Centauri Health Solutions
Centauri Health Solutions provides a comprehensive software and services platform for risk adjustment, revenue cycle management, and patient eligibility services, with a focus on information security and compliance.
Services
Centauri Health Solutions offers a variety of specialized services tailored to the healthcare sector. These include Medical Record Retrieval, Medical Record Coding, and EDPS submissions as part of their Risk Adjustment platform. Additionally, they provide strategic advisory services to help implement industry best practices for risk adjustment submissions. They also feature solutions like Charge Accuracy, Pricing Analytics, Price Transparency, Referral Management and Analytics, Best Benefits, PremiumAssist, Out-of-State Medicaid billing, Medicaid Redetermination, Quality Support Solutions, Revenue Cycle Analytics, Denials Intelligence, and Eligibility and Enrollment services.
Products
Centauri Health Solutions provides a suite of products designed to address a range of healthcare administrative and financial needs. Their Charge Accuracy solution uses over 500,000 predictive analytical tests to identify errors in charging, coding, and billing practices. The Pricing Analytics product helps hospitals develop and understand the financial impact of their pricing strategies. They offer a Price Transparency solution that meets CMS requirements for more transparent patient pricing. Their Referral Management and Analytics products focus on improving patient experience and market share growth, as well as providing specific services like scheduling, pre-authorization, pre-registration, care coordination, and post-procedure follow-up.
Compliance and Security
Centauri Health Solutions ensures compliance and information security through their HITRUST-certified platform. This certification represents their commitment to protecting sensitive healthcare data, addressing compliance, managing risk, and mitigating liability. Their solutions are designed to uphold the highest standards in information security within the healthcare industry.
Sector
Centauri Health Solutions operates within the healthcare sector, focusing specifically on healthcare administrative and financial services. Their comprehensive offerings are designed to support both payers and providers with risk adjustment, revenue cycle management, pricing analytics, patient pricing transparency, Medicaid billing, and eligibility enrollment services. They aim to enhance operational efficiency for healthcare organizations while ensuring compliance and optimal performance.
Experience and Expertise
With over two decades of experience, Centauri Health Solutions has deep expertise in Out-of-State Medicaid billing and account management, handling nearly $2 billion in claims annually. Their teams possess specialized knowledge in various aspects of healthcare operations, from risk adjustment and revenue cycle analytics to patient eligibility and enrollment. This vast experience underpins their capability to deliver reliable and strategic support to healthcare organizations.