Who is
Centauri Health Solutions?

# of Lives Impacted
in 2023
More Than
Lives Impacted Since Inception
Compassionate Associates Nationwide

Centauri Health Solutions is a healthcare technology and services company driven by our desire to make the healthcare system work better for our clients and to provide compassionate support for individuals in need.

 

Our analytics-powered software enables hospitals and health plans (Medicare, Medicaid, Exchange and Commercial) to manage their variable revenue through a custom-built workflow platform. While our tailored support of their patients and members provides them with access to life-enhancing benefits. 

 

Our solutions include Risk Adjustment (Medical Record Retrieval, Medical Record Coding, Analytics and EDPS Submissions), Quality Program Support, Clinical Data Exchange, SSI/SSDI and Duals Eligibility and Enrollment, Out-of-State Medicaid Account Management, Hospital Eligibility and Enrollment, Revenue Cycle Analytics, Referral Management & Analytics, and Social Determinants of Health.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

Health Plans

We offer comprehensive software and services in Risk Adjustment and Quality program support. We are also the nation’s leader in health insurance Eligibility and Enrollment for Medicaid Managed Care Plans and Medicare Advantage Plans.

Hospitals

WIth more than three decades of expertise, we lead in Medicaid and Disability Eligibility and Enrollment as well as Out-of-State Medicaid Billing Services and Revenue Cycle Analytics. Hospitals nationwide trust us to manage $3 billion in charges annually.

Resources

Our product sheets, case studies, webinars and blogs showcase the Risk Adjustment, Medical Record Retrieval, Medical Record Coding, HEDIS®, health insurance Eligibility and Enrollment, Out-of-State Medicaid Billing and Social Determinants of Health solutions.