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Resources | Apixio – old

guides + white papers

guides + white papers

Demystifying the Complexities of Pre-Payment for Long-Term Business Success

Transitioning from post-pay to pre-pay can significantly benefit your payment integrity program. It’s crucial to recognize that the advantages of pre-payment extend beyond just operational improvements. With the right solutions partner offering technologically advanced solutions tailored to your health plan’s unique requirements, you can achieve results that drive success, ensuring enhanced effectiveness and efficiency in […]

article

article

Enhancing Payment Integrity in Healthcare through Pre-Payment Reviews

Our President & Chief Operating Officer, Tom Magnotta, explains why payment integrity is essential for ensuring financial accuracy, maintaining compliance with regulations, optimizing the healthcare delivery system, and removing administrative waste, which impacts the focus on patient care and quality outcomes. It also plays a crucial role in reducing overall healthcare costs and indirectly affects […]

webinars

webinars

The Complete Guide to Evaluating Pre-Pay DRG Solutions

As technological advancements progress, the trend toward pre-payment reviews is rising. Developing an effective pre-pay DRG strategy still demands dedication and collaboration with the right partner. Learn how to select the best pre-pay DRG solution to maximize payment accuracy and reduce administrative costs. In this webinar, we will deep dive into: Establishing goals to be […]

press

press

Apixio Receives the 2024 American Business Award in the AI/ML Solution – Healthcare Category

Apixio has been recognized for the second year in a row by The Stevie® Awards as a Bronze winner in The 22nd Annual American Business Awards®, AI/ML Solution – Healthcare category. Our Prospective Risk Adjustment Suite was selected because it can transform how healthcare providers interact with data, improve patient care, and streamline clinical workflows. […]

industry blog

industry blog

Navigating Payment Integrity: Strategies for Success in 2024

The intricacies of payment integrity hold the industry in a perpetual state of adaptation. With data integrity and fiscal responsibility at the forefront, health plans need to manage cost containment efforts by driving down administrative costs and harnessing the power of technology. With shifting priorities, payers are prioritizing across all lines of businesses to directly […]

case studies

case studies

Client Spotlight for Pre-Payment

See how one of the nation’s largest health plan transformed their payment integrity program and realized more than $1 billion in cost avoidance. Download the full case study to see more results of the study.

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Additional Content

events

events

RISE West 2024

Stop by our booth to learn about our latest solutions supporting value-based care. Get timely insights created for risk adjustment & quality specialists of all levels with a focus on compliance, operations and the payer/provider relationship.

article

article

Closing Care Gaps Through Prospective Risk Adjustment

Our CEO, Sachin Patel, explains how risk-bearing organizations can use AI-powered solutions to overcome risk adjustment obstacles and confidently shift toward a prospective program that will help enable improved patient outcomes, regulatory compliance, and provider resiliency.

brochures

brochures

Revolutionizing Retrospective Risk Adjustment Coding Operations with AI-Driven Insights

Apixio’s AI-as-a-Service Solution for Retrospective Risk Adjustment enables payers and other healthcare organizations to identify diagnoses accurately and efficiently within their existing coding workflow applications.

press

press

Apixio Partners With Vim to Deliver AI-Powered Insights at the Point of Care

Apixio Broadens Its Reach Into the Physician Workflow With Its Industry-Leading Insights SAN MATEO, Calif., April 9, 2024 – Apixio, a leading healthcare data and analytics company, announces a strategic partnership with Vim, a leading point-of-care connection platform, to enhance accurate condition capture during the patient visit and improve patient care. This initiative leverages Apixio’s […]

press

press

Apixio Partners With Vim, Bringing AI Insights to the Point of Care

The strategic collaboration focuses on improving the accuracy of capturing patient conditions during visits and empowering healthcare providers with real-time insights. Read his full article in HIT Consultant Media.

industry blog

industry blog

Payment Integrity Program Assessment

Assessing the effectiveness of your payment integrity strategy is crucial for ensuring financial accuracy and operational efficiency within your organization. By taking our assessment, you’ll gain valuable insights into your current payment integrity process for complex claims, such as High Dollar, DRG, and other clinical reviews. Discover areas for improvement and find out how you […]

industry blog

industry blog

Unlocking Health Data’s Potential Across the Enterprise

In a healthcare landscape perpetually driven by data, the ability to harness insights from health data isn’t just a competitive edge — it’s a necessity for growth, efficiency, and improved outcomes. For those entrenched in the complexities of value-based care and other outcomes-based arrangements, the question is not whether to engage with health data, but […]

press

press

Apixio Launches Health Data Nexus™, Unifying Health Data with AI-Powered Insights for the Enterprise

Apixio unveils its platform for enhanced healthcare data management and analytics, streamlining care and efficiency for health plans and providers SAN MATEO, Calif., March 14, 2024 – For over a decade, Apixio has been at the forefront of utilizing both structured and unstructured health data for AI-driven risk adjustment and payment integrity solutions. Today, they […]

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