Dynamic’s HCC Analytics Solution Identifies Suspicious HCC’s to improve RADV Outcomes
Irvine, CA – December 12, 2017 – 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 the utilization of its Hierarchical Condition Category (HCC) Analytics solution to assist Medicare Advantage health plans with achieving optimal results from Centers for Medicare & Medicaid Services (CMS) Risk Adjustment Data Validation (RADV) audits . Poor results on RADV audits can lead to extrapolation of a small subset of findings across the health plans’ entire membership, potentially resulting in large penalties. Dynamic’s analytics solution identifies for health plans areas of potential risk where the plan should focus remediation efforts to help improve RADV outcomes.
“Through the utilization of Dynamic’s HCC Analytics solution, health plans can identify suspicious diagnosis coding that indicates areas where overpayments may have occurred,” says Jim Corbett, Chief Strategy Officer at Dynamic Healthcare Systems. “Dynamic clients can then easily process any resulting diagnosis code deletes through Dynamic’s risk adjustment solutions,” added Corbett.
Dynamic’s robust solutions, like its Medicare Advantage suite of integrated solutions, provide Medicare Advantage 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 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.