IRVINE, CA (PRWEB) January 9, 2006
Dynamic Healthcare Systems, a provider of innovative solutions for Medicare-focused health plans, today announced that Arcadian Health Plan, Inc., a provider of Medicare Advantage health plans, purchased two major components of Dynamic’s Voyager Medicare Suite.
Part of Dynamic’s powerful Voyager software suite, the two modules — RAPS Management and HCC Analytics — will provide Arcadian with a critical advantage toward meeting current challenges in managing explosive Medicare populations, helping the company maximize revenues and profitability by streamlining the critical risk adjustment phase of the reimbursement process.
“After an in-depth review of several systems,” says David Lontok, President of Arcadian’s Management Services Organization, “Dynamic was selected for its flexibility in managing our data, in-depth analytics, reporting capabilities, HIPAA compliance and intuitive nature of its interface. Additionally, Dynamic fields an experienced team with a deep understanding of crucial technologies, and how to solve problems in the Medicare space. We’re very optimistic about 2006.”
The RAPS Management module should fulfill that role amply by helping Arcadian automate the way they accept, manage and exchange RAPS encounter data in conjunction with The Centers for Medicare & Medicaid Services, or CMS. The HCC Analytics solution analyses and enriches that information by applying complex algorithms to identify suspected missing or mis-coded diagnostic ICD9 codes and using secondary data like prescriptions, lab results and authorizations.
“We are very pleased that Arcadian Health Plan selected Dynamic to address their challenges of managing and analyzing risk adjusted data and reimbursements. With CMS implementing the risk adjustment payment model at 100% in 2007, plans, MSOs and providers must really focus on the way they handle encounter data today,” says Ken Stockman, Dynamic’s founder and CEO. “Their success directly depends on the quality of that information, with complete, accurate coding and reporting being key to full reimbursement. Our Voyager solution was specifically designed to help plans and MSOs address these challenges.”
About Arcadian Health Plan, Inc.
Arcadian Health Plan (AHP) is a Centers for Medicare & Medicaid Services-licensed Medicare Advantage health plan. Through state or locally-branded health plans, AHP is focused on offering value-oriented Medicare health plan options to Medicare beneficiaries who reside in small to medium-sized communities that currently do not have affordable Medicare replacement plan options available.
About Dynamic Healthcare Systems
Dynamic Healthcare Systems, Inc. was founded on delivering comprehensive solutions for Medicare Advantage health plans and MSOs striving to succeed amid new and evolving regulatory requirements. Headquartered in Irvine, California, the company brings world-class innovations to middle market companies serving the Medicare population. Dynamic Healthcare Systems can be reached at (949) 975-877. http://www.dynamichealthsys.com.