The Voyager Software Suite from Dynamic Healthcare Systems was built to meet the specific challenges of managing Medicare populations. Our powerful Web-based solution can streamline your operation, raise your revenue potential, and ensure compliance through workflow optimization, automation of administrative tasks, and by creating a direct systems link between you and CMS systems. The result? Significant reduction in manual transactions and error-based reworks...the robust audit trail your business needs...plus increased revenue growth and cost-reduction opportunities. Voyager solutions can be delivered as an installed solution, as hosted application or as a complete business process out source.
   
 
 
Enrollment/Eligibility:
Multi-form election validation
Workflow tracking and inventory management
Direct CMS submission and rejection processing

Hierarchical Condition Categories (HCC) Analytics:
Analysis and reporting of suspected missing and mis-coded ICD9 codes
Import and analyze unqualified encounter data for ICD9 suspects

Risk Adjustment Processing System (RAPS)/Encounter Management:
Management of in-/outbound encounter data streams and rejects
Benchmarked encounter data inventory reports
Data rejection and resubmission workflow
 
Plan Revenue Reconciliation:
Complete reconciliation of Part A/B and D payments from CMS
Track discrepancies through resolution with CMS
Tracking by contract including specific bid rate
reconciliation

Prescription Drug Event (PDE) Management and Audit:
Central repository that allows efficient management and processing of PDE records
Monitors all PDE edits generated by CMS and provides progress of the correction and resolution of edited records
Direct submission and processing of PDE records with DDPS
Tracks plan to plan (P2) receivables and payables and reconciles discrepancies between submitted P2P qualified PDE records stored in DDPS