Whitepaper Helps Health Plans Understand How to Identify Risk Areas to Avoid Overpayments
Irvine, CA – February 20, 2018 – Dynamic Healthcare Systems, a leading provider of enterprise-wide solutions to health plans and health systems participating in Medicare Advantage, Managed Medicaid, and Marketplace programs, today released a whitepaper aimed at helping Medicare Advantage health plans understand the new overpayment rule from the Centers for Medicare and Medicaid Services’ (CMS). The whitepaper provides information on how to establish and enforce effective policies and procedures, deploy advanced algorithms to identify overpayments, educate providers, and develop an overarching strategy that protects against the serious consequences of overpayments.
“Dynamic’s whitepaper provides guidance regarding what Medicare Advantage Organizations, health plans, and other affected groups need to know regarding CMS’ new overpayment rule,” said Jim Corbett, Chief Strategy Officer of Dynamic Healthcare Systems. “The key to determining how to mitigate these risks is a concept mentioned repeatedly but never clearly defined in the Final Rule – “reasonable diligence”, Corbett added.
Dynamic’s robust solutions provide Medicare Advantage health plans 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 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.