SOURCE: Apixio


November 19, 2015 08:00 ET

Apixio Iris Platform Powers Accurate Patient Risk Adjustment for Improved Healthcare

HCC Profiler Solution Automates Coder Workflow to Improve Productivity, Reduce Errors and Develop a More Robust Picture of Patient Health

SAN MATEO, CA--(Marketwired - Nov 19, 2015) - Apixio Inc., the data science company for healthcare, today announced that its HCC Profiler solution is improving care delivery and chronic disease management with rich and accurate patient profiles.

Powered by Apixio's cognitive computing platform, Iris, the HCC Profiler mines clinical charts and medical billing data to accurately compute patient risk scores three times faster than traditional chart review methods. Apixio's Iris platform has learned how to accurately decipher medical charts from analyzing more than 500 million clinical notes. With a more accurate view of patient conditions and risk, providers can better coordinate and deliver care and get paid appropriately for doing so.

"At Hill Physicians Medical Group, we pull nearly 11,000 patient charts for review each year. We've previously relied on tedious manual review of our charts that required lots of manpower and physician time," said Jennifer Pereur, Director of Government Programs. "The HCC Profiler has allowed us to mine our EHR and scanned chart data for valid, risk-adjusting conditions with incredible transparency and efficiency. Not only does it automate the process of verifying HCC codes, but it helps us ensure an accurate clinical record which enables us to deliver high-quality care to the patients we serve."

Apixio's HCC Profiler reads text directly from hospital and clinic medical charts, which are stored in a variety of electronic health record (EHR) systems, to identify new supportable codes, validate previously submitted diagnosis codes and find gaps in patient documentation. The HCC Profiler can also make sense of medical charts that have been printed and scanned or transmitted via fax.

Powered by Iris, with HCC Profiler, healthcare organizations can:

  • Review and code medical charts up to three times faster than manual review with better accuracy.
  • Uncover an average of 10 percent more supported HCC codes than manual review.
  • Optimize care delivery with a more accurate clinical patient record.
  • Securely extract clinical encounter data with little IT time. 

"Our goal is to help healthcare organizations access all of their data - including everything written by their care providers from office visits to specialty consults to hospital discharge summaries," said Eric Tan, Clinical Coding Director at Apixio. "The HCC Profiler ensures that providers and health plans can accurately compute risk scores. This helps organizations succeed under the new value-based care landscape."

To learn more about HCC Profiler, visit:

Also Today: Apixio Announces Iris Platform
In a separate press release today, Apixio announced its cognitive computing platform designed to bring advanced data insights to healthcare.

About Apixio

Powered by its cognitive computing platform, Iris, Apixio brings advanced data to healthcare by extracting and analyzing previously trapped unstructured medical record data, giving healthcare payers and providers unprecedented access to groundbreaking insights.

Apixio's computing platform is built upon the insights from analyzing more than 5.1 million patient charts. Our HCC Profiler Solution mines medical charts and Medicare-reported chronic condition data to more efficiently and accurately compute patient risk scores than traditional chart review methods. HCC Profiler enables more targeted care delivery and helps Medicare set payer and provider payment for patients enrolled in Medicare Advantage (MA), powering more cost-effective, high-quality care.

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