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Flexible Solutions for Healthcare Claims & Reimbursements

Our Mission

Enable healthcare organizations, and other claims processors, to accurately and efficiently comply with and apply reimbursements rules

We support reimbursements under Medicare Prospective Payment Systems

Inpatient / IPPS

Outpatient / OPPS

Ambulatory Surgical Centers (ASC)

Inpatient Rehabilitation Facility (IRF)

APR-DRG for health plans also supported

End stage renal disease (ESRD)

Skilled Nursing Facilities (SNF)

Home Health

Psych

Inpatient / IPPS

Outpatient / OPPS

Ambulatory Surgical Centers (ASC)

Inpatient Rehabilitation Facility (IRF)

End stage renal disease (ESRD)

Skilled Nursing Facilities (SNF)

Home Health

Psych

APR-DRG for health plans also supported

Health Plans

Health Systems & Facilities

TPAs

Risk-Bearing Providers

Healthcare Software
Platforms
(e.g., EHRs, CAPS)

Consultants

Who We Serve

Example Use Cases

Group DRGs in compliance with CMS rules

Ensure claims contain the appropriate data and logic for payment, including claims editing

Price appropriate provider reimbursement levels – both current and historic (back up to 7 years)

Produce provider reimbursements levels for price transparency (in machine readable formats)

Testimonials

Micro-Dyn’s speed to market is faster than others and
competitively priced

- partner for over 20 years

I see it as a 3rd party source of truth...wouldn’t change a thing as far as how it works
- customer for over 20 years
Micro-Dyn can adapt its offering to meet all of our specific needs
- partner for over 20 years

150+

clients served

50+

health plans

15+ years

average tenure of clients

Why Choose Micro-Dyn

We meet our partners' needs through a full suite of backend and desktop software solutions. Experience the Micro-Dyn difference:

Fast

Our dedicated team tracks
payment rule
changes/updates 24/7,
ensuring our software stays
current

Accurate

We leverage not only our
software experience but
decades of claims experience
(including actuarial
knowledge) to ensure our
products fully conforms to
payment rules

Secure

Our product is installed
locally and we do not retain
any data, eliminating HIPAA
risks and concerns

Cost Effective

Our focus in this space
allows us to produce a
product that meets all of
your needs and your
budget

Contact us

Your Outcomes 

Compliance with CMS PPS and Transparency rules

Ensure appropriate medical cost and reimbursements

Consistent approach for Medicare claims

Enables benchmarking and forecasting

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