Apixio

Powering value-based care with data-driven intelligence.

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Overview

Apixio offers a healthcare analytics platform that uses artificial intelligence, specifically natural language processing (NLP) and machine learning, to extract and analyze data from clinical charts and records. The platform is primarily used by payers and providers involved in value-based care arrangements to ensure accurate risk adjustment coding, manage quality measures, and gain deeper insights from unstructured clinical data. This helps them achieve accurate reimbursement and better manage patient populations.

✨ Key Features

  • AI-Powered Risk Adjustment
  • Clinical Data Integration
  • Natural Language Processing (NLP) for chart review
  • Prospective and Retrospective Risk Analysis
  • Quality Measurement (HEDIS)
  • Audit and Compliance Solutions

🎯 Key Differentiators

  • Advanced NLP technology to read unstructured clinical notes
  • Focus on the intersection of risk adjustment and clinical data
  • Ability to surface insights from previously inaccessible data

Unique Value: Unlocks critical insights from unstructured clinical text to ensure accurate risk adjustment and power value-based care.

🎯 Use Cases (4)

Identifying missed HCC codes for Medicare Advantage risk adjustment Automating chart reviews for audits Closing quality care gaps Validating clinical diagnoses

✅ Best For

  • Automated HCC coding review for Medicare Advantage plans
  • Prospective risk capture for provider groups

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • Real-time operational analytics like bed management

🏆 Alternatives

Optum Veradigm Inovalon

Offers more advanced NLP capabilities for chart review than traditional coding companies or general analytics platforms.

💻 Platforms

Web

🔌 Integrations

EHR data feeds Payer data systems

🛟 Support Options

  • ✓ Email Support
  • ✓ Phone Support
  • ✓ Dedicated Support (All tier)

🔒 Compliance & Security

✓ SOC 2 ✓ HIPAA ✓ BAA Available ✓ SSO ✓ HITRUST CSF Certified ✓ SOC 2 Type II

💰 Pricing

Contact for pricing
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