What is Apixio?
Apixio provides cutting-edge healthcare AI solutions designed specifically for health plans and providers. Its suite of tools harnesses advanced artificial intelligence to improve operational efficiency, enhance patient care, and ensure accurate payments. By integrating data and providing actionable insights, Apixio helps organizations navigate the complexities of value-based care and risk adjustment.
What are the features of Apixio?
Health Data Management
Apixio’s Health Data Management solutions unify and analyze health data from various sources, ensuring that healthcare organizations can streamline their operations and improve patient outcomes. With interoperability and central chart management at its core, clinicians can manage and share information seamlessly.
Risk Adjustment
Apixio’s risk adjustment features are pivotal for both retrospective and prospective coding. The AI-powered retrospective risk adjustment solutions enhance confidence in risk adjustment programs by delivering consistent coding and auditing results. Conversely, the prospective risk adjustment solutions provide clinicians with actionable insights during patient interactions, improving accuracy in risk capture directly at the point-of-care.
Payment Integrity
The Payment Integrity solutions allow for efficient pre-pay complex claims reviews. By employing AI, Apixio automates and speeds up the review process, leading to significant cost savings and a reduced administrative burden for healthcare organizations.
AI-as-a-Service
With AI-as-a-Service, healthcare organizations can leverage Apixio’s extensive AI capabilities without the need to maintain extensive in-house resources. This offering ensures insights from clinical diagnosis are available for risk adjustment, payment integrity, and utilization management, facilitating better decision-making and improved care quality.
Provider Portal
Apixio’s secure and user-friendly Provider Portal enables seamless document management and communication, enhancing collaboration between healthcare providers and payers.
What are the characteristics of Apixio?
- AI-Powered Solutions: Apixio incorporates advanced machine learning algorithms that analyze data to provide real-time insights and automation.
- Scalable Technology: Designed to support a wide range of patient populations, Apixio’s solutions scale effortlessly to meet the needs of large health plans or smaller provider groups.
- Trusted Partnerships: Collaborating with industry leaders, Apixio’s products integrate easily within existing healthcare systems, ensuring interoperability.
What are the use cases of Apixio?
Health Plans
Apixio enhances operational accuracy and efficiency for health plans through intelligent data insights, helping them to comply with value-based payment models.
Providers
Healthcare providers can utilize Apixio’s technologies to simplify their operations, improve documentation practices, and close diagnosis gaps, ultimately leading to better patient care.
Accountable Care Organizations (ACOs)
ACOs leverage Apixio’s AI solutions to enhance payer-provider collaboration and streamline risk capture processes. This empowers clinical teams to implement or improve prospective risk adjustment practices.
Clinical Auditing
The clinical chart review capabilities allow health organizations to audit patient records efficiently, ensuring compliance and accuracy in coding and billing.
How to use Apixio?
To maximize the benefits of Apixio's products, organizations should:
- Integrate: Adopt Apixio’s solutions alongside existing workflows and tech stacks.
- Train Staff: Ensure that administrative and clinical staff are trained on using the Provider Portal and analytics features.
- Monitor Outcomes: Regularly review and analyze outcomes generated by Apixio’s AI tools to inform ongoing strategies.
- Collaborate: Engage with Apixio’s support and development teams to tailor solutions specific to organizational needs.
