Dynamic’s enhancement provides an efficient way for health plans to identify and mitigate these issues that could be putting them at risk of significant overpayment penalties.
Irvine, CA (PRWEB) April 18, 2017
Dynamic Healthcare Systems, a leading provider of enterprise-wide solutions to health plans participating in Medicare Advantage, Managed Medicaid, and Marketplace programs, today announced it has enhanced its enterprise-wide Medicare Advantage platform to simplify the identification and processing of diagnosis code deletions and additions on Encounter Data Processing System (EDPS) encounters. Dynamic’s enhancements now allow health plans to import a flat file containing diagnosis code deletes and additions into the Dynamic EDPS solution. The claim information is then used by Dynamic to link to the original encounter(s) and generate a submission file that Dynamic submits to CMS on behalf of its clients.
“It is essential for health plans to not only have accurate and reliable data but also to have the ability to identify issues with diagnosis codes and be easily able to delete them as needed in the CMS EDS system,” says Lonnie Hardin, Chief Operating Officer of Dynamic Healthcare Systems. “Dynamic’s enhancement provides an efficient way for health plans to identify and mitigate these issues that could be putting them at risk of significant overpayment penalties,” added Lonnie.
Dynamic’s robust solutions provide Medicare Advantage health plans with an enterprise-wide platform that enables a strong risk adjustment strategy ensuring maximum and accurate risk-adjusted payments. Dynamic’s integrated software solutions are designed to ensure health plans meet the complex compliance and data processing requirements that the Centers for Medicare and Medicaid Services (CMS) establishes, monitors, and enforces. Dynamic’s solutions integrate various sources of health plan and provider data to create a single view of a Plan’s membership. This single view facilitates the delivery of high-quality managed care while helping health plans meet compliance and revenue management challenges.
Dynamic Healthcare Systems provides comprehensive solutions to health plans and health systems participating in Medicare Advantage, Managed Medicaid, and Marketplace programs. Dynamic’s solutions help its clients optimize revenue and quality through the utilization of Dynamic’s rich analytics that identify areas for potential improvement, help maintain compliance through ongoing enhancements aligned with CMS regulations, and enhance operational efficiency through fully integrated solution utilizing a centralized database and integrated workflows. Headquartered in Irvine, California, the company offers comprehensive software solutions, managed services, and professional services. For more information, visit dynamichealthsys.com or call 949.333.4565.