Top Solventum 360 Encompass System Alternatives

Office Ally's Service Center is relied upon by over 80,000 healthcare practitioners and service organizations to effectively manage their revenue cycles. The platform offers functionality for verifying patient eligibility and benefits, as well as the ability to submit, amend, and monitor claims statuses online while also facilitating the reception of remittance advice. By supporting standard ANSI formats, data entry, and pipe-delimited formats, Service Center significantly enhances administrative efficiency and optimizes workflows for healthcare providers. Furthermore, this comprehensive tool empowers organizations to focus more on patient care by reducing the time spent on administrative duties.

XpertCoding, developed by XpertDox, is an innovative AI-driven medical coding solution that leverages cutting-edge artificial intelligence, machine learning, and natural language processing to rapidly process medical claims within a 24-hour timeframe. This software not only optimizes the coding workflow but also contributes to quicker and more precise claim submissions, enhancing financial outcomes for healthcare providers. Among its numerous features are a detailed coding audit trail, reduced reliance on human oversight, a module aimed at improving clinical documentation, seamless connectivity with electronic health record systems, a robust business intelligence platform, a flexible pricing model, a notable decrease in coding costs and claim denials, and a risk-free implementation process that includes no upfront costs along with a complimentary first month of service. By utilizing XpertCoding's automated coding system, healthcare organizations can ensure prompt payments, streamlining their revenue cycle and allowing them to concentrate more on delivering quality patient care. Opt for XpertCoding to experience dependable, efficient, and accurate medical coding that is specifically designed to meet the needs of your practice and improve overall operational effectiveness.

NextGen Healthcare stands out as a prominent provider of software and services that facilitate the evolution of outpatient health care. Their solutions, NextGen Office for smaller practices with 1 to 10 physicians and NextGen Enterprise for larger practices exceeding 10 doctors, offer advanced electronic health record systems designed to alleviate documentation challenges, enhance clinical results, integrate with other health networks, boost satisfaction for both providers and patients, optimize revenue processes, and promote healthier communities overall. By leveraging these innovative technologies, ambulatory practices can focus more on patient care and less on administrative burdens.

Azalea stands out as a frontrunner in the realm of cloud-based healthcare services and solutions that emphasize interoperability. The platform provided by Azalea encompasses electronic health records alongside telehealth features, revenue cycle management, and analytical tools. Dedicated to enhancing customer success, Azalea's comprehensive platform caters to the needs of both practices and hospitals in their ambulatory strategies. By fostering innovative care coordination and optimizing revenue cycle performance, it leads to immediate enhancements in both cash flow and clinical outcomes, ultimately benefiting the healthcare system as a whole.

The integration of advanced technologies and centralized data not only boosts individual capabilities but also propels the healthcare sector towards innovation and better health outcomes. Oracle Health is at the forefront of developing a holistic healthcare platform that features smart solutions tailored for data-driven, patient-centric interactions, connecting consumers, healthcare providers, insurers, and public health organizations. With the largest portion of the global electronic health record (EHR) market, we are able to consolidate data, enabling clinicians, patients, and researchers to make impactful decisions that enhance health outcomes worldwide. Acknowledged by IDC MarketScape as the premier provider in revenue cycle management (RCM), we offer timely, predictive, and actionable health insights that facilitate workflow automation, optimize resource utilization, and streamline operations. By fostering innovation and utilizing a flexible infrastructure along with platform resources, we enrich clinical intelligence through our broad and versatile network of partners and technologies, all while aiming to build a healthier future for everyone. This cohesive strategy not only boosts the effectiveness of healthcare delivery but also fortifies the relationships within the entire health ecosystem, ultimately creating a more interconnected healthcare environment. In this way, we are not just improving health outcomes, but also transforming the very landscape of healthcare itself.

While clinical health is crucial, achieving improved outcomes necessitates a more comprehensive approach to care. HELIOS offers an all-encompassing perspective that addresses every facet of a member's well-being. By utilizing this holistic approach, care teams can work together to identify optimal interventions and minimize unnecessary readmissions. VirtualHealth's HELIOS platform fosters exceptional collaboration and coordination between members and their care teams. Additionally, it enhances visibility throughout the entire healthcare organization. By linking the complete care team within a unified ecosystem, our clients can surpass conventional care management methods, enabling them to achieve enhanced efficiency, increased transparency, and significant cost savings. This integrated approach ultimately supports better health outcomes for members.

