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Text Content

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Guide, Feedback, and Issue Reporting
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Enhancing Payer-Provider Collaboration Through Prospective Risk Adjustment

View eBook


Solutions
Technology
Who We Serve
Resources
Company

Contact Us
Health Data Management Risk Adjustment Payment Integrity AI-as-a-Service
Healthcare Data and Analytics Platform Unify health data with AI insights
Digital Chart Retrieval Healthcare interoperability services
HEALTH DATA MANAGEMENT OVERVIEW
Retrospective Risk Adjustment AI-powered coding and audit solutions
Prospective & Concurrent Risk Adjustment AI-powered pre-visit, point-of-care,
and concurrent solutions
RISK ADJUSTMENT OVERVIEW
Itemized Bill Review Automated IBR workflow solutions and services
Clinical Chart Review AI-powered clinical chart review solutions and services
PAYMENT INTEGRITY OVERVIEW
Retrospective Risk Adjustment AI-powered clinical diagnosis insights for
retrospective coding and QA
Prospective & Concurrent Risk Adjustment AI-powered clinical diagnosis insights
for prospective & concurrent risk capture
Payment Integrity AI-powered clinical diagnosis insights for clinical chart
reviews
Utilization Management AI-powered clinical diagnosis insights for UM programs
AI-AS-A-SERVICE OVERVIEW
Navigating the Path to V28 Model: Developing Your RA Strategy Read Blog

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Health Plans Providers ACOs
Health Data Management Healthcare interoperability and chart management
solutions
Risk Adjustment Retrospective and prospective coding and audit solutions
Payment Integrity Itemized bill and clinical chart review solutions
AI-as-a-Service AI-powered clinical diagnosis insights for risk adjustment,
payment integrity, and utilization management
HEALTH PLANS OVERVIEW
Health Data Management Healthcare interoperability and chart management
solutions
Risk Adjustment Retrospective and prospective coding and audit solutions
AI-as-a-Service AI-powered clinical diagnosis insights for risk adjustment
PROVIDER OVERVIEW
Health Data Management Healthcare interoperability and chart management
solutions
Risk Adjustment AI-powered prospective risk capture solutions
AI-as-a-Service AI-powered clinical diagnosis insights for risk adjustment
ACO OVERVIEW
Navigating Payment Integrity: Strategies for Success in 2024 Read Blog


Apixio Resources Explore the latest resources on AI in healthcare from the
Apixio team.
Industry Blogs Explore how AI is revolutionizing healthcare operations and
delivery
Articles Get expert guidance on AI in healthcare topics
Guides + White Papers Get expert advice and best practices to optimize your
programs
Brochures Learn more about our AI-powered solutions for payers & providers
Webinars Watch for expert perspectives on the latest healthcare trends
Case Studies Explore the impact of Apixio’s AI-powered platform
VIEW ALL RESOURCES
Closing Care Gaps Through Prospective Risk Adjustment Read Article
About Us Careers
About Apixio Learn more about our mission, values, and team
Our Leadership Team Meet the innovators advancing AI’s impact on healthcare
Press Explore the latest company news and press releases
Events Connect with Apixio at an upcoming conference
Careers at Apixio Learn more about growing your career at Apixio
View Job Openings Check out the latest open positions
Join Our Mission to Improve Healthcare Learn More
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Centralized Chart Management
3 Ways Centralized Chart Management Will Support Your Health Plan
3 RA Strategies for MSSP and ACOs
3 Strategies to Maximize Risk Adjustment for MSSP and ACO Reach
4 Considerations for ACO's RA
4 Considerations for Your ACO's Prospective Risk Adjustment Program
The Provider’s Toolkit for RA
Provider's Toolkit for Leveraging a Successful Proactive RA Strategy
Contact Us
Solutions
Health Data Management
Risk Adjustment
Payment Integrity
AI-as-a-Service
Health Data Management
Risk Adjustment
Payment Integrity
AI-as-a-Service
Healthcare Data and Analytics Platform Unify health data with AI insights
Digital Chart Retrieval Healthcare interoperability services
HEALTH DATA MANAGEMENT OVERVIEW
Retrospective Risk Adjustment AI-powered coding and audit solutions
Prospective & Concurrent Risk Adjustment AI-powered pre-visit, point-of-care,
and concurrent solutions
RISK ADJUSTMENT OVERVIEW
Itemized Bill Review Automated IBR workflow solutions and services
Clinical Chart Review AI-powered clinical chart review solutions and services
PAYMENT INTEGRITY OVERVIEW
Retrospective Risk Adjustment AI-powered clinical diagnosis insights for
retrospective coding and QA
Prospective & Concurrent Risk Adjustment AI-powered clinical diagnosis insights
for prospective & concurrent risk capture
Payment Integrity AI-powered clinical diagnosis insights for clinical chart
reviews
Utilization Management AI-powered clinical diagnosis insights for UM programs
AI-AS-A-SERVICE OVERVIEW
Technology


