All Colleague Meeting in Louisville, KY

HCIM Colleagues from all over the U.S. assembled for the annual HCIM All Colleague Meeting (ACM) in Louisville, Kentucky on May 18-19, 2012. The meeting opened with guest speaker Marty Clarke’s presentation on “The Symphony of Collaboration,” which was both hilarious and thought-provoking. Both days of lively face-to-face meetings expounded on the principles of collaboration […]

HCIM Congratulates Winners of 2012 Share the Love Raffle

Congratulations to Brooke Yates and Sherry Thibeault of Desert Oasis HealthCare (DOHC), winners of the 2012 “Share the Love” raffle. During a routine DOHC site visit, they were each awarded a $125 American Express gift card by Tom Streeter, HCIM’s SVP and Director of Product Solutions, and Laurie Kirkland, HCIM’s Director of Sales & Marketing. […]

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

HCIM is propelling consultant interviews into the 21st century by allowing clients to screen their experienced 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.

HIPAA 5010 Grace Period Extended Through June 30, 2012

The Centers for Medicare & Medicaid Services’ Office of E-Health Standards and Services (OESS) announced a second 3-month grace period for HIPAA ASC X12 Version 5010 and NCPDP Versions D.0 and 3.0 on March 15, 2012, effectively extending the deadline for enforcement action against HIPAA 5010 noncompliance through June 30, 2012. The previous 5010 grace […]

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 […]

HCIM Hosts Internal Business Unit Meetings

In November 2011, HCIM held two internal business unit meetings to involve all HCIM Colleagues in goal setting, brainstorming, troubleshooting, and team building. HCIM’s Product Solutions business unit met at HCIM’s offices in Concord, Calif. to discuss the future of HCIM’s product offerings, create their product development schedule for 2012, and collaborate on the functionality […]

ICD-10 Next Steps – Where do we go from here?

ICD-10 has the potential to revolutionize the nation’s healthcare system and will provide many benefits to the healthcare industry. However, implementation will provide plenty of challenges. In HCIM and AXIOM Systems’ summer 2011 ICD-10 Educational Webinar Series, we explained what ICD-10 entails, potential impacts for you to examine, and insights from others in the industry […]

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, […]

About the CMS HIPAA 5010 Compliance Grace Period

CMS announced a 90-day grace period for HIPAA 5010 compliance on Nov. 17, 2011. While CMS did not offer a deadline extension on the HIPAA 5010 compliance date of January 1, 2012, they will not “initiate enforcement action” before March 31, 2012. What does this mean? It’s certainly not a free pass, but it does offer […]

SymKey for Plexis Claims Manager Development Underway

HCIM has begun the design and development of SymKey® for Plexis Claims Manager™ (PCM). HCIM has partnered with Plexis Healthcare Systems, a leading provider of core benefit administration and claims processing software, to cooperate on the development of this new product line. Together, the two companies have identified the initial workflows for SymKey to automate and […]

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.

HCIM Colleagues Meet for Strategic Planning, Texas BBQ, and the Houston Astros

HCIM’s June 24-25 All Colleague Meeting was held in Houston, Texas. Colleagues met to discuss the strategic direction of the company and celebrate HCIM’s success. Meeting Highlights HCIM Colleagues played “Houston Hold’em,” HCIM’s spin on Texas Hold’em. Marilyn Nickles took home the grand prize, a much-coveted iPad, with an impressive four-of-a-kind. Congratulations, Marilyn! Michael Wilson […]

Healthcare Coverage for Young Adults

Due to recent healthcare reform, most young adults are now eligible for healthcare insurance under their parent’s family plan until the age of 26, regardless of whether they live with their parent(s), are in school, or are married. Section 2714 (Extension of Dependent Coverage) of the Patient Protection and Affordable Care Act that President Obama […]

