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Risk Adjustment Suite Commentary
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Bradley Hunter
VP VBC, Payer, and CORE
KLAS VP VBC, Payer, and CORE - Bradley Hunter
 
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Risk Adjustment 2023: Which Vendors Drive Value in a Shifting Market?
Risk Adjustment 2023:
Which Vendors Drive Value in a Shifting Market?
March 2023
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VP/Other Executive

Value

We are in an environment where we need to reduce costs and shore up revenue. To be successful in...

Apr 2024
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VP/Other Executive

Loyalty, Relationship

Apixio is an amazing partner, and they want to do all the things that they promise. Some of their...

Apr 2024
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VP/Other Executive

Product

The previsit tool doesn't work right and hasn't worked up until this point. Apixio is close. If I...

Apr 2024
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VP/Other Executive

Loyalty, Product

The previsit tool operates in a way that is specific to Medicare Hierarchical Condition Categories....

Apr 2024
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VP/Other Executive

Culture, Loyalty, Relationship, Value

Apixio is pretty amazing regarding delivering new technology that meets our needs. Apixio has...

Apr 2024
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VP/Other Executive

Relationship

Each of the individuals at Apixio is empowered to do what they can to make things work for us, and...

Apr 2024
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Manager

Value

We get what we expect from Risk Adjustment Suite. We have consistently gotten a good ROI in terms of...

Mar 2024
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Manager

Relationship

Apixio has good customer service. When we start a project, we outline everything, and once the...

Mar 2024
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Manager

Culture, Value

We had to push Apixio not to charge us once for something, but we were able to get them to waive the...

Mar 2024
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VP/Other Executive

Operations

Apixio has provided specific enhancements, whether those are algorithms, data delivery, or data...

Mar 2024
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VP/Other Executive

Relationship, Product

I get feedback from my team that there are still some things that could be a little better in Risk...

Mar 2024
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VP/Other Executive

Relationship

I would tell others looking at Apixio that they are a very flexible partner and that Risk Adjustment...

Mar 2024
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Manager

Loyalty, Product

Some things are missing in the system's auditor function that would be helpful for the person doing...

Feb 2024
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Manager

Relationship, Operations

We have received good training from Apixio. They have a training manager who has worked very closely...

Feb 2024
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Manager

Loyalty, Relationship

We started with Risk Adjustment Suite as a secondary vendor, but we really liked what they were...

Feb 2024
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Manager

Relationship, Value

We did some comparisons with some blind chart reviews against what Apixio's coders were doing, and...

Feb 2024
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Director

Product

We have issues with Apixio's program audits at the Hierarchical Condition Category (HCC) code level....

Feb 2024
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Director

Loyalty, Product, Value

With Risk Adjustment Suite, our outcomes are to identify conditions that have not yet been accepted...

Feb 2024
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Director

Product

In the past, we used the program as well as the vendor’s coding team, but since it was a new...

Feb 2024
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Director

Loyalty, Relationship

The vendor’s coding tool works. It is the support and the coding team at Apixio that don't work as...

Feb 2024
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Director

Relationship

Even though Apixio doesn't solve our problems, it is great working with them, and the executive team...

Feb 2024
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Director

Loyalty, Product

If there is a way we can take one of the solutions and programs that Apixio utilizes and use it...

Feb 2024
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Manager

Relationship

Everyone at Apixio is so willing to help and solve our problems. Their customer service and their...

Nov 2023
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Manager

Relationship

This might just be the service that we have with them, but we would really love to see Apixio...

Nov 2023
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Manager

Relationship

What Apixio does for us is very good. We have very favorable coding results, and the accuracy is...

Oct 2023
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Manager

Relationship, Product, Value

If someone needs a system to help with first-pass or second-pass coding, Risk Adjustment Suite is...

Oct 2023
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Manager

Product, Value

Something that I would like Apixio to add to this solution is the ability to assign different levels...

Oct 2023
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VP/Other Executive

Product, Value

Risk Adjustment Suite uses data to take a more efficient and effective approach to chart reviews....

Oct 2023
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VP/Other Executive

Product

We would suggest that Apixio improve the audit capabilities, benchmarking, and reports. With the...

Oct 2023
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Manager

Operations

Apixio keeps their promises to the best of their ability. There is a lack of being able to implement...

Jul 2023
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Manager

Product

I like the reporting surrounding productivity. That is helpful because risk adjustment and medical...

Jul 2023
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Manager

Culture, Relationship

I like that Apixio is not a giant company. They take feedback and assess things like feasibility a...

Jul 2023
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Manager

Product

We typically withhold certain data to test Risk Adjustment Suite’s accuracy. We take some control...

Jul 2023
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Manager

Product, Value

Risk Adjustment Suite has helped us achieve operational efficiency, which I like. We are able to...

Jul 2023
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Director

Relationship, Product, Value

Apixio helps us by creating a safety net for our documentation and coding for our physicians. That...

May 2023
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Director

Culture, Value

Apixio does not nickel-and-dime like everybody else. Their people are super supportive and great.