Across various sectors, effective consumer engagement and payment management are crucial. Individuals face diverse financial responsibilities, some of which they can navigate, while others may prove challenging. To truly connect with consumers, it is vital to grasp their unique financial situations and journeys. RevSpring leverages insights about individuals to anticipate their payment behaviors and facilitate improvements. As a frontrunner in financial communications and payment solutions, RevSpring fosters proactive engagement across all facets of an organization, from front-office interactions to back-end collections. Renowned healthcare organizations, revenue cycle management firms, and accounts receivable companies throughout North America rely on RevSpring to enhance their financial outcomes. With tailored print, phone, and text communication strategies, along with varied payment options, RevSpring’s services are designed to meet consumer needs. Utilizing cutting-edge data analytics, RevSpring customizes engagement workflows to align with each person’s circumstances and preferences, ultimately enriching the consumer's financial experience and leading to more favorable results. Their innovative approach not only aids in payment collection but also fosters long-term financial wellness for consumers.

Accessing a patient's medical records has become incredibly streamlined, made possible by the PRISMA health information search engine, which integrates data from various sources such as primary care physicians, specialists, clinics, urgent care facilities, and hospitals into a unified, searchable health timeline. Our Customer Success Stories illustrate the practical applications of our healthcare IT solutions, demonstrating how eClinicalWorks clients are successfully improving value-based care and enhancing healthcare outcomes. With a skilled workforce of 5,000 employees, eClinicalWorks is dedicated to progressing healthcare in partnership with our clients. More than 130,000 physicians in the U.S. and over 850,000 healthcare professionals globally rely on our EHR software for comprehensive clinical documentation and a range of solutions that include telehealth, population health management, patient engagement, and revenue cycle optimization. As an innovative privately owned company focused on quality, we strive to provide our clients with secure, cloud-based solutions that adapt to their changing requirements. This unwavering dedication to transforming healthcare is what motivates every facet of our business operations, ensuring we remain at the forefront of industry advancements. Each success story reinforces our mission to deliver exceptional value to healthcare providers and their patients alike.

Our user-friendly web and mobile solutions enable physician practices and health systems to gain deeper insights from their healthcare data, align workflows with value-based care objectives, and improve revenue integrity. Achieving true excellence entails more than just possessing advanced technology; it requires a reliable partnership. Join the ranks of numerous satisfied practices and health systems that have chosen Ingenious Med as their trusted ally, enjoying the advantages of our committed and skilled support team along with continuous product enhancements tailored to evolving needs. Ingenious Med specializes in solutions that not only boost physician productivity but also enhance hospital efficiency right at the point of care. By empowering health systems and physician groups, we help them increase their revenues, enhance data intelligence, align care with established quality standards, and optimize workflows across the healthcare sector. With a rich history spanning over twenty years of collaboration with various providers and organizations, we are adept at addressing the varied requirements of the healthcare landscape. Our unwavering dedication to innovation guarantees that we consistently stay ahead in the realm of healthcare technology advancements, ensuring that our partners thrive in an ever-evolving industry.

Accelerate payment procedures while reducing administrative burdens. With a network of over 8,000 payer connections and partnerships with more than 650 practice management providers, our claims management solutions significantly decrease the number of pending claims and lessen the reliance on manual processes. Claims for a wide range of services, such as professional, institutional, dental, and workers' compensation, can be sent efficiently and accurately, ensuring timely reimbursements. Address the changing landscape of healthcare consumerism by providing a seamless and transparent financial experience for patients. Our tools for patient engagement help facilitate informed conversations about eligibility and financial responsibilities, while also minimizing barriers that could negatively impact patient outcomes, ultimately enhancing the overall healthcare experience. By improving transparency and communication, we contribute to a more patient-centered approach in the healthcare industry.

TIMS Software represents a state-of-the-art solution tailored for HME|DME companies, enabling comprehensive management of the revenue cycle while providing vital insights for strategic decision-making through complete transparency of business data. By utilizing TIMS Software, businesses gain a customized solution that fits their specific requirements, ensuring that the right team members are efficiently handling the appropriate claims without delay, thereby speeding up the payment process. This forward-thinking methodology not only optimizes operational workflows but also significantly boosts the overall productivity and effectiveness of the organization. Additionally, the accessibility of real-time data empowers businesses to adapt quickly to changes in the market and improve their service delivery.