The Weary Traveler: My Travel Magnet Collection

I’d always dreamed of a job that allowed me to travel. So during my interview with HCIM, when they asked how I felt about traveling 80-100% of the time as a consultant, I said that I’d love to. I was surprised when they responded, “be careful what you wish for!” I soon began collecting a […]

How to identify and deny duplicate claims within EZ-CAP®

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 […]

Spring is in the Air

Springtime is just around the corner…that time of year when the world starts waking up after a dreary winter. For many of us, the days leading up to spring can create a restless energy as we await the arrival of those days when we can finally step outside and enjoy the feeling of sunshine again. […]

Free HIPAA X12 Compliance Tools & Resources

You now have less than one year to achieve full compliance with HIPAA X12! The January 1, 2012 compliance date requires the replacement of HIPAA ASC X12 version 4010A1 with version 5010 and NCPDP version 5.1 with version D.0. Update: CMS has extended a HIPAA 5010 grace period through June 30, 2012. More >> Did […]

Free ICD-10 Implementation Tools

Don’t lose sight of the ICD-10 deadline! October 1, 2013 is closer than you think… Did you know? You should have already completed ICD-10 impact assessment, risk analysis, and mitigation planning. If you haven’t, you’re in good company – industry surveys indicate that the majority of healthcare payers are behind on their ICD-10 implementation. Myth […]

ICD-10 Myth Buster: Is the ICD-10 implementation really just a simple code mapping effort?

Many people still believe that the new ICD-10 CM and PCS code set transition from ICD-9-CM will simply involve one-to-one mapping, but it will also require one-to-many general equivalency mappings (GEMs). This will require analysis, system reconfiguration, and thorough staff training. One-To-Many Example With the new ICD-10 coding, sports injuries will be coded with the […]

HCIM All Colleague Meeting – November 5, 2010 (Concord, CA)

HCIM Colleagues met at the HCIM Development Office located in Concord, Calif. on Friday, November 5, 2010 for our semi-annual All Colleague Meeting (ACM). The meeting was facilitated by Jeffrey Hall, Executive Vice President, Client Services, and Angela Reynolds, Corporate Communications Coordinator. The focus of the meeting was centered on team building with Colleagues participating […]

Automate Routine Tasks to Increase Employee Efficiency

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 […]

Estimated Costs and Benefits of Adopting the new ICD-10 Coding System

According to the RAND Science and Technology Policy Institute’s comprehensive technical report on The Costs and Benefits of Moving to the ICD-10 Code Sets, providers will incur costs for computer reprogramming, the training of coders, physicians, and code users, and for the initial and long-term loss of productivity among coders and physicians. The cost of sequential conversion (10-CM […]

HCIM Colleagues meet via Web Conference to Discuss Strategic Planning

As part of HCIM’s ongoing effort to maintain an open line of communication with its Colleagues, HCIM Colleagues met on Friday, September 17, 2010, to discuss HCIM’s current strategic plan.  The meeting was facilitated by Amy Sipe, Client Services Professional Consultant, and Gregory Merica, Director of Product Management Integration. The Online Colleague Meeting (OCM) allowed […]

Reduce Operational Costs to Alleviate the Burden of Economy & Health Care Reform

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 […]

HIPAA Transition from 4010A to 5010 – Part 3 of 3

CMS Progress in Implementing the New Standards CMS is well into the process of readying its FFS Medicare systems to handle the 5010/D.0 standards. All Medicare systems will be ready to handle the new standards by January 1, 2011. Medicare plans for its systems to handle the current 4010A standard and the new 5010/D.0 standards […]

FAQ: I see the Batch Processing module is included in my license. Where do we start?

