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OSF Health Plans, Inc. Selects Dynamic Healthcare Systems' HCC Analytics to Maximize Revenue Potential
Irvine, Calif. (PRWEB) July 17, 2007 -- Dynamic Healthcare Systems, a provider of innovative technology solutions for Medicare-focused health plans, today announced that OSF Health Plans, Inc., a managed care company with 100,000 members, purchased its HCC Analytics solution. Designed to improve the accuracy of HCC information for Medicare Advantage Plans, Dynamic's HCC Analytics allows OSF to manage its risk adjustment scores and improve the accuracy of risk adjusted submissions by capturing mis-coded ICD-9 codes.
"After reviewing several technology solutions to enable us to adequately review and analyze our current RAF scores, we selected Dynamic's suite of solutions because they offered the right combination - a complete HCC management system that helps us accurately establish our members profiles and the expertise in this field," said Tara Flippin, OSF's Director of Medicare Operations. "The ability to capture mis-coded ICD-9 codes, correct prior submissions and record future submissions with the appropriate codes is critical to assuring accurate HCC information," Flippin added.
Dynamic's HCC Analytics module applies proprietary algorithms to qualified encounter data and unqualified secondary sources like, lab results, DME, and prescription encounters, to uncover suspected gaps in ICD-9 code reporting. Plans and MSOs use Dynamic's work queues, detailed patient profiles and sophisticated report libraries to verify the suspects in medical records, document the actual outcomes and submit them to CMS.
"To gain a competitive edge over their competition, health plans and MSOs have to manage their HCC coding properly in order to improve the accuracy of their RAF scores," said Ken Stockman, Founder and Chief Executive Officer of Dynamic Healthcare Systems. "Many health plans and MSOs decrease their prospect to capitalize on their revenue and cost-saving opportunities because they don't have the right tools to do this."
About Dynamic Healthcare Systems
Dynamic Healthcare Systems, Inc. delivers comprehensive solutions for Medicare Advantage health plans and MSOs striving to succeed amid new and evolving regulatory requirements. Headquartered in Irvine, California, the company brings world-class innovations to companies serving the Medicare population. Dynamic Healthcare Systems can be reached at (949) 861.2099. www.dynamichealthsys.com.
About OSF Health Plans, Inc.
OSF Health Plans, Inc., a subsidiary of OSF Saint Francis, Inc., is a licensed managed care company in the State of Illinois with about 100,000 members. For more information, visit www.osfhealthcare.org.
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