Leading Healthcare Organizations Select a Rigorous Risk Adjustment Oversight Strategy
Irvine, CA. – March 31, 2015 – Dynamic Healthcare Systems, a provider of enterprise technology solutions for Government-regulated Health Plans, has announced their enhanced “Risk Adjustment Program Management and Assessment Services” portfolio. In today’s regulatory-driven healthcare landscape, leading Government-sponsored Health Plans are leveraging objective, third-party reviews of their risk adjustment programs and outcomes.
Government-sponsored programs best practices include a thoughtful risk adjustment oversight strategy that involves continuous data evaluation, advanced suspect targeting algorithms, and payment model optimization methodologies. Dynamic’s risk adjustment evaluation services allow Health Plans to improve payment accuracy, ensure appropriate and compliant revenue, and promote quality performance.
Dynamic’s “Risk Adjustment Program Management and Assessment Services” include:
• HCC V.22 Financial Modeling and Revenue Forecasting
• CMS Overpayment Inspection
• Suspect Targeting and Prioritization
• Data Governance (RAPS to EDPS Parallel Insight)
According to Kathy Feeny, President and Chief Executive Officer for Dynamic Healthcare Systems, industry-recognized subject matter experts (SMEs), as well as the most advanced regulatory and compliance solutions are required to successfully operate a Government-sponsored Health Plan and their risk adjustment strategy.
“Dynamic has been an important partner and catalyst for our clients successfully navigating regulatory changes and optimization strategies for risk adjustment,” says Feeny. “Superior methods and techniques require that Health Plans consistently evaluate and audit their practices to ensure their operations enforce coding integrity to elevate member care.”
Dynamic’s Risk Adjustment Program Services include a complete program evaluation, detailed comparative analysis, including prioritized improvement opportunities, and consultative executive summaries and dashboards. For more information, please contact firstname.lastname@example.org.
About Dynamic Healthcare Systems
Dynamic Healthcare Systems, Inc. delivers comprehensive enterprise software solutions and services for Medicare Advantage Health Plans, Medicaid, and Exchange markets striving to succeed amid new and evolving regulatory requirements. Headquartered in Irvine, California, the company brings world-class innovations to companies serving the Government-regulated healthcare population.