Amherst, NY and Irvine, CA. – January 26, 2017 – Firstsource Transaction Services, LLC, part of the Firstsource Solutions Limited Global customized Business Process Management (BPM) services family, and Dynamic Healthcare Systems, a leading provider of enterprise-wide solutions for health plans participating in Medicare Advantage, Medicaid and Marketplace programs, today announced they have entered into a partnership to strengthen health plans in handling their increasingly complex back office operations. Together with Dynamic Healthcare Systems, Firstsource is now offering end-to-end Administrative Services Only (ASO) support to health plans operating a Medicare Advantage line of business. The new service is the result of the integration of Dynamic’s comprehensive Medicare Advantage platform to Firstsource’s core workflow management system, which is configured to process any member enrollment submission exceptions. Dynamic’s comprehensive Medicare Advantage solutions assist health plans with meeting the complex compliance and data processing requirements that the Centers for Medicare and Medicaid Services (CMS) mandates, monitors, and enforces.
“Dynamic’s innovative technology supported by Firstsource’s deep domain expertise in the member enrollment processing will create a seamless and cost-effective ‘one stop shop’ for both Medicare Advantage and managed Medicaid payers,” said Tom McDonnell, Senior Vice President Sales & Client Development, Firstsource. “By leveraging our respective market presence, this integrated labor/software solution is now well positioned to support Medicaid expansion and membership growth for all government-sponsored programs,” Mr. McDonnell added.
Firstsource will be saving their clients time and money with the following value-added services such as:
• Seamless Enrollment which includes the identification of Medicare Secondary Payers and Coordination of Benefits.
• Premium Billing supporting multiple billing schedules, various payment methods and a delinquency process based on CMS guidance.
• Thorough Revenue Reconciliation to help plans optimize revenue by highlighting, prioritizing and resolving discrepancies between plan data and CMS data.
• Extensive Pharmacy Drug Event Audit and Management identifying and resolving CMS rejected PDEs, in addition to auditing of PDEs submitted by PBM on the behalf of the plans.
• Comprehensive Risk Adjustment services including apre-submission validation and submission to CMS of RAPS and EDPS encounters, as well as, HCC Analytics services that help plans optimize revenue.
“We chose Firstsource as our BPM partner because like Dynamic, they partner closely with their clients for the long-term and are constantly striving to exceed their clients’ expectations,” said Brooks Corbin, Chief Executive Officer of Dynamic Healthcare Systems. “Our partnership with Firstsource brings a comprehensive end-to-end BPM offering to the market for health plans with a Medicare Advantage line of business. These plans now have the option to outsource some or all of their complex CMS-required processes for enrollment, premium billing, revenue reconciliation, Pharmacy Drug Event management, and their risk adjustment programs including RAPS, EDPS and HCC Analytics,” Mr. Corbin added.
Firstsource’s comprehensive Medicare Advantage BPM offering powered by Dynamic Healthcare Systems’ software platform, offers health plans the option to affordably optimize their revenue while maintaining compliance.
About Dynamic Healthcare Systems
Dynamic Healthcare Systems, Inc. delivers comprehensive enterprise software 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.