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Paths to Success with ACA Risk Adjustment

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Frost & Sullivan 2022 Technology Innovation Leadership Award

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Apixio Receives Frost & Sullivan 2022 Technology Innovation Leadership Award

APIXIO’S APICARE PRE-VISIT ALLOWS YOU TO DO MORE WITH EPIC

Pre-visit planning is an important process for providers to help save time and improve patient care. Unfortunately, the clinical staff needed to support this endeavor find it time-consuming, difficult to scale, and not meeting risk adjustment goals. However, with the right solution, clinical teams can maximize their current EHR system—reducing the number of clicks, improving care delivery, and enabling results when and where they matter most.

SIMPLIFY YOUR WORKFLOW & UNCOVER ACTIONABLE INSIGHTS WITHIN EPIC

Based on Apixio’s industry-leading risk adjustment algorithms, Apicare Pre-Visit™ is an AI-powered solution that enables clinical staff to be more efficient and effective at closing care gaps at the point-of-care without ever leaving Epic.

Apicare Pre-Visit uses Apixio’s AI algorithms to mine through claims data and Epic EHR across problem lists, medications, lab results, clinical notes, reports, PHQ-9 forms, and more to find suspected risk adjustable conditions for review. Once identified, clinical staff have access to a comprehensive view of the patient longitudinal record and evidence-based insights about existing and suspected member conditions for them to curate. Accepted suspected conditions can be specified using ICD-10 or clinician-friendly terminology from Intelligent Medical Objects (IMO).*

The accepted suspected conditions are pushed to Epic’s HCC Best Practice Advisory (BPA) along with commentary directly into the clinical workflow so providers can efficiently evaluate and close diagnosis gaps during patient encounters.

*Available to existing IMO customers

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QUALITY, ACCURACY, AND PERFORMANCE AT THE POINT-OF-CARE

UNCOVER HIGH-QUALITY SUSPECT AND KNOWN CONDITIONS USING APIXIO AI ALGORITHMS

PREP PATIENT CHARTS 5X FASTER

TRACK PROVIDER ENGAGEMENT AND MEASURE PERFORMANCE TO MAXIMIZE FINANCE PERFORMANCE

APICARE PRE-VISIT WORKFLOW WITH EPIC

1. APIXIO AI ALGORITHMS IDENTIFIES SUSPECTED CONDITIONS

Mines through claims and Epic EHR data sources, including structured and unstructured data, to identify suspected conditions

2. CLINICAL STAFF REVIEWS PATIENT’S SUSPECTED CONDITIONS

Leverage a comprehensive patient longitudinal record along with evidence-based insights to increase speed and accuracy of the review

3. CONFIRMED SUSPECTED CONDITIONS ARE PUSHED TO EPIC

ICD-10, IMO terminology, and supporting reviewer comments pushed to Epic

4. HCC BPA ALERTS SHOW HCC GAPS

BPA shows HCCs that have not been shown on a visit diagnosis in active year

5. PROVIDER RESPONDS TO HCC BPA

Provider may take the following actions:
• Add ICD or IMO terms to Problem List
• Visit Diagnosis

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Available in the App Orchard

Optimize your chart prep process for point-of-care risk capture with comprehensive suspecting and workflow technology.

Take a Deeper Dive into Apicare Pre-Visit

Apicare Pre-Visit improves the administrative experience, drive patient outcomes and drives risk adjustment performance.

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LEARN MORE ON HOW APICARE PRE-VISIT ALLOWS YOU TO DO MORE WITH EPIC

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