Transform Your Payment Integrity Program With Apixio’s AI-Powered Solutions
Our technology-enabled platform accelerates complex claims for Itemized Bill Review and DRG in pre- and post-pay, ensuring unparalleled accuracy, efficiency, and transparency.
Download the White Paper to discover how to optimize your payment strategies with valuable insights and guidance on pre-pay.
Increase Efficiency, Accuracy, And Transparency
Payers face challenges in rising expenses, strained provider relationships, transparency concerns, and operational inefficiencies. The administrative costs of manual reviews and payment recoveries contribute to unnecessary healthcare waste. Apixio’s Payment Integrity solutions empower organizations with technology-driven analytics and workflows, enhancing accuracy and transparency in pre-payment reviews.
Three Flexible Engagement Models
With three flexible engagement models, we tailor our services to meet you at any stage of your payment integrity journey.
- Service: No matter the complexity or volume of claims, our experts work as an extension of your business to ensure maximum savings.
- Software-as-a-Service (SaaS): Utilize our auditing platform and tech-enabled insights to power your auditing needs with data-driven workflows.
- Hybrid: Enables a combination of services tailored to each payer and payment integrity program need.
Benefits
Efficient Tech-Enabled Capabilities
Use intelligent automation, OCR processing, and NLP insight creation to review more claims in a fraction of the time.
Configurable, Flexible Solutions
Configure payment and clinical policies, set up transparent reporting, and onboard services to augment internal capacity.
Program Transparency
Apixio’s platform provides real-time insights and control, allowing plans to monitor their programs proactively.
Increased Payment Accuracy for Cost Savings
Utilize tailored solutions that identify and capture savings through medical spend management.
The Impact
15 Min.
Reviews
15 minutes or less on itemized bill reviews
45%+
Efficiency
45%+ efficiency gains for clinical chart reviews
15-20%
Savings
15-20% average savings per claim
98%
Accuracy
98% review accuracy
Payment Integrity Solutions
Itemized Bill Review
Apixio’s Itemized Bill Review (IBR) solutions use a claim selection engine, intelligent automation, and end-to-end platform transparency to provide access and insights into the rules, results, and reporting while increasing accuracy.
Clinical Chart Review
Apixio’s Clinical Chart Review solutions use a configurable analytic engine, tech-enabled workflows, and NLP data extraction and insight creation to accelerate the clinical and coding determination process.
AI-as-a-Service for Payment Integrity
Apixio’s AI-as-a-Service for Payment Integrity solution extracts clinical information from unstructured healthcare data into your existing workflow via API-driven integrations.
Transform Your Payment Integrity Program
Request a demo to see how Apixio can support your organization’s transformation toward a pre-payment approach to payment integrity.