Irvine, CA (PRWEB) April 11, 2006
Dynamic Healthcare Systems, a provider of innovative solutions for Medicare-focused health plans, today announced that Primary Provider Management Company, Inc. (PPMC) purchased Dynamic’s HCC Analytics module, a component of its powerful Voyager Medicare Solution. The HCC Analytics Module will support PPMC’s efforts to implement and comply with new guidelines issued by the Centers for Medicare & Medicaid Services (CMS).
“Dynamic’s HCC Analytics provides PPMC a critical advantage toward meeting current challenges in managing the delivery of services to explosive Medicare populations, while helping our company maximize revenues and profitability,” said Helene Beilman-Werner, PPMC’s Executive Vice President. “With an experienced team and a deep understanding of the Medicare space, Dynamic offers comprehensive technology solutions that will allow us to increase productivity in our back-office operations and maximize efficiency in the delivery of member services.”
The HCC Analytics Module enhances PPMC’s revenue potential by managing encounter data submissions and rejections, while providing ICD9/HCC coding analytics, and proprietary Confidence Factor scores. It analyzes 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, DME and authorizations. In addition, PPMC maximizes the return of the resources deployed by focusing chart audits on those that are likely to yield real results by predicting a confidence level for each suspected missing diagnosis.
"We are excited to have PPMC join the Dynamic family of customers. With Dynamic’s comprehensive business solutions, health plans can improve operations and increase efficiency as they manage costs, and achieve a significant return on their IT investment," said Ken Stockman, Dynamic’s founder and CEO. "Our focus on Medicare, professional staff, and robust software suite create a powerful formula that can help our customers to compete effectively as healthcare evolves and grows more complex."
About Primary Provider Management Company, Inc. (PPMC)
Established in 1984, PPMC provides management services to an ever-changing health care industry. Its experience and expertise is in managed care, including contracting physician networks, claims processing, utilization and quality management, credentialing, provider and member services and financial reporting management. Today, it provides services to the growing population of Medical and commercial managed care members throughout the Inland Empire and San Diego County.
About Dynamic Healthcare Systems
Dynamic Healthcare Systems, Inc. was founded on delivering comprehensive solutions for 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) 975-1877. http://www.dynamichealthsys.com.
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