Whether you manage a solo outpatient wound care clinic or a multitude of facilities, edgeMED's tailored revenue cycle management solutions, coupled with our extensive clinical, financial, and regulatory resources, can greatly enhance both the effectiveness of your operations and the level of patient care delivered. Prepare to set new benchmarks for care and outcomes within your practice. Our expert revenue cycle management takes charge of the entire revenue process, guaranteeing that wound care professionals receive timely and improved reimbursements. By integrating our state-of-the-art healthcare software, you can ensure your practice remains competitive and quality-driven, all while having confidence that your documentation aligns with MIPS and other value-based payment standards. Additionally, with our profound knowledge in wound care medical billing, we facilitate the integration of telehealth into your everyday workflow, allowing for secure and remote patient interactions. This means wound care providers can easily perform virtual consultations, engage in online messaging, and provide patients with straightforward access to their health records, ultimately boosting patient engagement and satisfaction. In summary, our solutions are specifically crafted to optimize your operations, thereby enhancing the entire patient experience while ensuring quality care is never compromised. Moreover, implementing these strategies positions your practice to thrive in a rapidly evolving healthcare landscape.

The AGS AI Platform provides a comprehensive revenue cycle management solution designed to meet the diverse needs of various organizations, offering a wide range of customizable options for effective revenue cycle management. This allows organizations to enhance their financial processes in a way that aligns perfectly with their unique operational demands.

GoRev provides sophisticated functionalities specifically designed for enterprise-level applications within a cost-effective Health Information System. Our offerings are directly influenced by client feedback, which gives us a significant advantage over other providers. Each tool we develop is intended to boost the financial performance of your practice by automating processes that usually take up valuable staff time. With an extensive array of reports, visual data displays, and a strong grading system, you receive essential insights and tools needed for achieving your goals. Moreover, our dedicated team of data analysts can assist in creating customized reports tailored to your needs, often at no additional charge. GoRev also features streamlined registration processes, a comprehensive scheduling module, real-time eligibility verification, electronic patient outreach campaigns, and bar-code charge capture functionalities. These integrated features not only optimize your operations but also improve user satisfaction and augment the efficiency of your revenue cycle management. Additionally, our unwavering dedication to ongoing enhancement guarantees that we continuously evolve with the changing demands of your practice, ensuring you always have the best tools at your disposal.

SYNERGEN Health provides solutions for automating revenue cycles that efficiently handle repetitive tasks, which greatly cuts down on manual labor and reduces the likelihood of errors in data entry. Furthermore, the digital workforce tools offered by SYNERGEN are crafted to evolve and optimize their strategies in real time, ensuring a continuous alignment with your organization’s goals. As the complexities of financial transactions and reimbursements in healthcare intensify every year, organizations face a crucial choice: to either increase their resources or to adopt automation for vital processes. By utilizing SYNERGEN Health’s cutting-edge technology, your organization can harness the benefits of robotic process automation, machine learning, and artificial intelligence. This strategic use of advanced technologies not only streamlines operational workflows but also enhances your organization's capacity to adapt and excel in an ever-changing healthcare landscape. Ultimately, embracing these innovative solutions positions your organization for long-term success and operational efficiency.

Medical professionals often enter their field without a focus on mastering coding techniques. We are transforming the future of the revenue cycle with autonomous coding powered by artificial intelligence. Currently, our platform serves over a dozen prominent healthcare organizations and systems, which include more than 200 hospitals and 50,000 healthcare providers. The sophisticated coding AI system developed by CodaMetrix adeptly translates clinical data into accurate medical codes that are crucial for both patient care and the revenue cycle, supporting various care models such as fee-for-service and value-based care. This automation process is designed to be seamless, transparent, and fully traceable. By leveraging CodaMetrix's cutting-edge, multi-specialty autonomous medical coding platform, we continuously analyze and apply clinical evidence extracted from electronic health records. Our system autonomously transforms clinical notes into billing codes that comply with coding regulations, ensuring that claims truly mirror the complex and detailed nature of each patient's care journey. This significantly reduces the workload on human coders while improving overall efficiency. Consequently, healthcare providers can dedicate more time and resources to patient care, enabling them to deliver better services and outcomes. The advancements in AI-driven coding are not just a benefit to administrators but also to patients, as they lead to more accurate billing and improved healthcare experiences.

