Risk Adjustment

Centauri’s tailored approach to Risk Adjustment is powered by Centauri Advance® – our operating system that was purpose-built to optimize retrospective and prospective efforts for health plans and provider organizations.

Our workflow platform was based on our team’s experience in Medicare Advantage, Marketplace and Medicaid programs. The result – a data-agnostic system that creates industry-leading collaboration between Centauri, our clients, and their vendors.


Our medical record retrieval and review program captures every possible chart in a high-quality and compliant manner, with the least amount of disruption to each facility and physician.


Our medical record coding module provides full transparency and access to all coding activities, with a stand-alone Software as a Service (SaaS) solution – enabling you with the option to internally manage your coding program.


Through our custom-built engine, our experienced team works with clients to develop a complete roadmap for accurate and timely data submission to CMS for RAPS / EDPS. Centauri Relay Suite includes the people and processes necessary to ensure accurate submissions, identify fallout or rejections, and manage resubmissions.


The Centauri Insights® Suite is comprised of a powerful healthcare data analytics engine, leveraging data insights methods to stratify member conditions, risk adjustment and quality gaps – allowing plans to allocate the right intervention resources to the right members at the right time.