Dynamic is Providing MMM with Comprehensive RAPS and EDS Services
Irvine, CA – August 23, 2016 – Dynamic Healthcare Systems, a leading provider of enterprise-wide solutions to health plans and provider organizations participating in Medicare Advantage, Managed Medicaid, and Marketplace programs, today announced that Puerto Rico-based Medicare y Mucho Más (MMM) has selected Dynamic as their partner to provide MMM with end-to-end RAPS and EDS submission services. Dynamic, as a certified third-party Centers for Medicare and Medicaid Services (CMS) submitter, is handling the creation, quality control, submission and reject handling of all MMM’s CMS required RAPS and EDS encounters.
“We are thrilled that MMM has chosen Dynamic as their partner to handle this mission critical part of their Medicare Advantage risk adjusted revenue processing,” said Kathy Feeny, President of Dynamic Healthcare Systems. “Dynamic’s market leading EDS solution is delivering very high CMS acceptance rates to our clients, helping to ensure that their CMS submissions are as timely and accurate as possible,” Feeny added.
“We selected Dynamic due to their expertise in Medicare Advantage and CMS encounter handling,” said Orlando González, Esq. President of MMM. “As leaders in innovation, we were looking for an end-to-end solution that would help us with our efforts to continually optimize our processes. In this occasion, by rapidly getting our encounters submitted to CMS while achieving high degrees of compliance and accuracy” added González.
Dynamic’s robust software provides Medicare Advantage health plans with an enterprise-wide solution including risk adjustment solutions that help ensure optimal and accurate CMS payments. Dynamic’s integrated software solutions are designed to ensure health plans meet the complex compliance and data processing requirements that CMS establishes, monitors, and enforces. The Dynamic solution integrates the various sources of data to create a single view of a Plan’s membership to help plans deliver high-quality managed care and consistently meet the compliance requirements as well as any revenue cycle management challenges they face.
About Dynamic Healthcare Systems
Dynamic Healthcare Systems provides enterprise-wide solutions to health plans 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 a 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.
Medicare y Mucho Más is a pioneer of the Medicare Advantage (MA) segment in Puerto Rico. It is the only MA plan in Puerto Rico with Commendable Accreditation from the National Committee for Quality Assurance (NCQA), and also achieved 4 out of 5 stars* in the Medicare Star Rating Program.
*CMS evaluates plans based on a 5 Star rating system. Stars ratings are calculated each year and may change from one year to the next. For more information on Star Rating, please refer to www.medicare.gov