Centauri's Risk Adjustment is an end-to-end SaaS platform designed to improve capitation rates for Medicare Advantage, Medicaid, and Commercial health plans, as well as at-risk provider groups. The platform offers advanced workflow methods and data transparency, providing comprehensive software and services for retrospective campaign management, retrieval, and coding. It also includes strategic advisory services to support the implementation of industry best practices for risk adjustment submissions operations.

Key Features

Medical Record Retrieval Facilitates data collection for risk adjustment gap identification

• Supports both retrospective and prospective identification
• Minimizes disruption to providers

Coding Module Provides transparent access to coding activities

• Enhances risk adjustment campaign management
• Improves coding efficiency and accuracy

Risk Adjustment Analytics Offers comprehensive analytics services

• Consumes various healthcare data sources
• Utilizes in-house Analytic Engines for accurate condition suspecting

Benefits

Improved Capitation Rates Enhances financial outcomes for health plans

• Identifies unknown or under-diagnosed conditions
• Forecasts Risk Scores on a per-member basis

Enhanced Data Security Ensures compliance and risk management

• HITRUST-certified solution
• Addresses information security concerns for healthcare partners

Efficient Resource Allocation Enables targeted interventions

• Tracks financial impact of Medicare Advantage Risk campaigns
• Provides tools for optimal resource allocation