Irvine, CA (PRWEB) August 02, 2012
Dynamic Healthcare Systems, a provider of enterprise technology solutions for Medicare-focused health plans, today announced that it has successfully achieved certification of the Encounter Data Institutional Testing with the Centers for Medicare and Medicaid Services (CMS). CMS is requiring the submission of encounter data in 2012 from Medicare Advantage Organizations to more accurately calibrate the risk adjustment model and to analyze utilization and costs. Dynamic and all of the clients it submits for are fully certified for both Professional and Institutional Encounter Data submission.
“Receiving Encounter Institutional Testing Certification is a monumental compliance milestone for both Dynamic and the many Medicare Advantage Organizations who are using our EDPS solution,” said Diana Benli, Vice President Product Management and Development at Dynamic. “In addition to submission of production professional encounters, our clients shall now begin the process of submitting compliant institutional encounters. Using Dynamic’s EDPS solution, plans are able to handle all levels of rejections and exceptions and monitor impacts on their revenue during the parallel processing period.”
Dynamic’s EDPS solution provides Medicare Advantage plans with the ability to accept and store encounters and chart data from any source; track each encounter from adjudication to acceptance by CMS; validate provider data against the NPPES database; generate compliant CMS 837 v5010 file submissions; process reply files; categorize errors and rejects; age, correct and concentrate resolution on encounters that are relevant to risk scores; and, compare and reconcile results to RAPS output to determine financial impacts.
About Dynamic Healthcare Systems
Dynamic Healthcare Systems, Inc. delivers comprehensive solutions for Medicare Advantage health plans 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) 333.4565. http://www.dynamichealthsys.com.