Centauri Health Solutions is a healthcare technology and services company driven by our desire to make the healthcare system work better for our clients and to provide compassionate support for individuals in need.
Our analytics-powered software enables hospitals and health plans (Medicare, Medicaid, Exchange and Commercial) to manage their variable revenue through a custom-built workflow platform. While our tailored support of their patients and members provides them with access to life-enhancing benefits.
Our solutions include Risk Adjustment (Medical Record Retrieval, Medical Record Coding, Analytics and RAPS/EDPS Submissions), HEDIS®, Quality Program Management, Eligibility and Enrollment, Hospital Coding, Out-of-State Medicaid Account Management, Revenue Cycle Analytics, Referral Management & Analytics, and Social Determinants of Health.
HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
We offer comprehensive software and services in Risk Adjustment and certified NCQA HEDIS® / Quality program support. We are also the nation’s leader in health insurance Eligibility and Enrollment for Medicaid Managed Care Plans and Medicare Advantage Plans.
WIth more than three decades of expertise, we lead in Medicaid and Disability Eligibility and Enrollment as well as Out-of-State Medicaid Billing Services and Revenue Cycle Analytics. Hospitals nationwide trust us to manage $3 billion in charges annually.
Our product sheets, case studies, webinars and blogs showcase the Risk Adjustment, Medical Record Retrieval, Medical Record Coding, HEDIS®, health insurance Eligibility and Enrollment, Out-of-State Medicaid Billing and Social Determinants of Health solutions.