Whitepaper helps Demystify CMS’ New Medicare Advantage Risk Adjustment Scoring System
Irvine, CA – June 6, 2017 – 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 transition from the Centers for Medicare and Medicaid Services’ (CMS) Risk Adjustment Payment System (RAPS) to the Encounter Data System (EDS). The whitepaper provides information regarding how to minimize the risk of inaccuracies, make a seamless transition, optimize payments, and avoid significant loss during this transition of payment systems from RAPS to EDS.
“Dynamic’s whitepaper provides guidance regarding what Medicare Advantage Organizations, health plans, and other affected groups need to know (and do) if they want to get paid correctly, forecast revenue accurately, and manage this challenging, multi-year transition seamlessly,” said Jim Corbett, Chief Strategy Officer of Dynamic Healthcare Systems. “Our experience has shown that plans can easily lose up to 5% of revenue, if not reconciling data effectively,” 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.