Who We Serve
Health Plans
Providers
ACOs
Health Plans
Providers
ACOs
Health Data Management Healthcare interoperability and chart management
solutions
Risk Adjustment Retrospective and prospective coding and audit solutions
Payment Integrity Itemized bill and clinical chart review solutions
AI-as-a-Service AI-powered clinical diagnosis insights for risk adjustment,
payment integrity, and utilization management
HEALTH PLANS OVERVIEW
Health Data Management Healthcare interoperability and chart management
solutions
Risk Adjustment Retrospective and prospective coding and audit solutions
AI-as-a-Service AI-powered clinical diagnosis insights for risk adjustment
PROVIDER OVERVIEW
Health Data Management Healthcare interoperability and chart management
solutions
Risk Adjustment AI-powered prospective risk capture solutions
AI-as-a-Service AI-powered clinical diagnosis insights for risk adjustment
ACO OVERVIEW
Resources
Apixio Resources Explore the latest resources on AI in healthcare from the
Apixio team.
Industry Blogs Explore how AI is revolutionizing healthcare operations and
delivery
Articles Get expert guidance on AI in healthcare topics
Guides + White Papers Get expert advice and best practices to optimize your
programs
Brochures Learn more about our AI-powered solutions for payers & providers
Webinars Watch for expert perspectives on the latest healthcare trends
Case Studies Explore the impact of Apixio’s AI-powered platform
VIEW ALL RESOURCES

Company
About Us
Careers
About Us
Careers
About Apixio Learn more about our mission, values, and team
Our Leadership Team Meet the innovators advancing AI’s impact on healthcare
Press Explore the latest company news and press releases
Events Connect with Apixio at an upcoming conference

Careers at Apixio Learn more about growing your career at Apixio
View Job Openings Check out the latest open positions

Centralized Chart Management
3 Ways Centralized Chart Management Will Support Your Health Plan
3 RA Strategies for MSSP and ACOs
3 Strategies to Maximize Risk Adjustment for MSSP and ACO Reach
4 Considerations for ACO's RA
4 Considerations for Your ACO's Prospective Risk Adjustment Program
The Provider’s Toolkit for RA
Provider's Toolkit for Leveraging a Successful Proactive RA Strategy
Contact Us


APIXIO | HEALTHCARE AI SOLUTIONS FOR PLANS AND PROVIDERS


ADVANCING HEALTHCARE OPERATIONS & DELIVERY WITH AN AI PLATFORM

Improve administrative, clinical, and financial outcomes with AI-powered
solutions that deliver actionable insights from healthcare data.

See What We Do
Request a Demo



OUR SOLUTIONS

Enhance health plan and provider outcomes using AI-driven solutions that provide
actionable insights to ensure appropriate reimbursements, uncover cost savings,
and deliver quality care.

RETROSPECTIVE
RISK ADJUSTMENT

Increase confidence in your risk adjustment program with AI-powered coding &
auditing solutions that deliver consistent results.

Learn More

PROSPECTIVE
RISK ADJUSTMENT

Surface actionable insights at the point-of-care with AI-powered solutions for
complete, accurate risk capture.

Learn More

PAYMENT
INTEGRITY

Accelerate pre-pay complex claims reviews with AI-powered solutions to improve
cost savings and reduce admin burden.

Learn More

HEALTH DATA MANAGEMENT

Unify and analyze health data, streamlining care efficiency and health outcomes
across your healthcare organization.

Learn More

 * RETROSPECTIVE
   RISK ADJUSTMENT
   
   Increase confidence in your risk adjustment program with AI-powered coding &
   auditing solutions that deliver consistent results.
   
