One fully integrated solution that provides Medicare Enrollment, Premium Billing, RAPS submission, EDPS Submission, Risk Adjustment, HCC Analytics, Revenue Reconciliation, Chart Retrieval Projects, PDE Audit, and subject matter experts to help manage your Medicare Advantage members.
Dynamic will setup, manage, and operate your entire Risk Adjustment program, provide oversight, or simply supplement your Risk Adjustment staff. Our Risk Adjustment subject matter experts have decades of experience managing Medicare risk adjustment programs.
Submit and reconcile RAPS and Encounter Data, analyze HCC transactions and manage data from retrospective and prospective intervention programs with our modular tools.
Leverage our expertise to fill your Risk Adjustment program gaps – from Risk Adjustment program review to improving STAR ratings to managing RAPS and Encounter Data Submissions.
Solutions include EDGE Server, Advance Premium Tax Credits (APTC) and Cost Sharing Revenue (CSR). Be compliant with CMS’ distributed data collection process to submit risk adjustment data to support the “Three R’s” and provide analytics to review population patterns and health risk scores.
An add-on module to our Medicare Part C solution that administers State and Federal reporting and auditing requirements for dual lines of business.