Accurate risk adjustment is critical for ACOs participating in MSSP to maximize shared savings by ensuring that your population’s risk is fully captured on claims. But manually performing retrospective chart reviews, developing patient suspect lists, and surfacing provider improvement areas is time-consuming, expensive, and often unreliable.

Apixio’s HCC Identifier for MSSP solution uses artificial intelligence (AI) to identify risk-adjusting patient conditions that haven’t been properly documented at the point of care or coded on claims. This data can be used to make clerical error reopenings with your MAC, develop patient chase lists to close care gaps, and educate providers on proper coding, increasing your ACO’s risk capture for Medicare patients.

Benefits of AI-Powered Risk Adjustment

  • More accurate and complete submission of risk-adjusting patient conditions to CMS
  • Streamlined chase list generation for annual wellness visits
  • Targeted intelligence to help providers improve documentation and claims coding
Improve your MSSP risk adjustment approach and effectively manage your organization’s downside risk with Apixio’s proven AI technology. Schedule a consultation with our team to explore how HCC Identifier can support your ACO’s MSSP program in 2020.