Irvine, Calif. (PRWEB) December 5, 2006
Dynamic Healthcare Systems, a provider of innovative solutions for Medicare-focused health MSOs and plans, today announced that it signed an agreement with FirstCare Health Plans to provide professional services and hosted software. Under the agreement, Dynamic will provide FirstCare its complete Voyager Software Suite, giving FirstCare comprehensive Medicare Advantage management capabilities, from automated enrollment and revenue reconciliation to risk adjustment analytics.
"FirstCare's purchase of Dynamic's software and services helps our company automate and streamline back office operations while ensuring compliance with guidelines issued by the Centers for Medicare & Medicaid Services (CMS)," said Arik Hill, FirstCare's Vice President of Information Technology Service. "We believe that Dynamic's technology and services provide us with a complete and seamless software solution that will optimize our efficiency as a business while enhancing delivery of services to our members and maximizing our revenue growth and cost-reduction opportunities."
The Dynamic Healthcare Systems' Voyager Software Suite of Revenue Reconciliation, HCC Analysis and RAPS Management modules automate and streamline the internal processes of the health plan or managed care organization. Its Enrollment Module provides multi-form election validation, workflow tracking and inventory management, with direct CMS transaction submission and rejection processing. Voyager'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.
"The move to 100% compensation using the HCC model and the start of the budget neutrality factor phase out, place significant pressure on Medicare Advantage plans like FirstCare to increase and maintain the highest possible risk scores," said Ken Stockman, Founder and Chief Executive Officer of Dynamic Healthcare Systems. "Dynamic's Voyager Software Suite allows health plans and managed care organizations to achieve process improvement and new analysis in an increasingly time critical manner to maximize revenue and limit cost."
About FirstCare Health Plans
FirstCare is a State of Texas for-profit company. FirstCare provides prepaid medical, hospital and related comprehensive health care services to subscribers and their enrolled dependents within its approved service areas. FirstCare also owns Southwest Life & Health Insurance Company that offers the FirstCare PPO and life insurance products. FirstCare is owned by two religious health systems - Covenant Health Systems in Lubbock, Texas and Hendrick Health Systems in Abilene,Texas. For more information, visit http://www.firstcare.com.
About Dynamic Healthcare Systems
Dynamic Healthcare Systems, Inc. delivers 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 companies serving the Medicare population. Dynamic Healthcare Systems can be reached at (949) 975-1877. http://www.dynamichealthsys.com.