Answer: In SymKey for EZ-CAP v. 1.30 and higher, click the “Documentation” link in the “Help” section on the left side of the SymKey main menu. Select the “Batch Processing Technical Procedure Guide” from the “Documentation” sub menu. The guide provides a detailed overview of the available functionality as well as instructions on how to build and use a Batch […]

Wildcard Searches in AnyDoc BROKERit

The BROKERit product from AnyDoc Software is normally included with the base ScanClaims software suite when purchased with scanning and OCR for AnyDoc.  This is a very powerful tool to search for archived documents that are properly indexed using either verified Optical Character Recognition (OCR), customized Key From Image (KFI) screens, or when linked to […]

HIPAA Transition from 4010A to 5010 – Part 2 of 3

Why the change from 4010A to 5010? Key issues for adapting HIPAA 5010 rules are: To accommodate ICD-10 coding. 4010 technology is outdated. It has been in use for five years and was written three years prior to that. Many of the situational and required rules did not fit health care industry practices. This is especially […]

HIPAA Transition from 4010A to 5010 – Part 1 of 3

What is HIPAA? HIPAA, which stands for the American Health Insurance Portability and Accountability Act of 1996, is a set of rules to be followed by doctors, hospitals and other health care providers. HIPAA took effect on April 14, 2006. HIPAA helps ensure that all medical records, medical billing, and patient accounts meet certain consistent […]

HCIM Colleagues meet to set Direction for Expansion of Product Expertise and Services

One of HCIM’s strategic goals is to “sustain an environment built on trust and integrity, which fosters creative thinking, empowered decision-making and innovative solutions.” As a modern virtual company with colleagues spread out across the country, HCIM’s Leadership Team has made it a priority to host quarterly web conferences and semi-annual face-to-face strategic planning sessions, […]

FAQ: How do I configure how SymKey responds to certain EZ-CAP system error/warning messages?

Answer: In SymKey® v. 1.31 and later, only Admin level users have sufficient security rights to configure or change how SymKey responds to EZ-CAP® system error/warning messages. From the SymKey main menu, click the “EZ-CAP Messages” link under the Configuration section. This will open a window that shows every message that SymKey has encountered while […]

What will the ICD-10 transition involve?

Timeline The implementation date for ICD-10 is October 1, 2013, and applies to all encounters and discharges occurring on or after that date. According to data from AHIMMS, one entity cannot force another entity to be compliant prior to the said date, although testing will require a great deal of communication between providers, suppliers, and […]

Tips & Tricks: Reducing Workplace Headaches

Do members of your team have to print everything to avoid getting headaches from reading off their monitor? Here are a few simple ideas to reduce headaches, improve efficiency, and cut back on printing costs. 20-20-20 Rule Every 20 minutes, look away from your screen at an object roughly 20 feet away, and keep your […]

FAQ: How do I view batch report information for an entire month?

Answer: From the left side of the SymKey main menu, click the Productivity Reports link in the Reports section. SymKey’s productivity reports are an aggregate of your daily batches, viewable by month, year, or pend reasons, depending on which report you select. The reports allow you to quickly view performance data, claims processed, and most importantly your return […]

Components of ICD-10

ICD–10 consists of: tabular lists containing cause-of-death titles and codes (Volume 1) inclusion and exclusion terms for cause-of-death titles (Volume 1) description, guidelines, and coding rules (Volume 2) an alphabetical index to diseases and nature of injury, external causes of injury, table of drugs and chemicals (Volume 3) ICD–10 Chapter Headings: Chapter 1: Certain Infectious […]

FAQ: Why can’t I see the SymKey configuration options?

Answer: There are three security levels that determine what the user has access to: The User role has access to SymKey’s modules in order to run batches and view reports and documentation. The Admin role has the ability to change much of the configuration in SymKey, including configuring users, passwords, and database connection management. The Developer […]

What is the difference between ICD-10-CM and ICD-10-PCS?

