Comprehensive, Defensible HCC Code Submissions
Payers and providers are under increased pressure to ensure that every submitted HCC code is accurate and supported by appropriate documentation. Risk adjustment programs need an accurate, efficient way to deliver coding results that can withstand RADV and other compliance audits while capturing a complete picture of patient risk.
Apixio’s HCC Complete uses industry-leading AI algorithms to power risk adjustment
chart reviews, identifying both missed coding opportunities and unsupported known codes, providing a comprehensive, accurate view of member risk.
The HCC Complete Advantage
DEVELOP THE MOST ACCURATE PICTURE OF PATIENT HEALTH
Leverage market-leading AI to find more defensible HCCs with less time and manual review effort.
PROTECT YOUR PROGRAM FROM AUDIT RISK
Efficiently review a subset of codes that may lack supporting evidence with AI-powered suspecting.
STREAMLINE YOUR CODING & AUDIT PROCESS
Improve your chart review process with centralized project management and proven AI workflows.
- AI-powered net-new HCC code identification
- Clear audit trail of chart reviews and results
- Evidence highlighting for more accurate QA
- Coder and auditor progress, productivity, and accuracy tracking
- AI-powered evidence location for reported codes
- Targeted review workflows for potentially unsupported codes