Hometown Health Plan Selects Dynamic Healthcare Systems' HCC Quick Assessment to Meet Medicare Challenges

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Dynamic’s HCC Quick Assessment, designed to maximize revenue for Medicare Advantage Plans like Hometown Health Plan, allows Hometown Health Plan to meet current risk adjustment reimbursement requirements defined by the Centers for Medicare & Medicaid Services (CMS).

Dynamic Healthcare Systems, a provider of innovative technology solutions for Medicare-focused health plans, today announced that Hometown Health Plan purchased its HCC Quick Assessment. Dynamic’s HCC Quick Assessment is designed to maximize revenue for Medicare Advantage Plans like Hometown Health Plan, allowing them to meet current risk adjustment reimbursement requirements defined by the Centers for Medicare & Medicaid Services (CMS).

“Dynamic’s technology solutions enable Hometown Health Plan to review and analyze our current RAF scores in a timely fashion,” said Matt Ladich, Manager, Senior Care Plus of Hometown Health Plan. “Their Voyager software provides us with additional capabilities to capture mis-coded ICD-9 codes before the September Sweeps. Incorporating their solution in our system allows us to manage our RAF score payments and maximize our revenue potential in the years to come,” he added.

“Our value proposition is to provide comprehensive solutions that allow Hometown Health Plan and other Medicare-focused businesses to maximize their revenue cycles and scale their membership without adding additional staff, “ said Ken Stockman, founder and CEO of Dynamic Healthcare Systems, Inc. “Dynamic’s HCC Quick Assessment identifies missing and mis-coded ICD-9 codes that have not been reported in qualified encounter data through the use of crosswalks and proprietary algorithms. Each suspected missing or mis-coded ICD-9 code is identified by the likelihood that the suspect will result in an actual new or corrected ICD-9 code, increasing the program effectiveness and the return on investment.”

Dynamic’s HCC Analytics module applies proprietary algorithms to qualified encounter data and unqualified secondary sources like, lab results, DME, and prescription encounters, to uncover suspected gaps in ICD-9 code reporting. Plans and MSOs use Dynamic’s work queues, detailed patient profiles and sophisticated report libraries to verify the suspects in medical records, document the actual outcomes and submit them to CMS.

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 companies serving the Medicare population. Dynamic Healthcare Systems can be reached at (949) 975-1877. http://www.dynamichealthsys.com.

About Hometown Health Plan

Hometown Health, the health insurance division of Washoe Medical Center, offers a range of health insurance plans and services through its family of companies. Hometown Health Plan, Inc., a health maintenance organization, serves fully insured employer groups and offers Senior Care Plus, a Medicare Advantage Plan. Hometown Health Providers Insurance Company, Inc., offers preferred provider organization medical plans and dental plans to fully insured and self-funded employer groups plus administrative services to self-funded health-insurance plans. To learn more, visit our Web site at http://www.hometownhealth.com.

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