The improvement of capture rates of diagnosis and quality measures underscores Dynamic’s point of care integration.
Santa Ana, CA – January 18, 2021 – Dynamic Healthcare Systems, a leading provider of enterprise-wide solutions to health plans participating in Medicare Advantage, Managed Medicaid, and Marketplace programs, is pleased to announce that its Risk Analytics solution for Providers now features Electronic Health Records (EHR) integration at the point of care. This enhanced Provider Analytics solution, for provider groups participating in value-based and risk-share services, further complements Dynamic’s End-To-End Risk and Care Management offering for Medicare Advantage Organizations (MAOs).
In the past, risk analytics were delivered to health plans online and to their provider networks in paper-based reports. Providers would have access to this information either well in advance or well after the actual encounter with the patient. To complicate the process even further, documenting both health diagnoses and care gap closures usually required multiple systems, multiple log-ins, and multiple processes that extended well after the encounter was over. The information was not updated until the documentation produced an adjudicated bill and then updated throughout the system.
Dynamic Healthcare Systems has streamlined this entire process by deploying a solution that achieves interoperability between payers and provider systems. Algorithms are applied to risk and performance scores where it can have the quickest and most meaningful impact – at the point of care. Since the introduction of risk adjustment for Medicare Advantage, Dynamic has established a reputation for its risk-based analytics. Dynamic now utilizes a wealth of collected clinical data and embeds member-based information directly to the provider’s EHR at the point of care.
“Dynamic’s risk analytics provider application is designed to improve capture rates of diagnosis and quality measures, reducing the risk of receiving delayed or missing information that is required from providers,” says Jim Corbett, Chief Strategy Officer. “This ensures better information to providers and, as a result, better care and improved accuracy of claims submittals.”
Timely data can also decrease Risk Adjustment Data Validation (RADV) issues. With an integrated process, health plans should see improved documentation with fewer retrospective chart reviews required. This integration will allow health plans to gather and analyze information faster, pinpoint under and over-reporting, and help identify risk and care gaps earlier.
Dynamic’s robust suite of integrated solutions provides health plans and provider groups 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 provider groups meet the complex compliance and data processing requirements that the Centers for Medicare and Medicaid Services 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 was founded in 2005 in response to the significant business and system challenges placed on Medicare Advantage Organizations (MAOs) by the enacted Medicare Modernization Act of 2003.
Dynamic provides an end-to-end automated SaaS solution for health plans and provider groups participating in Medicare Advantage, Managed Medicaid, and Marketplace programs.
Our comprehensive solutions can help Dynamic’s clients optimize revenue and increase the quality of their governmental submissions in an operationally efficient manner that is designed to comply with applicable legal and regulatory obligations. The analytics, integrated workflows, and queues within a single integrated platform help Dynamic’s clients more effectively manage Enrollment, Premium Billing, Revenue Reconciliation, and Risk Adjustment. For more information, visit dynamichealthsys.com or call 949-333-4565 ext. 125.
Phone: 949-333-4565 ext. 180