   Learn More

 * PROSPECTIVE
   RISK ADJUSTMENT
   
   Surface actionable insights at the point-of-care with AI-powered solutions
   for complete, accurate risk capture.
   
   Learn More

 * PAYMENT
   INTEGRITY
   
   Accelerate pre-pay complex claims reviews with AI-powered solutions to
   improve cost savings and reduce admin burden.
   
   Learn More

 * HEALTH DATA MANAGEMENT
   
   Unify and analyze health data, streamlining care efficiency and health
   outcomes across your healthcare organization.
   
   Learn More




ENHANCING PAYER-PROVIDER COLLABORATION THROUGH PROSPECTIVE RISK ADJUSTMENT

Apixio guides you through innovative strategies to support payer strategies and
provider engagement and empower clinical teams to implement or improve
collaborative prospective risk adjustment practices.
View eBook



DATA-DRIVEN INSIGHTS THAT POWER HEALTHCARE ORGANIZATIONS


Health Plans Providers ACOs


HEALTH PLANS

INCREASE OPERATIONAL ACCURACY AND EFFICIENCY WITH AI

Health plan operations have become increasingly complex under value-based
payment programs. Apixio’s AI-powered Risk Adjustment, Payment Integrity, Health
Data Management, and AI-as-a-Service solutions help plans operate more
efficiently and surface targeted, data-driven member insights.
Learn More
Distill timely, relevant insights from health data
Improve value-based care performance
Accelerate administrative operations


PROVIDERS

SIMPLIFY OPERATIONS AND IMPROVE CARE QUALITY WITH AI

Provider groups can leverage technology to improve documentation, close
diagnosis gaps, and exchange data with healthcare partners. Apixio’s AI-powered
Risk Adjustment and Health Data Management solutions help providers streamline
operations and improve patient care delivery.
Learn More
Gain a holistic view of patient health
Reduce administrative overhead
Ensure accurate, timely payments


ACOS

SIMPLIFY POINT-OF-CARE PATIENT RISK CAPTURE WITH AI

Successful ACOs need to streamline risk capture at the point-of-care. Apixio’s
AI-powered prospective risk adjustment solutions support more accurate clinical
documentation and empower clinicians to deliver high-quality patient care more
efficiently.
Learn More
Reduce administrative overhead
Increase risk capture accuracy
Power smarter care delivery for ACO patients

TRUSTED TECHNOLOGY, LASTING IMPACT

Apixio is highly focused on outcomes and making sure they deliver on their
commitments. They do what it takes to get the best outcome the right way.
Vice President
Health Plan


WHY PARTNER WITH US?

Apixio is the market leader in providing connected AI solutions that deliver
actionable insights and operational efficiencies to health plans and providers.
With Apixio as a partner, healthcare organizations can take on value-based care
and alternative payment models with confidence.
Work with Us

 * INDUSTRY LEADER IN AI AND DATA SOLUTIONS
   
   We’ve been rated a top performer year-over-year by KLAS Research for our
   technology and services.

 * OVER 50 MILLION PATIENTS ANALYZED
   
   Our technology scales to support patient population of any size, surfacing
   valuable insights to power your payment and operational programs.

 * 10+ YEARS OF HIGH-IMPACT BUSINESS RESULTS
   
   Our scalable machine learning (ML) models have delivered consistent business
   impact to plans, providers, and ACOs since 2009.

 * UNMATCHED OPERATIONAL EFFICIENCY AND ACCURACY
   
   Our solutions help teams review charts, claims, and medical documentation up
   to 5X faster.

 * FLEXIBLE, CONNECTED APPS AND SERVICES
   
   We make it easy to plug our solutions into existing workflows and tech
   stacks—and acquire or share data using the latest interoperability standards.




PUT DATA TO WORK FOR YOUR PAYMENT AND CARE DELIVERY PROGRAMS

Explore how Apixio can support your organization’s unique program needs.
Request a Demo

Technology
Connected Care Platform
Solutions
Health Data Management Risk Adjustment Payment Integrity AI-as-a-Service
Resources
Industry Blogs Articles Brochures Guides + White Papers Case Studies Webinars
Company
About Apixio Leadership Careers Press Events
© 2024 Apixio. All rights reserved.
Privacy Policy
Do Not Share or Sell My Personal Information


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