Centauri Health Solutions is a healthcare technology and services company powered by analytics. Our tailored solutions enable hospitals and health plans (Medicare, Medicaid and Exchange) to manage variable revenue through a custom-built workflow platform, which seamlessly integrates cross-functional service and support.
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 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. 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.