How We Support Prospective Diagnosis Gap Closure
Many healthcare organizations wait to identify patient diagnoses until long after services are rendered. As a result, they delay revenue and miss opportunities to improve clinical decision-making. Plans and providers are looking at how to improve their prospective programs through suspecting analytics and implementing pre-visit planning programs with coders or clinical staff who review patient medical histories and identify diagnosis gaps for providers to address during upcoming encounters. Apixio’s clinical guidance solutions provide high-confidence diagnosis gaps and improved workflows to support a more complete and accurate picture of your members’ wellness.
Why Clients Turn to Us for Clinical Guidance
Quickly Evaluate Suspected Patient Diagnoses
View suspected diagnoses identified by advanced AI models.
Efficiently Close Confirmed Diagnosis Gaps
Quickly review and confirm diagnosis gaps within existing workflows.
View Relevant Insights About Patient Health
Inform care delivery with curated health history and condition insights.
Optimize Program Performance and Impact
Measure provider engagement and gap closures to validate and improve results.
Our Clinical Guidance Solutions
Apicare Insights™ is an AI-powered prospective analytics solution that helps health plans and providers identify and close existing and suspected risk-adjusting diagnosis gaps for Medicare Advantage. Our technology surfaces actionable patient health insights while measuring the impact of your program’s performance.
Apicare Pre-Visit™ is an AI-powered workflow solution for providers that give clinical staff a comprehensive view of a patient’s medical record and identifies risk-adjustable health conditions for Medicare Advantage. These actionable insights are shared in clinical workflows before a patient encounter occurs so clinicians can close diagnosis gaps and optimize care delivery.