Risk Adjustment

Capture risk accurately.
Defend it with confidence.

  • 500+

    Health systems connected

  • 60M

    People served nationwide

Overview

Identify gaps earlier. Submit data you can stand behind.

Centauri supports prospective and retrospective risk adjustment across Medicare Advantage, ACA, and Medicaid. Through a secure, HITRUST-certified platform, teams gain earlier visibility into gaps, more efficient retrieval workflows, and high-confidence coding—so submissions are complete, accurate, and audit-ready.

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How It Works

No more gaps.
Just defensible submissions.

Centauri connects retrieval, coding, quality review, and submission support in one workflow. Payers and providers gain earlier visibility into documentation gaps and stronger confidence that submitted risk data is where it needs to be.

Adapt to your model, without adding friction. Risk adjustment programs vary widely across plans, populations, and compliance requirements.

Centauri aligns retrieval and coding workflows to your operating model, from digital-first strategies to targeted field retrieval and specialized coding support. This approach reduces friction while improving performance across every campaign.

Access records earlier. Close gaps with precision. Centauri combines digital retrieval with manual retrieval to maximize yield while minimizing provider burden.

Digital retrieval delivers fast, cost-efficient visibility into clinical data through secure electronic connections. Manual retrieval closes the remaining gaps on difficult-to-collect charts through coordinated outreach and on-site capture, including in rural and underserved areas.

Deliver accuracy that holds up under audit. Centauri provides high performing coding with full transparency into quality and progress.

Certified coders exceed industry accuracy benchmarks, supported by real-time visibility into productivity and performance. Coding can be done informed, reviewing documentation against billed or planned codes, or blind, with no visibility into billed codes, to remove bias from the review. Flexible models support full-service coding, RADV, or targeted program needs.

Frequently Asked Questions

Browse our FAQs to find answers to common questions and learn more about our services.

Why Centauri

Built to capture and defend risk with confidence.

  • Prospective, concurrent, and retrospective coverage across Medicare Advantage, ACA, and Medicaid. Coverage
  • Secure, digital-first platform proven across complex populations. Security
  • Digital and manual retrieval, including hard to collect charts. Retrieval
  • Certified coders who exceed industry accuracy benchmarks. Accuracy
  • Real-time visibility into quality and progress. Transparency