Enhancing Payer-Provider Collaboration Through Prospective Risk Adjustment

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Technology

Who We Serve

Resources

Company

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

Specialty Reviews Solutions for hospital bill audits, high-cost drugs, readmissions, and place of service determinations.

Provider Portal Secure, user-friendly platform for seamless document management and communication.

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

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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

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

Specialty Reviews Solutions for hospital bill audits, high-cost drugs, readmissions, and place of service determinations.

Provider Portal Secure, user-friendly platform for seamless document management and communication.

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

Join Apixio

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Solutions

Health Data Management Risk Adjustment Payment Integrity AI-as-a-Service

Resources

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