For a company that prioritizes value-driven healthcare, having an effective communication strategy through a flexible and scalable platform is vital for achieving success. NaviNet Open is recognized as one of the leading collaboration tools in the United States, significantly enhancing provider engagement and generating dependable, actionable insights across the entire healthcare delivery spectrum. This secure multi-payer system not only facilitates better communication but also increases operational efficiency, lowers costs, and improves provider satisfaction. It allows for real-time sharing of important administrative, financial, and clinical information between payers and providers. At NantHealth, ensuring security is a top priority; our commitment to HIPAA compliance and foundational values has maintained our EHNAC HNAP accreditation since 2006. Furthermore, NaviNet Open's HITRUST certification illustrates adherence to essential regulations and industry benchmarks. This platform effectively reduces risks linked to third-party privacy, security, and compliance, providing a solid framework for all users involved. By focusing on both security and efficiency, we are cultivating a culture of trust and collaboration within the healthcare ecosystem, which ultimately benefits all stakeholders. Such an integrated approach is pivotal for adapting to the evolving demands of the healthcare landscape.

The importance of both quality and cost in healthcare is paramount. As value-based care models gain traction, it becomes critical for hospitals, physicians, employers, and insurance providers to access accurate and meaningful analytics. With the outstanding insights provided by Quantros, both healthcare providers and patients can make informed, data-driven decisions. The analytics platform from Quantros empowers healthcare professionals to understand, predict, and enhance their performance effectively. Furthermore, it grants healthcare buyers a clear perspective on how consistently hospitals and physicians are achieving the best outcomes and providing appropriate care across the healthcare spectrum. This degree of transparency not only builds trust among stakeholders but also serves as a catalyst for continuous improvements in the delivery of healthcare services. Enhanced collaboration among all parties involved leads to a more efficient and effective healthcare system overall.

AGS Health Company has completed the acquisition of EZDI, enhancing their revenue cycle management capabilities. Our platform is designed to assist businesses of all sizes, providing access to APIs that empower organizations to extract valuable insights from their healthcare data. It successfully merges medical coding with clinical documentation, creating a fully cohesive system that can enhance the productivity of documentation and coding specialists by as much as 45%. Additionally, our platform boosts revenue by optimizing case mix and risk scoring. We offer modern clinical APIs that are designed to integrate smoothly into existing infrastructures. To ensure exceptional accuracy, our system has been trained on over 7 million real clinical documents. Utilizing vast knowledge graph records alongside deep learning and machine learning techniques, we deliver precise code and query suggestions. Our commitment to innovation positions us to spearhead the next evolution in AI for the healthcare industry. Tailored for coders and documentation specialists, our tools enable them to work more intelligently, swiftly, and effectively right from the outset. Furthermore, our advanced Deep Learning NLP models empower healthcare professionals to navigate complex data landscapes with assurance and precision.

Greenspace Health is dedicated to transforming behavioral healthcare through state-of-the-art technology solutions that facilitate Measurement-Based Care (MBC). Their platform enables healthcare providers to streamline the collection of patient-reported outcome measures, featuring intuitive dashboards that illustrate symptom changes to inform clinical decisions and enhance therapeutic relationships. Organizations benefit from customized data insights, which empower them to assess service effectiveness, drive innovation, and uphold a high level of care. For healthcare systems, Greenspace's solutions improve care coordination, encourage provider collaboration, and optimize resource allocation by identifying service gaps and reducing expenses. Moreover, their platform supports both clients and patients in tracking their progress, increasing engagement, and leading to better clinical outcomes. Greenspace's commitment to safeguarding privacy and security is highlighted by their adherence to SOC 2 Type II standards. In addition to these advantages, their pioneering methodologies not only elevate the quality of care but also contribute to a more streamlined healthcare system overall. This comprehensive approach positions Greenspace Health as a leader in the integration of technology and behavioral health services.