ICD–10–CM Diagnosis Codes The CDC’s National Center for Health Statistics (NCHS) developed the ICD–10–CM code set, following a voluntary consensus-based process and working closely with specialty societies to ensure clinical utility and subject matter expert input into the process of creating the clinical modifications, with comments from a number of prominent specialty groups and organizations […]

SymKey for EZ-CAP v. 1.31 General Release

HealthCare Information Management, Inc. (HCIM) is pleased to announce the general release of SymKey® for EZ-CAP® version 1.31, effective April 7, 2010. Many enhancements have been made to SymKey® for EZ-CAP® v. 1.30, including two new advanced standard scenario actions, a new scenario summary feature, and more. For a comprehensive list of enhancements and software […]

FAQ: Why does SymKey’s input file for Batch Processing look different than files for the other modules?

Answer: SymKey’s Batch Processing module is an advanced tool that allows users to combine multiple actions into one batch. The Professional and Hospital Claims modules, on the other hand, contain standard scenarios that are predefined and coded within the SymKey software. The Professional and Hospital Claims modules’ input files typically contain the claim number and […]

Why has the U.S. decided to move from ICD-9 to ICD-10?

Key issues in adopting ICD-10- CM are:
• ICD-9 is 30 years old and is outdated.
• ICD-9 is running out of spaces for new codes. Codes added in recent years are in the wrong chapters because the correct chapters were full, with nowhere to add new codes.
• ICD-9 codes cannot reflect current and evolving medical technologies.
• The current codes are limited in their descriptions. New codes will allow for a greater level of detail, including etiology, manifestation, and laterality.
• ICD-9 does not provide the increased level of detail needed for emerging needs like biosurveillance and competitive purchasing. […]

FAQ: Where do source files go after the batch is completed?

When SymKey completes a batch, it does two things to the source file – it appends the front of the file with the batch number and, regardless of the source location, it moves the file to SymKey’s complete folder located at C:SymKeyFilesComplete. For example, an input file named “TestBatchFile.txt” for batch 1200 would be renamed “1200_TestBatchFile.txt” before […]

FAQ: Where can I locate source batch files?

Answer: When you create your source batch files, either through Crystal Reports, Microsoft Access, or SQL, you should save them in a place that SymKey has access to, whether it be a network drive, local folder, or the default source batch file folder (C:SymKeyFilesSource). When you click the Browse button in any of the SymKey […]

What is the difference between ICD-9 and ICD-10?

In many ways, ICD-10-CM is quite similar to ICD-9-CM. The guidelines, conventions, and rules are very similar. The organization of the codes is also very similar. Anyone who is qualified to code ICD-9-CM should be able to easily make the transition to coding ICD-10-CM. Many improvements have been made to coding in ICD-10-CM. For example, […]

FAQ: Why don’t I have access to one of the SymKey claims modules (Professional, Hospital, Virtual Auto-Post, or Batch Processing)?

Answer: SymKey® modules are activated/deactivated based on a licensing agreement between HCIM and your company. If you require access to a module that is not available, your licensing file must be updated and a new licensing agreement signed. If you see that a module that used to be active is now unavailable, the terms of […]

01/25/2010: HCIM and DataWing Software Begin SymKey for EZ-CAP DataWing Auto-Post Module Co-Development Project

WALNUT CREEK, Calif. – Jan. 25, 2010 – HealthCare Information Management, Inc. (HCIM) and DataWing Software, an HCIM business affiliate, began work today on a collaborative effort to create a SymKey® for EZ-CAP® DataWing Auto-Post Module that will automatically post data from DataWing Software’s Eligibility Manager® and DataTug applications into EZ-CAP’s Eligibility module.

“Our products are […]

What is ICD-10?

The 10th revision of the International Classification of Diseases consists of:
• a tabular list containing cause of death titles and codes
• inclusion and exclusion terms for cause of death titles
• an alphabetical index to diseases and nature of injury, external causes of injury, table of drugs, and chemicals
• descriptions, guidelines, and coding rules

ICD-10 has two components:

The History of ICD-10

The International Classification of Diseases (ICD) is the international standard diagnostic classification for all general epidemiological purposes, many health management purposes, and for clinical use. This includes the analysis of the general health situation of population groups, as well as monitoring the incidence and prevalence of diseases and other health problems in relation to other […]