Increase Risk Adjustment Accuracy and Efficiency with AI-Powered Technology

Improve your coding and audit accuracy, efficiency, and financial impact with proven AI technology and centralized review workflows.

Key Points
Faster, Scalable Review and QA Workflows
More Accurate View of Patient Conditions
Decreased Audit Risk and Review Lift

Review, Code, and Audit Charts with Confidence

Health plans and providers operate in an increasingly complex risk adjustment landscape. Administrative time and cost are skyrocketing as risk-based reimbursement models become more sophisticated. Audit scrutiny continues to grow as regulatory agencies conduct additional oversight to ensure payment accuracy. And new investments in prospective risk adjustment add operational complexity at the point-of-care.

Apixio’s AI-powered risk adjustment coding and auditing solutions help teams scale their chart review processes so they can capture a complete, consistent picture of patient health conditions and thrive within value-based care (VBC) programs.

Benefits

Accurate Intelligence

Find more supported codes and eliminate costly errors with reliable AI-powered condition insights.

Efficient Review Workflows

Review and code charts faster with targeted HCC suspects and intuitive workflows.

Scalable Technology

End-to-end workflow solutions support all your coding and audit projects across multiple programs.

Flexible Program Support

Power prospective, concurrent, and retrospective programs with flexible tools that plug into existing workflows.

The Impact

80%

Reduction

80% reduction in coding workload

5X

Faster

5X faster chart reviews

20%

More

Up to 20% more supported codes found

96%+

Accuracy

96%+ coding accuracy

Streamline and Scale Your Risk Adjustment Programs with Apixio

Explore how Apixio can support your organization’s prospective, concurrent, and retrospective risk adjustment needs.