By adding intelligence to our editing capability we now simplify encounter corrections by providing real-time feedback to the user to ensure edits are compliant with CMS requirements and will be accepted by CMS one corrected.
IRVINE, Calif. (PRWEB) August 29, 2018
Dynamic Healthcare Systems, a leading provider of comprehensive solutions to health plans and health systems participating in Medicare Advantage, Managed Medicaid, and Marketplace programs, today announced enhancements to their EDPS solution to allow health plans improved editing capabilities of 837 encounters to streamline data management and efficiency. This enhanced feature simplifies a health plans ability to correct 837 encounters outside of their claims system and avoid reprocessing claims by going straight to the encounter within Dynamic’s solution to edit and resubmit the encounter directly to CMS. This, coupled with our ability to identify risk adjustment gaps tied to rejected encounters makes prioritizing and correcting inaccurate risk scores an easy task.
“Dynamic works closely with its clients to identify ways to enhance our solutions to help customers operate as efficiently as possible,” said Lonnie Hardin, Chief Operating Officer at Dynamic Healthcare Systems. “By adding intelligence to our editing capability we now simplify encounter corrections by providing real-time feedback to the user to ensure edits are compliant with CMS requirements and will be accepted by CMS one corrected”, added Mr. Hardin.
Dynamic’s robust Medicare Advantage suite of integrated solutions provide health plans and health systems 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 and health systems 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.
About Dynamic Healthcare Systems
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 plan 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.