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 RAPS 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.

Retrieval

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.

Coding

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 RAPS and 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.

Centauri Insights® - Risk Adjustment Analytics

Centauri offers a powerful healthcare data analytics engine that stratifies member conditions, risk adjustment, and quality gaps – allowing plans to allocate the right intervention resources to the right members at the right time.