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What is Edifecs?

If you require help navigating the complexities of the CMS and ONC final regulations, developing a compliance strategy, or implementing an effective solution, we are ready to support you. As a leader in interoperability, Edifecs has the expertise to assist you in meeting the newest requirements while enabling the secure and efficient exchange of electronic health data. Our exceptional Smart Trading and Encounter Management solutions are tailored for small to medium-sized health plans. By harnessing financial, clinical, and administrative data, organizations can enhance their operational strategies and streamline administrative processes. Enhance your encounter management systems and boost first-pass rates for managed Medicaid and Medicare Advantage with the hosted solution model offered by Edifecs. Furthermore, Edifecs provides COTS-based modular solutions that focus on improving data quality and facilitating payment reform efforts. With these cutting-edge tools, health plans can adopt a proactive stance towards compliance and data management, ultimately driving better health outcomes for their members. Our commitment to innovation ensures that you are not only meeting compliance but also thriving in an evolving healthcare landscape.

What is Centauri Health Solutions?

Centauri Health Solutions focuses on healthcare technology and services, driven by a strong desire to improve the efficiency of the healthcare system for clients while providing compassionate care to those in need. Our innovative software utilizes advanced analytics to assist hospitals and health plans—including sectors like Medicare, Medicaid, Exchange, and Commercial—in managing their variable revenue through a tailored workflow platform. Additionally, we offer personalized support to patients and members, ensuring they have access to essential benefits that can greatly enhance their quality of life. Our comprehensive solutions include Risk Adjustment services (such as Medical Record Retrieval, Medical Record Coding, Analytics, and RAPS/EDPS Submissions), management of HEDIS® and Stars Quality Programs, Clinical Data Exchange, Eligibility and Enrollment services, Out-of-State Medicaid Account Management, Revenue Cycle Analytics, and both Referral Management & Analytics, while also addressing Social Determinants of Health to improve healthcare outcomes and accessibility even further. Each element is meticulously crafted to function together, ultimately fostering a more effective and compassionate healthcare experience for all stakeholders involved. By integrating these services seamlessly, we aim to create a healthcare environment that not only meets but exceeds the expectations of our clients and the communities we serve.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Standard Support

Training Options

Documentation Hub
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Edifecs

Date Founded

1996

Company Location

United States

Company Website

www.edifecs.com

Company Facts

Organization Name

Centauri Health Solutions

Date Founded

2014

Company Location

United States

Company Website

www.centaurihs.com

Categories and Features

Healthcare Compliance

Not specified

Hospital Management

Accounting Integration
Appointment Scheduling
Medical Billing

Categories and Features

Medical Billing

Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Quotes/Estimates
Remittance Advice

Medical Coding

Not specified

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