GHG Advisors is the leading solutions and consulting firm for government-sponsored health programs.
Our experts consist of seasoned veterans who have served at every decision making level of leading health
plans, PBMs and state and federal agencies. Collectively, our staff members have thousands of years of
experience in every functional area of a health plan and their business partners. No other firm can boast
of such a complete view of the industry from policy and politics to resolution to efficient and compliant private sector operations.
Ameridial is a CMS audited and approved; U.S. based outsourced call center supporting calls from
Members, Providers and Pharmacies for Medicare, Medicaid, Dual Eligible, HMO, PPO, PBM, Vision and
Dental plans. Ameridial are experts in: benefit explanation; claims adjudication; customer service,
Medicare Part-D; Open Enrollment; Pharmacy Help Desk; and sales.
Cybexys’s End-to-End Prospective Risk Adjustment Solution, CARAT™, powered by Artificial Intelligence, captures unrealized value to risk bearing organizations: Medicare Advantage plans, associated MCOs, ACOs, ACA Marketplace plans and Medicaid plans.
The CARAT system codes not only ICD-10/HCC but also M.E.A.T. criteria in real-time with high accuracy. CARAT streamlines clinical documentation improvement to minimize RAD-V audit exposure and increase compliance.
Provider centric coding and M.E.A.T. gap closure with single-sign-on app layer over in EHR
EHR vendor agnostic
Real-time, prospective, and retrospective models
Coding team increased productivity of 3-4X
Semantic data normalization extensions for all quality measures and care gap resolution
Analytics and Reporting
Cybexys’s leadership has over thirty years of experience in assisting health plans, MCOs and IDNs successfully navigate and manage coding and risk adjustment challenges.
Ciox Health, a leading health technology company, simply and securely connects healthcare decision makers with the data and hidden insights in patient
medical records. Combined with the industry’s most extensive network access to healthcare data, Ciox Health’s expertise, relationships, technology, and
scale make a difference for healthcare stakeholders and empower greater health for patients. Through its technology, which includes solutions for data acquisition,
release of information, clinical coding, data abstraction, and analytics, Ciox helps clients securely and consistently solve the last mile challenges in clinical interoperability.
Learn more about Ciox technology and solutions by visiting www.cioxhealth.com or
Twitter and LinkedIn.
Centauri Health Solutions is a risk adjustment, quality, and eligibility enrollment and billing solutions healthcare services company serving the government payor space. Centauri’s suite of products includes a comprehensive technology platform operating workflow of reporting and business intelligence software designed for efficient data integration and analytics. As a leading provider of technology-enabled analytics and services, Centauri helps health plans to manage their variable revenue linked to population health, quality, and eligibility factors. We help clients optimize revenue cycle management, while helping their members realize quality-of-life improvements. We possess specialized expertise in sophisticated hosted software solutions, data driven services and data management capabilities specifically for quality-based revenue and risk adjustment programs. These efforts result directly in better-informed health care delivery, richer benefits and reduced out-of-pocket healthcare costs.