Risk Adjustment Solutions
Centauri’s risk adjustment solution enables a prospective approach that ensures compliance and supports payment accuracy across Medicare Advantage, ACA and Medicaid populations. With transparent workflows, our HITRUST-certified platform, Centauri Advance®, provides secure, actionable, and efficient risk adjustment operations.
Centauri understands that every health plan and provider group has unique operational needs and strategic goals. That’s why our retrieval and coding services are fully customizable—whether you require timely member-centric electronic record access, targeted manual retrieval, or specialized coding workflows. We tailor our approach to align with your processes, compliance requirements, and member population, ensuring optimal performance and measurable results across all risk adjustment campaigns.
Retrieval
Our medical record retrieval program allows for a multi-solution approach to maximize opportunities that focus on driving gap closer. Electronic retrieval can begin earlier in the plan year and provide more robust member level clinical data while being cost efficient, all while leveraging a zero-provider friction platform. Manual chart retrieval can then be more targeted and efficient as our experienced field team handles provider outreach, scheduling, and scanning across all 50 states, including rural and underserved areas. The retrieval strategy can be curated based on the health plan needs to facilitate 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 through performance dashboards for more effective risk adjustment campaign management. We deliver high-performing risk adjustment coding solutions for Medicare Advantage, ACA, and Medicaid programs. Our team of certified coders consistently exceeds the industry’s 95% accuracy benchmark—ensuring compliance, maximizing reimbursements, and supporting better patient outcomes. Whether you need a full-service partner, RADV support, or overflow assistance, we adapt to your needs.