Retrospective Risk Adjustment

Maximize Value and Minimize Overhead with AI-Powered Coding and Auditing Solutions

Increase your retrospective risk adjustment accuracy, efficiency, and impact with AI-powered solutions that deliver consistent results.

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.
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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Level Up Your Risk Adjustment Program with Apixio

Explore how Apixio can support your organization’s unique retrospective risk adjustment program needs.