Enrolling members into government programs is complex and wrapped with layers of regulatory requirements. Health plans must be equipped with flexible solutions that enable compliance with CMS regulations.
Irvine, CA (PRWEB) October 29, 2015
As government-regulated health plans manage the Annual Election Period (AEP) that began October 15, 2015, Dynamic Healthcare Systems, a leading provider of enterprise-wide solutions to health plans participating in Medicare, Medicaid and Exchange programs, announced the availability of its feature-rich enrollment solution to include a powerful correspondence tool. As health plans navigate the complexities of AEP, the potential for compliance issues regarding correspondence increases.
Dynamic’s Enrollment Solutions are built to address and execute on constantly changing CMS requirements and regulations, allowing health plans to efficiently and effectively manage their enrollment and member benefits.
“CMS has strict guidelines that determine not just when a member should receive correspondence but also what content is required to appear on that correspondence,” said Kathy Feeny, President and CEO of Dynamic Healthcare Systems. “Enrolling members into government programs is complex and wrapped with layers of regulatory requirements. Health plans must be equipped with flexible solutions with built-in frameworks that enable compliance with CMS regulations that helps them avoid potential compliance infractions.”
Dynamic’s robust enrollment solution takes the complicated CMS guidelines and helps simplify their achievement by reducing correspondence risks through the automation of required correspondence, thereby taking the guess work out of the Plan’s hands. This automation saves time, reduces risks and provides a smooth member experience by using a combination of built-in CMS logic and plan business rules as the basis for configuration. Dynamic’s enrollment solution is designed to optimize plan revenue, improve compliance/audit readiness and improve operational efficiency. It provides Medicare Advantage health plans a system of record where all member data resides within an automated solution that utilizes extensive pre-submission validations resulting in reduced manual labor, simplified enrollment status checking, highly accurate enrollment processing and the identification of secondary payers. Coupled with a team of subject matter experts, Dynamic solutions help Medicare Advantage plans achieve compliance, effectively manage their risk adjustment programs and deliver rich analytics required to predict and optimize risk-based revenue.
About Dynamic Healthcare Systems
Dynamic Healthcare Systems, Inc. delivers comprehensive enterprise-wide solutions and services for health plans with Medicare Advantage, Medicaid, and Marketplace lines of business striving to succeed amid new and evolving regulatory requirements. Headquartered in Irvine, California, the company brings world-class innovations to companies serving the government-regulated healthcare population. For more information, visit http://www.dynamichealthsys.com or call 949.333.4565.