CombineHealth AI pioneers an advanced AI workforce named Amy, Marc, Emily, and Diana, tailored to transform Revenue Cycle and Practice Management operations for healthcare providers nationwide. Built on a proprietary foundational AI model, this workforce achieves an exceptional 99.2% accuracy while guaranteeing 100% adherence to all relevant coding and billing regulations. By automating complex processes, CombineHealth AI significantly reduces costly coding errors and enhances the productivity of medical coders. It also tackles physician documentation challenges that frequently hinder efficient billing. Healthcare organizations adopting these solutions report a 35% improvement in clean claim submissions and a substantial reduction in claim denials, resulting in faster reimbursements and healthier cash flow. The AI employees work side-by-side with human teams, performing essential functions such as medical coding, billing, data entry, accounts receivable follow-up, and denial management. Importantly, every AI-generated action includes detailed, auditable reasoning to ensure full transparency and compliance. This seamless collaboration between AI and staff drives improved operational efficiency and financial outcomes. CombineHealth AI’s solutions represent a breakthrough in healthcare revenue management, enabling organizations to optimize workflows while maintaining rigorous regulatory standards. By combining advanced AI accuracy with compliance and explainability, CombineHealth AI empowers healthcare groups to achieve superior revenue cycle performance.

Optimize revenue cycle management, ensure high-quality care oversight, and enhance workforce efficiency through a comprehensive, intuitive portal that offers single sign-on functionality. More than 47,000 provider locations leverage our innovative solutions to simplify the intricacies of the patient care journey. Revolutionize the financial experience for patients while reducing administrative and clinical burdens with the Inovalon Provider Cloud, which integrates various workflows into a cohesive system. Our Software as a Service (SaaS) solutions are tailored to improve both financial outcomes and clinical results throughout the patient's experience, enabling streamlined revenue cycle operations for better reimbursement and maintaining adequate staffing levels for superior care quality. This integrated portal empowers your organization to enhance its overall performance, increasing revenue, employee satisfaction, and standards of care. By improving operational efficiency, productivity, and overall effectiveness, you can realize the maximum potential of your organization. Discover the transformative features of the Provider Cloud today, and watch your organization thrive.

Established in 1998, Milliman MedInsight® has emerged as a prominent provider of healthcare data and analytics solutions. More than 300 payers, accountable care organizations, employers, and government entities rely on Milliman MedInsight for their data needs. Our extensive range of analytics and data services equips organizations to utilize healthcare information effectively, resulting in improved clinical and financial results. By harnessing our extensive industry knowledge and cutting-edge technologies, we offer valuable insights into healthcare utilization, costs, and quality. Milliman MedInsight not only delivers critical information but also empowers stakeholders with essential tools to successfully navigate the complexities of the healthcare system, addressing areas from risk management to the implementation of value-based care strategies. Ultimately, our commitment to excellence drives better health outcomes for all involved.

Successful teamwork in patient care relies heavily on ongoing connectivity and access to current information. It is becoming ever more important to facilitate the flow of this information with insurance companies. Availity streamlines the collaboration with payers, assisting providers from the initial step of confirming a patient's eligibility all the way to resolving reimbursements. Healthcare professionals seek quick and easy access to details regarding health plans. With Availity Essentials, a free service supported by health plans, providers can take advantage of real-time data exchanges with many of the payers they regularly interact with. Moreover, Availity offers a premium service called Availity Essentials Pro that is designed to enhance revenue cycle performance, reduce claim denials, and secure patient payments more efficiently. By utilizing Availity as your reliable source for payer information, you can concentrate your efforts on providing high-quality patient care. Their electronic data interchange (EDI) clearinghouse and API solutions allow providers to seamlessly incorporate HIPAA transactions and other vital functions into their practice management systems, leading to improved operational efficiency. This holistic method not only supports healthcare providers in their operational tasks but also reinforces their ultimate goal of prioritizing patient well-being and satisfaction.

Epion’s platform for patient engagement incorporates various solutions for patient access, check-in, and telehealth, fostering smooth interactions with patients throughout every stage of their healthcare experience—before, during, and after their medical appointments. Patients now expect to receive care that actively connects with and involves them in their daily lives. To fulfill this expectation, healthcare organizations must adopt the right tools and automation strategies to improve engagement, boost satisfaction, and maximize return on investment. With a strong commitment to revolutionizing healthcare, Epion concentrates solely on developing cutting-edge digital access solutions that yield better clinical outcomes and financial performance. Acting as a trusted partner for healthcare providers, we support the advancement of your value-based care goals while delivering outstanding customer service and a wide array of resources. This unwavering devotion to quality is one of the driving factors behind the growing popularity of our platform among medical practices across the nation, including everything from small, individual offices to expansive health systems. By prioritizing enhancements to patient experiences and outcomes, Epion not only strengthens its role in the healthcare technology arena but also contributes to the overall improvement of health services and patient satisfaction globally.

