Risk Adjustment Solutions
Centauri’s Risk Adjustment end-to-end, SaaS platform was purpose-built to improve capitation rates with advanced workflow methods and data transparency for Medicare Advantage, Medicaid, and Commercial health plans and at-risk provider groups. It provides comprehensive software and services for retrospective campaign management, retrieval, coding, IVA, RADV, and EDPS submissions. We also provide strategic advisory services to support the implementation of industry best practices for risk adjustment submissions operations.
Our solution is HITRUST-certified to ensure information security with regards to compliance, risk, and liability with our healthcare partners.
Our medical record retrieval program facilitates the collection of data that supports retrospective and prospective identification of risk adjustment gaps with the least amount of disruption to providers.
Centauri's medical record coding module provides full transparency and access into all coding activities for more effective risk adjustment campaign management. We also provide RADV and IVA audit support.
Centauri Relay® - Risk Adjustment Submissions
Our experienced team recognizes that each client's deployment of people, processes, and technology combines to develop a unique roadmap for complete and accurate EDPS data submission to CMS.
Centauri understands that a high level of client engagement is necessary to proactively address data quality issues and help clients mature their risk adjustment operations.
Risk Adjustment Analytics
Centauri’s Risk Adjustment Analytics offers a wide range of services that support our risk clients. Centauri is able to consume all required healthcare data sources and with the use of our in-house Analytic Engines. We can accurately suspect conditions that might be unknown or under diagnosed, forecast Risk Scores on a by member basis, as well as provide analytics to track financial impact of your Medicare Advantage Risk campaign for your current benefit years. This allows our clients to have the tools needed in order to properly allocate resources and work on those targeted members to make the most impactful intervention needed.