Dynamic Healthcare Systems Releases Tools To Identify Possible Risk Adjustment Revenue Gaps Caused by the Transition from ICD-9 to ICD-10


Irvine, CA. – September 8, 2015 —Dynamic Healthcare Systems, a leading provider of enterprise-wide technology solutions for government-regulated health plans, today announced the availability of tools designed for Medicare Advantage health plans to manage and monitor risk adjustment revenue changes resulting from providers’ migration to ICD-10 codes. Many providers have chosen to use unsophisticated ICD-9 to ICD-10 crosswalk tools that will result in providers selecting incorrect ICD-10 codes. This use of a crosswalk strategy puts Medicare Advantage plan’s revenue at risk. In order to mitigate the potential impact to risk adjustment scores, plans must employ a multipart strategy to rapidly identify and resolve potential areas of incorrect ICD-10 coding by providers.

The Dynamic solution helps plans evaluate ICD9 coding patterns and crosswalk ICD9 diagnosis codes to comparable ICD10 codes to measure any increase or decrease in risk scores. Dynamic’s tools identify providers with significant use of ICD9 codes mapped to ICD10 disease categories which have changed significantly in their level of specificity and documentation requirements.

“Dynamic’s robust Voyager software provides Medicare Advantage health plans with an enterprise-wide solution that helps them implement and track data in an ongoing basis to mitigate any adverse impacts of ICD-10 changes on their risk adjustment strategy,” said Kathy Feeny, president and CEO of Dynamic Healthcare Systems, Inc. “Our team of technology and subject matter experts combined with our enterprise-wide analytics will help Medicare Advantage plans maintain accurate revenue streams and transition from ICD-9 to ICD-10 smoothly.”

Dynamic’s integrated software solutions are designed to ensure health plans meet the complex compliance and data processing requirements that the Centers for Medicare and Medicaid Services (CMS) establishes, monitors and enforces. The Voyager application integrates the various sources of data to create a single view of a Plan’s membership in order to deliver high-quality managed care and consistently meet these compliance requirements as well as any revenue management challenges they face.

About Dynamic Healthcare Systems

Dynamic Healthcare Systems, Inc. delivers comprehensive enterprise software solutions and services for health plans with Medicare Advantage, Medicaid, and Marketplace lines of business 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. For more information visit dynamichealthsys.com or call 949.333.4565.