How We Support Diagnosis Gap Closure at the Point-of-Care
Wading through structured and unstructured clinical information to identify risk-adjusting conditions is time-consuming, labor-intensive for teams. Empowering clinicians with relevant patient insights improves care quality and reimbursement accuracy.
Apixio’s AI-as-a-Service for Prospective and Concurrent Risk Adjustment is a flexible analytics solution that helps teams identify and close known and suspected risk-adjusting diagnosis gaps for Medicare Advantage (MA), Medicare Shared Saving Program (MSSP), ACO REACH, and other alternative payment models.
Apixio’s AI-as-a-Service for Prospective and Concurrent Risk Adjustment is a flexible analytics solution that helps teams identify and close known and suspected risk-adjusting diagnosis gaps for Medicare Advantage (MA), Medicare Shared Saving Program (MSSP), ACO REACH, and other alternative payment models.
Evaluate Diagnosis Gaps
Harness The Power Of Industry-Leading AI
Leverage Your Existing Workflow
Benefits
Find and Close Diagnosis Gap
Improve your risk capture with a precise, comprehensive list of known and suspected diagnoses.
Increase Operational Efficiency
Review condition suspects and recaptures in a unified data feed.
Maintain Control of Your Process
Validate codes and documentation prior to claims submission for concurrent reviews.
Integrate Insights Seamlessly
Send AI-powered diagnosis insights to your existing systems using flexible, interoperable APIs.
Features
AI-powered diagnosis recapture lists to inform point-of-care gap closure
Validate codes and documentation prior to claims submission
Deliver insights into any workflow via paper, email, fax, portal, or API
AI-powered patient condition suspect lists using insights from medical and Rx claims, clinical records, lab results, and known diagnosis codes with SNOMED-level specificity
Identify and Document Patient Conditions Faster
We 100% use Apixio's system for prospective risk adjustment. Over time, [retrospective] ROI dips because we find more and more [upstream].
Risk Adjustment Manager,
Regional Health Plan
Regional Health Plan
Featured Resources
Supercharge Your Upstream Risk Adjustment Processes with Apixio
Explore how Apixio can support your organization’s unique prospective and concurrent risk capture program needs.