How We Support Risk Adjustment Programs
Risk adjustment programs for Medicare Advantage (MA), Affordable Care Act (ACA), and Alternative Payment Models (APMs) for the Medicare Shared Savings Program (MSSP) and Direct Contracting (DC) are charged with maximizing value for their organizations while maintaining the highest standards of coding accuracy. Apixio’s AI-powered risk adjustment coding and auditing solutions help teams scale their chart review processes to capture a complete, defensible picture of patient risk.
Why RA Programs Partner with Us
Unmatched Efficiency
Code and audit charts more quickly with AI-powered suspecting and intuitive workflows.
Trustworthy Intelligence
Find more supported codes and eliminate coding errors early with reliable and proven AI insights.
Scalable Technology
Use a single, unified platform to support all your coding and audit projects across multiple programs.
High-Quality Service
Get more from outsourced chart reviews with Apixio’s full-service coding and audit capabilities.
Our Risk Adjustment Solutions
HCC IDENTIFIER
Apixio’s HCC Identifier is a cloud-based retrospective risk adjustment coding and QA platform that uses proven AI-powered technology to support complete, accurate, and efficient chart reviews for MA, ACA, and APMs for MSSP and DC.
HCC AUDITOR
Apixio’s HCC Auditor is a cloud-based risk adjustment auditing platform that uses industry-leading AI algorithms to validate source encounter notes for submitted HCCs, streamlining the audit process and enabling in-year coding and documentation improvements.
HCC COMPLETE
HCC Complete is an AI-powered risk adjustment coding and audit platform that helps teams efficiently look both ways during chart reviews.
