12,000+ Quality of care reviews completed annually.
Increasing transparency
and accountability
Acentra Health has reviewed over one million medical records for our clients to identify key errors such as medical malpractice. By definition, medical malpractice occurs when there is a dereliction of professional duty through negligence. Professional negligence occurs when a practitioner’s care falls below the standard of care established by the medical community.
Examples of medical malpractice include failure to diagnose harmful disease or injury, medicinal and surgical errors, improper surgery and/or complications. To meet the standard of care, the provider must exercise the knowledge and skills that any reasonable practitioner would use under similar circumstances.
Established management processes
for timely medical reviews
We employ over 1,000 full-time health professionals, and we have access to over 3,200 national physician and non-physician reviewers. Our review panel encompasses practicing physicians that are board certified in over 70 different specialties and sub-specialties.
Acentra Health has the expertise and established management processes to ensure that our medical reviews are complete, timely, and conducted by appropriately qualified medical professionals.
External Quality Review
Meet EQR requirements and improve patient care with sophisticated data analysis.
Appeals & Grievances
Reach successful conclusions with flexible processes that work for your organization's unique systems and criteria.
CMS Waiver Oversight
Achieve high-quality long-term services and supports with comprehensive Medicaid waiver oversight and accountability.