Apixio Fact Sheet HCC Optimizer

Apixio Fact Sheet
Delivering Actionable Insights from Textual, Scanned and Coded Data
for Optimal Risk Assessment
Apixio was founded in 2009 to transform how
providers and healthcare organizations access,
analyze, and use clinical data for optimal care.
Its premier product is the Apixio HCC Optimizer,
a smart coding application with automated
extraction and analysis of clinical text and
a lower cost for Medicare Advantage (MA) and
individual/ small group plan members.
Apixio’s HCC Optimizer Value
Increases Revenue
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Proven $80 to $150 per patient per
analysis (even after coding has already
been completed). HCC Optimizer presents
chronic conditions not previously coded
(“HCC coding opportunities”) for rapid
review and approval using a web-based
application.
Decreases Costs
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Manual patient chart extraction costs are
eliminated. Apixio’s Big Data platform pulls
clinical text, scanned data, and claims data
directly from source systems (including EHR
systems such as Epic and Allscripts) using a
fully automated and scalable data pipeline.
Improves Productivity
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Coders review charts 30 to 40 times faster
than manual chart audit. HCC Optimizer
uses Apixio’s proprietary machine-learning
algorithms to review all patient textual data
to identify only those encounter documents
with HCC coding opportunities for review.
Case Study #1 - Large Delegated Provider Group
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MA Lives: 19,531
Chart Review: 2nd pass for January 2013 sweep*
EMR Integration: NextGen
Revenue Increase: $1.3 million
Total ROI : 8.6 to 1
Delegated Provider ROI: 6.5 to 1
*100% chart audit had already been completed
Case Study #2 - Health Plan
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MA Lives: 7,500
Chart Review: 1st pass for Sept. 2013 sweep
EMR Integration: NextGen
Revenue Increase: $1.4 million
Client ROI: 6.7 to 1
Executive Management Team
Darren Schulte, MD, MPP, Chief Executive Officer
Bob Rogers, PhD, Chief Scientist
Ownership
Apixio is privately owned.
Company Headquarters
1825 South Grant Street, Suite 210
San Mateo, CA 94402
877.427.4946
www.apixio.com