Dynamic Healthcare Systemsí Provider Analytics Solution Improves HCC Reporting for Health Plans

Top Quote Dynamic Healthcare Systems is proud to announce a provider analytics engine that will help health plans present patient Hierarchical Coexisting Condition (HCC) suspecting and risk score data to the provider at the point of care. End Quote
  • (1888PressRelease) May 19, 2021 - Many health system care teams and providers are receiving HCC suspecting patient information 30 to 90+ days after delivery of care. Additionally, much of the patient data is limited, in static reports, and presented in HCC rather than ICD-10 diagnosis codes.

    By collecting a health systemís raw claims and supporting data (drugs, charts, CMS files, etc.), Dynamicís solution applies advanced algorithms to produce forecasted risk scores and HCC suspects that are pushed out to the care team or providerís electronic medical record (EMR), resulting in improved care and accuracy of coding, as well as shortened turn-a-around times of HCC patient data. Dynamicís HCC analytics solution integrates with EMR workflows, ensuring providers have accurate reporting, care gap awareness, and noted suspect data at the point of care.

    ďWhen care providers have visibility to the full complement of HCC data at the point of care, everyone Ė care providers, health systems, and patients benefit,Ē said Jim Corbett, Dynamicís Chief Strategy Officer. Continuing, Corbett elaborated, ďFor risk-sharing health systems, understanding and having access to critical patient suspects and historical risk scores are critical to the organizationís successful operations and quality patient care. Dynamicís Provider Analytics solution allows for improved patient care, risk score documentation, and financial forecasting.Ē

    Dynamicís robust Medicare Advantage suite of integrated solutions provides health plans and provider groups with an enterprise-wide platform that enables a strong risk adjustment strategy ensuring maximum and accurate risk-adjusted payments. Dynamicís integrated software solutions are designed to ensure health plans and provider groups meet the complex compliance and data processing requirements that the Centers for Medicare and Medicaid Services establishes, monitors, and enforces. Dynamicís solutions integrate various sources of health plan and provider data to create a single view of a Planís membership. This single view facilitates the delivery of high-quality managed care while helping health plans meet compliance and revenue management challenges.

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