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
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
Your Outcomes
Compliance with CMS PPS and Transparency rules
Ensure appropriate medical cost and reimbursements
Consistent approach for Medicare claims
Enables benchmarking and forecasting