Irvine, CA (PRWEB) May 16, 2006
Dynamic Healthcare Systems, a provider of innovative solutions for Medicare-focused health plans, today announced that GEMCare Health Plan, Inc. purchased Dynamic’s complete Voyager Software Suite to automate and streamline back office operations while ensuring compliance with new guidelines issued by the Centers for Medicare & Medicaid Services (CMS). The Voyager Suite provides GEMCare with comprehensive Medicare Advantage management capabilities, from automated enrollment and revenue reconciliation to risk adjustment analytics.
“Dynamic’s Voyager software suite provides us with a complete and seamless solution that will help us optimize and automate administrative tasks, while allowing us to enhance delivery of services to our members and maximize our revenue growth and cost-reduction opportunities,” said Michael Myers, President and CEO of GEMCare Health Plan, Inc. “We chose Dynamic as our technology partner for their flexibility in managing our data and integrating to our existing systems to provide better data quality and reporting across all functions.”
Voyager’s versatile modules deliver intelligent, comprehensive Medicare Advantage management capabilities. Its Enrollment Module provides multi-form election validation, workflow tracking and inventory management, with direct CMS transaction submission and rejection processing. The software’s RAPS/Encounter Management Module helps GEMCare automate the way they accept, manage and exchange RAPS encounter data in conjunction with CMS. The HCC Analytics solution 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 and authorizations to further identify potential missing HCCs.
“We are pleased that GEMCare selected our complete software suite to help them with their transition to meet new revenue models defined by CMS,” said Ken Stockman, Dynamic’s founder and CEO. “Our goal is to help organizations like GEMCare maximize their revenue cycles, and scale their membership without adding additional staff, using innovative technology to automate and improve back-office operations. Our Voyager solution was specifically designed to help plans and MSOs address evolving and more complex regulatory requirements.”
About GEMCare Health Plan, Inc.
GEMCare Health Plan is a for profit, Knox Keene licensed Medicare Services Health plan, owned by Golden Empire Managed Care, A Medical Group Inc, and Managed Care Systems, LP. GEMCare Health Plan is headquartered in Bakersfield, California. GEMCare Health Plan can be reached at (661) 716-8800 and http://www.gemcarehealthplan.com
About Dynamic Healthcare Systems
Dynamic Healthcare Systems, Inc. delivers 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) 975-1877 and http://www.dynamichealthsys.com
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