We have provided the following content to educate and empower those who work to solve complex problems within our health system.
BEST BENEFITS CENTAURI INSIGHTS
Best Benefits Powered by Centauri Insights
Best Benefits Fact Sheet
A revenue maximization solution for Medicaid Managed Care
Our core workflow platform enables retrospective and prospective services
Retrospective and Prospective programs, HHS HCC, CMS HCC, and CDPS/Other Models
Integrate quality and risk adjustment analytics and reporting across product lines
Risk Adjustment. Quality. Analytics. Submissions. Data agnostic cloud-based tool providing reporting for all retrospective and prospective activities.
Solve the business problems of compliance and payment accuracy, with a core platform that is data-source agnostic.
Charge Accuracy Fact Sheet
Hospital Charge Accuracy Solution
Closure in a Time of Closures: EDPS and RAPS Submissions
Best practices for developing actionable EDPS and RAPS gap closure strategies by leveraging comparative analysis and implementation of best practices.
Controlling High Blood Pressure: Moving The Needle On Difficult Quality Measures
It has become increasingly important to focus on strategies to improve Quality and HEDIS scores
An Overview of Centauri
DATA DRIVEN RELATIONSHIP BUILDING: MAXIMIZING PHYSICIAN OUTREACH WITH ANALYTICS.
In this webinar hosted by CO HFMA, we discuss how data-driven insights can help target physicians and practices that indicated the most opportunity for improved relationships.
Denials Intelligence Fact Sheet
Hospital Denials Intelligence Solution
EDPS/RAPS Accruals & Reconciliation Case Study
Leveraging Member Detail Level Data
Eligibility & Enrollment Hospital Solutions
A look at how we outperform competitors
Eligibility and Enrollment Hospital Solutions
EES Fact Sheet
Everything-but-the-Kitchen-Sink Regulatory Review: ACA to COVID-19
Centauri has identified key pieces of legislation impacting health plans, added context, and translated them into layman’s terms.
Health Plan Solutions Overview
Best Benefits, PremiumAssist, Risk Adjustment, Quality
Hospital Medicaid Eligibility & Enrollment Services
A look at Hospital Medicaid Eligibility & Enrollment Services
Hospital Solutions Overview
Enrollment & Eligibility, OOS Medicaid, Referral Management & Analytics and Revenue Cycle Analytics.
Lesser Of Fact Sheet
Hospital Lesser Of Solution
Long-Term Care Product Sheet
Centauri’s dynamic managed care program is for members who are eligible for Medicaid Assistance, such as older adults and/or individuals with disabilities.
Current changes to Medicaid and potential impacts
Navigating the Marketplace Post PHE
This white paper explores coverage options, including the Marketplace and the role of the enhanced tax subsidies, and can be done to mitigate coverage loss.
Out-of-State Medicaid Billing and Enrollment
OOS Fact sheet
Out-of-State Medicaid Billing Case Study
A look at OOS Medicaid billing services for hospitals
Post-PHE Recertification Product Sheet
Learn how Centauri can help with Medicaid recertification after the Public Health Emergency ends.
PremiumAssist Fact Sheet
Dual Eligibility & Enrollment Services
PremiumAssist™ Case Study
An Aggressive Strategy to Address the 2017 CMS Dual Payment Changes
Preparing for HEDIS MY2022
Price Transparency Fact Sheet
Hospital Price Transparency Solution
Pricing Analytics Fact Sheet
Hospital Pricing Analytics Solution
Put on Your Thinking CAP and Develop a Map
The Effective Use of CMS Data Exchange Reports as a Compass
Referral Management & Analytics Case Study
A look at a Nationwide Health System using RM&A’s Scheduling, Outreach, and Analytics Solution.
Referral Management & Analytics Solutions Overview
Overview of our Order Cycle Management, Strategy & Analytics, Outreach Cycle Management and Service Line Growth Assessment solutions.
Revenue Cycle Analytics Solutions Overview
Overview of our Charge Accuracy, Pricing Analytics, Pricing Transparency, Denials Intelligence solutions.
Risk Adjustment Coding Case Study
Risk adjustment coding blind case study.
RISK ADJUSTMENT GUIDE
Best practices health plans should expect from risk adjustment vendors
Risk Adjustment Solution Fact Sheet
Risk Adjustment Solution Overview
Risk Adjustment Toolbox – Part 1
In this in-depth article, we discuss four tools that will help you reduce system and submission errors for EDPS/RAPS: Magic Bullet, Highlighter, Blueprint.
Risk Adjustment Toolbox – Part 2
In this in-depth article, we discuss four tools that will help you build stronger partnerships with your providers: Sandpaper, (Data) Level, (Data) Primer.
Risk Adjustment Toolbox – Part 3
In Part Three of a four-part educational series focused on Renovating Your Data Submission Program, Dawn Carter will discuss tools that help with error reduction strategies: Paint Swatches, Flashlight and Nail Gun
Risk Adjustment Toolbox – Part 4
In Part Three of a four-part educational series focused on Renovating Your Data Submission Program, Dawn Carter will discuss tools that help with error reduction strategies: Instruction Guide, Measuring Tape, Drill.
Risk Adjustment Toolbox – Part Four
In this short, 6-minute video, we discuss the final three tools that will to make sure your data and your submission plan measure up: Instruction Guide, Measuring Tape , Drill
Risk Adjustment Toolbox – Part One
In this short, 12-minute video, we discuss three tools that will help you reduce system and submission errors for EDPS/RAPS: Magic Bullet, Highlighter, Blueprint.
Risk Adjustment Toolbox – Part Three
In this short, 8-minute video, we discuss three tools that will help you to create a more complete data blueprint through stronger partnerships with your providers: Paint Swatches, Flashlight, Nail Gun
Risk Adjustment Toolbox – Part Two
In this short, 8-minute video, we discuss three tools that will help you reduce system and submission errors for EDPS/RAPS: Sandpaper, (Data) Level, (Data) Primer.
RISK ADJUSTMENT TRANSFERS 2015 – 2018
A look at risk adjustment payments by state and health plan
RM&A Appointment Workflow
Centauri’s Referral Management & Analytics solutions can help your facility improve referral conversion rates.
Social Determinants of Health Solution Sheet
Centauri offers SDOH solutions for both health plan and hospital enrollment & eligibility clients.
Surviving Dual Benefit Year RADV Audits
CMS postponed the HHS-RADV audit for benefit year 2019 until January 2021, resulting in two HHS-RADV audits in 2021 overlapping in June – August, creating a unique set of challenges for health plans.
Understanding Managed Care Lesser Of Provisions
By understanding the scope and detail of lesser of losses, providers can develop strategies to limit them.
Who Is Centauri?
We help health plans and providers manage their variable revenue linked to population health, quality and eligibility factors.