Coding Application

The most trusted MA and ACA risk adjustment coding application available.

With more than 7.5 million charts processed on its machine learning platform and more than 33 current customers, Apixio’s application coding solution has become the risk adjustment industry benchmark –
helping organizations take control of their Medicare Advantage and Commercial risk adjustment programs with deep coding insights, and unsurpassed accuracy and productivity.

Is your coding vendor getting to the whole truth?

Traditional coding versus the Apixio difference

Apixio partnered with one of its national payer customers to conduct the largest known study that compared traditional coding methods to technology augmented coding methods (Apixio’s AI powered coding application). The study was conducted with the same set of 75,000 Medicare Advantage charts from 10 different states across the county. The health plan performed quality assurance review on 100% of all findings. The results showcased not only the prowess of Apixio’s technology but also that traditional coding approaches are not getting to the whole truth when it comes to finding all your patients supported conditions.

Apixio’s platform was found to be 23% more accurate than traditional approaches and 300% more productive.

Apixio 6566 HCC's
Traditional Vendor 5044 HCC's
Performance Gap
Apixio 13.2/Hour
Traditional Vendor 4.5/Hour
Performance Gap

Take back control of your risk adjustment coding program.

With Apixio, taking back control of your risk adjustment coding program has never been easier, and more productive. With a proprietary flexible data acquisition approach it doesn’t matter if your chart data is locked away in an EHR or stored away in pdf or image files, Apixio’s powerful AI platform will surface supported coding opportunities that will have your team coding like a superhero. And when your team is coding they will have everything they need at their fingertips in our application’s streamlined coding workflow. Our HCC Identifier application will also enable your organization to increase transparency and gain access to a powerhouse of management tools like coder management, productivity insights, multiple levels of quality assurance and robust program analytics.

Flexible Data Acquisition
From different EHR systems to pdf, scanned chart information, labs and prescription data, Apixio’s technology can handle it.
Streamlined User Interface
Coder Management
One-Click QA

Apixio’s Compliance Solutions are the new benchmark for complete insights into every claim.

Powered by Apixio’s proprietary AI platform, our compliance solutions help ensure that reported HCCs have sufficient evidence for CMS submission and protect your organization from costly audit and coding compliance failure.

With our most robust offering, HCC Auditor, you can validate the accuracy of HCC Submissions by linking all HCC’s to available source encounter notes, ID unsupported codes and confirm the integrity of your HCC submissions.

Our Zero Evidence Report, helps coders identify HCCs that were submitted successfully to CMS but do not have the required supporting evidence in retrieved charts.

“The coding team was wonderful to work with, and incorporated our specific coding guidelines when working on our project. When they noticed a trend in what we were rejecting, they shared a Coding Clinic we were unaware of for clarification on how to code the scenarios.”
Josh Weisbrod
VP Risk Adjustment
“We’ve previously relied on tedious manual review of our charts that required lots of manpower and physician time...the HCC Profiler has allowed us to mine our EHR and scanned chart data for valid, risk-adjusting conditions with incredible transparency and efficiency.”
Jennifer Pereur
Director, Government Programs
Hill Physicians
“By using Apixio, we’re improving our auditing bandwidth and enhancing the ability of our coders to focus on other chart audits and other projects that we couldn’t do before.”
JoAnn Hayden
Scripps Health Plan Services
Case Study

NHP & Apixio

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Case Study

Apixio & Sigma Health Plan

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Case Study

Apixio & Magna Health Plan

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Get the most accurate and compliant coding results for your organization

Interested in taking back control of your risk adjustment coding program, and want to learn more? Contact us today for a demo or to talk with one of our reference customers and hear how they transformed their risk adjustment programs with Apixio.
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