Healthcare AnalyticsRisk AdjustmentPayment Integrity
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Apixio

Optimize healthcare operations with AI-driven clinical insights

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Apixio

Target Audience

  • Health Plan Administrators
  • ACO Coordinators
  • Medical Coding Teams
  • Provider Groups

Hashtags

#HealthcareAI#MedicalCoding#HealthAnalytics

Social Media

Overview

Apixio helps healthcare organizations unify patient data and extract actionable insights using AI. It streamlines risk adjustment, payment integrity, and care coordination by analyzing medical records and claims. The platform enables 5x faster clinical chart reviews while improving accuracy for better reimbursement and patient outcomes.

Key Features

1

Clinical Coding

AI-powered diagnosis coding with 95% accuracy for compliance

2

Chart Review

Accelerates medical record analysis by 5x through automation

3

Interoperability

Connects EHRs and health data using FHIR standards

4

Prospective Risk

Identifies care gaps before patient visits using AI models

5

Scalable ML

Analyzes 50M+ patient records with adaptive learning

Use Cases

🏥

Analyze medical records for risk adjustment

📊

Identify pre-visit patient risk factors

💸

Audit complex insurance claims automatically

🤝

Share clinical data between providers and payers

Pros & Cons

Pros

  • Proven 10+ year track record in healthcare AI
  • KLAS-rated top performer for clinical analytics
  • Supports FHIR/HL7 healthcare data standards
  • Reduces manual chart review time by 80%

Cons

  • Specialized for healthcare - not general-purpose
  • Requires existing clinical data infrastructure
  • Primarily targets large organizations

Frequently Asked Questions

What healthcare organizations use Apixio?

Health plans, provider groups, and ACOs use our solutions for risk adjustment and payment integrity.

How does Apixio differ from general AI platforms?

Specializes in healthcare-specific NLP and ML models trained on 50M+ patient records.

Is clinical data secure?

SOC 2 certified with HITRUST CSF compliance for protected health information.

Reviews for Apixio

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