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The new standard in risk adjustment coding

Take control of your Medicare Advantage and Commercial risk adjustment programs with our industry leading AI solutions. Apixio’s HCC Identifier delivers speed, transparency, and accuracy so your risk adjustment coding team or external coders can do much more with less effort.

Is your risk adjustment program capturing the whole truth?

Traditional coding approaches don’t fully capture the underlying risk in a MA population. In a groundbreaking study, coders using Apixio’s HCC Identifier application found 20% more new supported HCC codes than expert coders working without technology assistance in a review of 284,000 MA member charts. In addition to the greater accuracy, coders using the HCC Identifier application were able to code 25 charts per hour (including QA), which is 4 to 6 times faster than traditional coding methods.

Give your organization the best of both worlds by providing your risk adjustment coding team the augmented intelligence difference from Apixio.

Apixio 30,236 HCCs
Traditional Vendor 24,385 HCCs
Performance Gap
Apixio 25 Charts/Hr
Traditional Vendor 5 Charts/Hr
Performance Gap

Take control of your risk adjustment program

Give your team the insights they need to be their best. With HCC Identifier, you can track coder progress and decision-making, provide real-time feedback, and uncover opportunities for training and education. The project dashboards and multi-layered quality assurance provide instant insights into coder decisions and supports a sophisticated oversight and rebuttal process with less time and effort.

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Comprehensive data acquisition

Acquire and use your patient data no matter how it’s stored. InfoStream by Apixio can successfully retrieve and mine data in:

  • Electronic health records (e.g. Epic, Cerner, Allscripts)
  • PDFs or TIFF images
  • Medical and prescription claims
  • Demographic, eligibility, and provider files
  • And more
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Streamlined user interface

HCC Identifier’s workflows are configurable for initial coding and quality assurance, giving you complete control of your coding projects. Our platform also includes risk adjustment coding guidelines, an ICD recommendation engine, dynamic provider search, and diagnosis history, all just a click away.

Risk Adjustment Coding Management
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Coder management

Facilitate coder training and improve project management with robust coder management tools and metrics.

HCC Identifier Coder Management Platform
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One-click QA

Supervisors and senior coders can craft QA workflows that ensure accurate coder decisions and support a robust rebuttal process. Each coder decision can be reviewed along with the supporting evidence. This is the most complete quality assurance available in a risk adjustment coding application.

HCC Identifier Streamlined Application Interface
Risk Adjustment Coding Management
HCC Identifier Coder Management Platform
HCC Identifier Streamlined Application Interface

The most trusted risk adjustment coding technology available

Apixio’s technology is trusted nationwide by MA plans and large provider groups. We’ve conducted a number of large studies of our machine learning technology and repeatedly demonstrated that coders have superior accuracy and greater productivity with our application compared with coders using traditional coding methods. With over 11 million charts analyzed to date, we’re helping to improve risk adjustment programs and make a difference in the way healthcare is delivered across the country.

HCC Identifier is available as an application to support your in-house coding team, or as a service that combines the power of our AI platform combined with world-class coders who use your guidelines to achieve optimal results.

0 %
Reduction in time required to code
0 or more*
Levels of quality assurance enabled
0 %
Accuracy increase
0 - 6x
Productivity increase
Scripps logo

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
hill icon

In the past we relied on manual review of our charts. This meant lost manpower and physician time in tedious processes.

Implementing HCC Identifier has allowed us to mine EHR and scanned chart data for valid, risk adjusting conditions with improved transparency and efficiency. 

Britt Moroles
Senior Manager, Government Programs
network health

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 of Risk Adjustment
Case Study

Apixio & Magna Health Plan

Fast Facts 40,633 lives reviewed 2,755 HCC deletes found 95.3% agreement with…

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Case Study

How a Veteran Coder Used Apixio’s HCC Identifier to Eliminate Data Entry Error and Double Productivity

Fast Facts Increased productivity from 3 charts per hour to 10 charts…

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Case Study

Sigma Health Plan

Fast Facts 70,000 lives reviewed 983 new HCC codes 98.5% coding accuracy…

View Case Study
Request a demo of HCC Identifier to see how AI can make your coding program more accurate and productive.