Centauri Health Solutions Achieves HITRUST CSF® Certification

HITRUST CSF Certification validates a commitment to meeting key regulations and protecting sensitive information

SCOTTSDALE, AZ (April 15, 2019) – Centauri Health Solutions, a healthcare technology and services company powered by analytics, announces its Risk Adjustment and Quality software and service platform has earned Certified status for information security by HITRUST. HITRUST CSF Certified status demonstrates that our platform, including our Advance (Risk Adjustment), Relay, Ascent (Quality), and Insights products have met key regulations and industry-defined requirements and are appropriately managing risk.

By natively integrating the critical components of risk and compliance management into our platform, Centauri provides clients an elegant solution in meeting their information security requirements. Our comprehensive solution set enables health plans and at-risk providers to optimize their risk adjustment and quality programs through products that may be deployed as a single enterprise solution or leveraged independently, depending on client need.  Products include:

  • Centauri Advance (Risk Adjustment) – Designed specifically for the management of risk adjustment programs, Centauri Advance is purpose-built to optimize retrospective and prospective efforts, including medical record retrieval, medical record coding and suspect analysis for health plans and provider organizations.
  • Centauri Ascent (Quality) – Centauri’s proprietary Quality Measure Engine processes clients’ member data through two services. Care Gap Finder proactively identifies gaps in care for clients to address and Health Effectiveness Data and Information Set (HEDIS) analyses retrospectively examine clients’ National Committee for Quality Assurance (NCQA) measure scores. The goal is to help clients secure higher CMS reimbursement rates or better cost to quality ratios. Centauri’s engine has been certified for NCQA submissions since 2006. 
  • Centauri Relay (Submissions) – Built to ensure compliant and accurate submission of encounter data to CMS for Risk Adjustment Processing System (RAPS) and Medicare Advantage Encounter Data Processing System (EDPS) submission requirements, Centauri Relay enables customized client roadmaps for complete and timely submission.
  • Centauri Insights (Analytics) – Integrating quality and risk adjustment information across product lines, Centauri Insights provides clients with a comprehensive view of member and provider data. The system’s analytics encompass risk and quality care gap management, as well as revenue forecasting.

“As one of the nation’s fastest growing healthcare technology and services companies, Centauri is proud to once again receive this gold-standard certification,” said Adam Miller, CEO of Centauri Health Solutions. “On the heels of last year’s HITRUST CSF certification for our Premium Assist and Best Benefits service lines’ infrastructure, this additional certification reinforces Centauri’s unwavering commitment to the industry’s highest standards in protecting member and patient personal health information.”

This achievement places Centauri Health Solutions in an elite group of healthcare service organizations worldwide that have earned this certification. By including federal and state regulations, standards and frameworks, the HITRUST certification demonstrates that an organization has implemented a comprehensive and flexible framework of prescriptive and scalable security controls.

“HITRUST has been working with the industry to ensure the appropriate information protection requirements are met when sensitive information is accessed or stored in a cloud environment,” said Ken Vander Wal, Chief Compliance Officer, HITRUST. “By taking the steps necessary to obtain HITRUST CSF Certified Status, Centauri Health Solutions is distinguished as an organization that people can count on to keep their information safe.”

Centauri passed all 19 assessment domains with the required 3+ level rating for the HITRUST CSF certification, which is valid for two years. The domain areas include information protection program, vulnerability management, access control, risk management, and others.

About Centauri Health Solutions

Centauri Health Solutions focuses on revealing care opportunities through its suite of products and services. Delivering data-driven services, through private cloud-based software solutions, the firm provides comprehensive data management designed specifically for risk adjustment and quality-based revenue programs, in addition to enrollment and eligibility solutions. Centauri improves member outcomes and financial performance for health plans, hospitals and at-risk providers by supporting initiatives in health care enrollment, risk adjustment, RADV risk mitigation, HEDIS and Star Ratings. Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs more than 1,100 associates with offices in seven locations.  For more information, visit www.centaurihs.com.