Increase Confidence in Your Retrospective Risk Adjustment Program Performance
Risk adjustment programs for Medicare Advantage (MA), Affordable Care Act (ACA), Alternative Payment Models (APMs) for the Medicare Shared Savings Program (MSSP), and ACO Realizing Equity, Access, and Community Health (ACO REACH) are charged with maximizing value for their organizations while maintaining the highest standards of coding accuracy.
Apixio’s AI-powered risk adjustment solutions for retrospective coding and auditing help teams scale their chart review processes to capture a complete, defensible picture of patient risk.
Apixio’s AI-powered risk adjustment solutions for retrospective coding and auditing help teams scale their chart review processes to capture a complete, defensible picture of patient risk.
Consistent, Accurate Condition Suspects
More Efficient Coding And Audit Workflows
Streamlined Project Management And QA
Benefits
Trustworthy Intelligence
Find more supported codes and eliminate coding errors early with reliable and proven AI insights.
Unmatched Efficiency
Code and audit charts more quickly with AI-powered suspecting and intuitive workflows.
Scalable Technology
Use a single, unified platform to support all your coding and audit projects across multiple programs.
Flexible Services
Get more from outsourced chart reviews with Apixio’s full-service coding and audit capabilities.
The Impact
80%
Reduction
80% reduction in coding and audit workload
23%
Increase
23% accuracy increase with AI-assisted chart reviews
96%+
Accuracy
96%+ coding accuracy with up to 3 levels of QA
Features
AI-powered net-new HCC code identification
1-click evidence review and QA workflows
3+ levels of QA reviews
Targeted review workflows for potentially unsupported codes
Clear audit trail of chart reviews and results
Reviewer progress, productivity, and accuracy tracking
AI-as-a-Service for Retrospective Risk Adjustment
Leverage the power of AI to extract condition insights and present clear, concise recommendations for reviewers within your existing coding workflow.
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Complete, Accurate Coding and Auditing with Less Manual Effort
The retrospective review process is a well-oiled machine between us and Apixio. The workflow is very easy. Apixio is giving us exactly what we need.
Risk Adjustment Manager,
Regional Health Plan
Regional Health Plan
Featured Resources
Level Up Your Risk Adjustment Program with Apixio
Explore how Apixio can support your organization’s unique retrospective risk adjustment program needs.