Category: Coding

How A Veteran Coder Used Apixio’s HCC Profiler to Eliminate Data Entry Error and Double Productivity

Eric Tan, CPC, CCS

A veteran HCC coder, Gloria Rodriguez has seen the pros and cons of many approaches to HCC coding. At the beginning of her career, she “chased” and reviewed paper patient charts. Next, she reviewed electronic records through the EHR system or scanned PDF charts. Gloria currently reviews charts using Apixio’s HCC Profiler application. By using […]

How New Risk Adjustment Technology Affects Coders

Eric Tan, CPC, CCS

Risk adjustment is traditionally done in a manual and inefficient way, as we have discussed throughout this blog series. Coders will comb through thousands of pages of patient charts and look for documented chronic conditions. This process is time consuming and costly, not to mention that it doesn’t make good use of coders’ expertise. Cognitive […]

Why Does Risk Adjustment Need Technology?

Eric Tan, CPC, CCS

This is the first in a 4-part series called Intro to Risk Adjustment Technology. Cognitive computing. Machine learning. Natural language processing. Two years ago, few people in the risk adjustment world had ever heard of these terms, and yet today they are becoming synonymous with risk adjustment. What are these technologies? Why do we even need them […]

Results from RISE and Apixio’s Coding Community Survey

Lea Cuniberti-Duran

In January, Apixio’s user research team conducted a coding survey. We recruited coders, QA supervisors, and directors involved in risk adjustment coding via RISE’s mailing list, Facebook groups, and LinkedIn groups. We secured 111 responses, from 52 coders, 23 coder managers, 13 director/executives, and 23 other affiliations. Below are some takeaways: The Risk Adjustment Coding […]

How New Risk Adjustment Technology is Affecting Coders

Anita Joseph

Technology is transforming risk adjustment, just like it is every other part of society. Instead of people traveling to physicians’ offices and physically scanning their records, technology can get charts quickly and securely. Instead of coders thumbing through thousands of pages of patient charts to find HCCs, technology can identify potential HCCs without anyone lifting […]

An ICD-10 Holiday Special: When “Ho, ho, ho!” turns into “Oh, no, no!”

Jamie Urborg

The holiday are upon us, which means gifts, family, friends and plenty of tasty treats. Let’s not forget though that through the rush of preparing and celebrating a number of injuries can occur. To keep you safe through the holidays, keep in mind the following ICD-10 codes. Hanging bright lights on your roof so you […]

Trick or Trauma – An Apixio Halloween Special

Jamie Urborg

Witches, ghosts and zombies, oh my! The spookiest time of year is just a day away, and we want to make sure you are well prepared for this year’s Halloween celebrations. In helping you avoid any bizarre injuries and potential disasters we’d like to share our unnervingly real 2015 Halloween ICD-10 guide. Here’s a list […]

An ICD-10 Guide to Game of Thrones


The sixth season of HBO’s Game of Thrones doesn’t start until April 2016. But rejoice, GoT fans: winter is coming in the form of ICD-10 codes. Tomorrow, U.S. health providers must start using a massive new set of International Classification of Diseases (ICD) codes called ICD-10. These alphanumeric designations are given to every diagnosis and cause of […]

10 of the Most Bizarre ICD-10 Codes

Jamie Urborg

The ICD-9 to ICD-10 transition date is looming, and provider offices are cramming to get up to speed on the new code set. It is a struggle because ICD-10 is more complicated and extensive than ICD-9. The number of diagnosis codes in the ICD-10 set is four times larger, about 68,000, up from 14,000 in […]