Imagine an innovative strategy for care management that effectively reduces healthcare costs, minimizes both initial and subsequent hospital admissions, improves star ratings and HEDIS metrics, and enhances overall health quality and outcomes through a mission-driven data platform powered by artificial intelligence. As the healthcare industry shifts toward value-based care, Health EM.AI stands at the forefront, transforming care management and optimizing care delivery by harnessing advanced data utilization and AI technology. By consolidating patient data from diverse care environments and employing AI/ML-based predictive analytics, we provide healthcare organizations with actionable insights that markedly improve care quality. This method guarantees tangible enhancements at the individual patient level, especially in the realms of palliative and chronic care management workflows. The integration of a comprehensive patient 360 data model across all care scenarios drives significant progress in star ratings, risk adjustment, and the successful closure of care gaps. Furthermore, our localized healthcare models analyze over 1,000 clinical and non-clinical factors based on geographical specifics, which further sharpens care effectiveness. Ultimately, this all-encompassing approach not only leads to improved patient outcomes but also cultivates a more streamlined and effective healthcare ecosystem, paving the way for sustainable advancements in patient care.

Janus Health is transforming the field of revenue cycle management with our groundbreaking, all-encompassing artificial intelligence platform. With a strong foundation in both healthcare and technology, we have an in-depth comprehension of the challenges that revenue cycle management poses for healthcare providers. Our offerings, rooted in operational intelligence and advanced automation, enable revenue cycle teams to optimize their workflows, resulting in improved outcomes with reduced resources and increased cash flow. Our comprehensive revenue cycle platform provides valuable, data-informed insights into your operations and supports the integration of workflow automation that boosts team efficiency. Focused solely on revenue cycle management, Janus Health distinguishes itself as the only process improvement platform specifically designed for RCM. We present a unique combination of operational intelligence features and automation tools that are easy to integrate, allowing healthcare organizations to effectively elevate their revenue cycle processes and achieve superior financial performance. By prioritizing the needs of revenue cycle management, we strive to empower healthcare organizations to navigate the complexities of their financial operations seamlessly.

We support the shift towards value-based healthcare by assessing a range of treatments, medications, processes, and costs, which assists hospitals, life sciences companies, and insurance providers in identifying treatment approaches that result in the best patient outcomes. Our CRCA™ P&T platform empowers P&T committees to make data-informed improvements in quality measures, including average length of stay (ALOS) and 30-day readmission rates. Moreover, our cutting-edge POP-BUILDER Rx™ solution presents comparative insights between selected groups and CRCA's vast database of real-world data, which includes over 140 million longitudinal patient records. In addition, our drug remittance dashboard thoroughly examines and reports on drug remittance details across various payer categories, with a focus on high-cost medications down to the National Drug Code (NDC) level. We also enable hospital finance teams to effectively monitor and improve service line costs, profitability, productivity, and revenue cycle performance through our detailed analytics and reporting, along with the support of our Agilum Healthcare Intelligence team. This ensures healthcare providers can make well-informed decisions that enhance their operations and patient care. By integrating these diverse resources, we create a comprehensive understanding of the complex financial and clinical environment in which healthcare providers function, ultimately aiming to improve overall healthcare delivery.

MediFusion provides an extensive range of software solutions that feature advanced EHR and medical billing tools designed to improve the clinical, administrative, and financial operations of healthcare facilities. Our committed team is readily available by phone to offer ongoing EHR training and support whenever you need help. Enhance your clinical workflows and optimize your operations with our comprehensive integrated solution. This platform efficiently manages the complete revenue cycle, covering all aspects from Eligibility Verification to Claim Processing, and guarantees timely payments. Our cloud-based Electronic Health Record (EHR) software acts as a flexible and unified solution that enables your practice to improve patient care quality significantly. With a focus on user-friendliness, this web-based EHR platform allows you to effortlessly document, access, and track your clinical and financial information from any device with internet access, ensuring you stay connected and productive no matter where you are. Moreover, our innovative system is designed to adapt as your practice grows, providing the scalability required to meet future demands.

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.