Irvine, CA – May 19, 2015 – Dynamic Healthcare Systems, a provider of enterprise technology solutions for government-regulated plans, today announced its vision for optimizing risk adjustment programs and maximizing Encounter Data Processing Systems with the expansion of its professional services capabilities and enhanced comprehensive software solutions. “With the recent announcement by CMS (Centers for Medicare and Medicaid Services) that encounter data will account for 10% of the risk score applied towards payment, it is no longer only about submission timeliness and compliance,” said Kathy Feeny, President and Chief Executive Officer of Dynamic Healthcare Systems, Inc.
Dynamic’s EDPS solution is a robust method that incorporates a pre-validation process to assure that encounter data being sent to CMS is compliant, accurate and inclusive of all data elements necessary for proper risk score calculations, allowing for increased revenue capture. It incorporates seamless conversion and enhancement of RAPS chart data into EDPS compliant encounters.
Powered by proprietary algorithms, Dynamic’s comprehensive EDPS solution provides submission and response processing integrated with a fully implemented validation engine that evaluates all encounters to assure that they meet HIPAA and CMS specific validation rules. It incorporates pre-submission HIPAA levels 1-7 validations, pre-submission CMS validations, DME processing, line of business validation, supplemental encounter data processing, adjustment processing and HCC mapping, risk score calculation and forecasting.
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.