May 2023
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Director

Relationship

Apixio is responding to the market and coming to me with new things, but I wish they would have done...

May 2023
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Manager

Product

We would like the product’s AI to learn faster. I see things that the product is taking away over...

May 2023
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Manager

Relationship

We talk to the vendor’s phone support people frequently, and we address all issues immediately. We...

May 2023
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Manager

Relationship

Whenever the vendor finds an issue, they tell us, and they sometimes give more details than we need....

May 2023
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Manager

Value

Because of Risk Adjustment Suite, we are seeing a massive increase in production from our coders. On...

May 2023
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Manager

Relationship

If something needs to be fixed, Apixio fixes it right away. If they promise something will be live,...

May 2023
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Manager

Loyalty, Relationship, Product

Apixio is ahead of the curve in terms of getting ready for different CMS requirements. Recently,...

May 2023
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Manager

Product

The platform is so user friendly, especially for our coders. If they have a Risk Adjustment Suite...

May 2023
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Manager

Operations

My five-year-old could probably do the vendor’s training. It is so nice for our coders.

May 2023
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Manager

Relationship

Apixio does well in the velocity with which they operate, so I know what I am getting out of the...

May 2023
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Manager

Loyalty, Product

Risk Adjustment Suite helps us in terms of optimizing risk. The solution is a great optimized...

May 2023
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Manager

Relationship, Product

I would love for Apixio to have a greater knowledge base of Medicaid products, and I want that...

May 2023
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(0)
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Director

Operations, Product

Apixio has a very good product. Their platform is very user friendly. Our coders do the final task...

May 2023
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Director

Relationship, Product

We always have challenges with the changes that happen from year to year on the file setup. There...

May 2023
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Director

Product, Value

We are using the product mostly for retrospective reviews. It is helping us capture everything that...

May 2023
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Director

Relationship

In our first year of using the tool, we had some feedback for the vendor. They heard us and came...

May 2023
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Director

Loyalty

We are doing retrospective projects with Apixio. We haven't done anything prospective, but I know...

May 2023
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VP/Other Executive

Relationship

Apixio has a strong clinical and operational team. They are quick to respond and easy to integrate...

May 2023
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(0)
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Manager

Product

On the auditor piece of the product, I would like to see where the vendor uses their NLP to identify...

May 2023
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(0)
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Manager

Product

The claims-linking process that the vendor does is a bit off and needs some improvement. The process...

May 2023
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Manager

Product

We used Apixio’s HCC Identifier, and we used their offshore coders, which worked out really well for...

May 2023
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Manager

Culture, Relationship

Apixio is really good to work with. They have a great team.

May 2023
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(0)
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Manager

Relationship, Operations, Product

An issue that we have seen recently is when we are trying to implement new things, things seem to...

May 2023
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Manager

Loyalty, Relationship

There are things that we would like to be added in the future by Apixio that we have brought up a...

May 2023
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(0)
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Director

Product

The charts are on the provider level, not on the member level. So if we have a member that visited...

May 2023
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(0)
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Director

Relationship

I really like that Apixio’s data analytics are providing the reviewer with the most complete data to...

May 2023
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(0)
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Director

Loyalty, Product

My recommendation to Apixio would be to start reviewing Medicare Part B things and Hierarchical...

May 2023
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(0)
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Director

Value

Apixio charges by the review year. Because we have enough time to also review the current year,...

May 2023
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Director

Product

There are some manual processes with data transfer. If those could be automated or less manual for...

May 2023
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Director

Relationship, Value

The vendor is very easy to work with. The vendor meets deadlines and produces outcomes as expected...

May 2023
||
(0)
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Director

Operations

The training on the vendor’s coding module is comprehensive. We rarely have to retrain because of...

May 2023
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Manager

Relationship

The people at Apixio are very intelligent, have a comprehensive understanding of risk adjustment,...

May 2023
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Manager

Loyalty, Product

The whole company has a really good pulse on large data and incorporating artificial intelligence...

May 2023
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(0)
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Manager

Product, Value

We have been able to identify new diagnoses as well as validate and identify opportunities for...

May 2023
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(0)
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Manager

Loyalty, Relationship

Given our other priorities, we are limited in what services we can utilize with Apixio. However, I...

May 2023
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Manager

Relationship, Operations

We meet weekly during the project, and that is really good support. Then I have one of my staff...

May 2023
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(0)
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Manager

Culture, Relationship

Apixio reaches out to us to share their new products and how they can support our goals.

May 2023
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(0)
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Manager

Product

To be more efficient, Apixio would need to access our medical records directly. However, given our...

May 2023
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(0)
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VP/Other Executive

Relationship

In general, Apixio is able to respond to our business needs and deliver high-quality output.

May 2023
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(0)
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Director

Product, Value

The NLP and the solutions from Apixio have given us more efficiency in coding. If we were coding...

May 2023
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(0)
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Director

Loyalty, Relationship

In our industry, there is so much up and down, like a bell curve. Apixio's solution gives us...

May 2023
||
(0)
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Director

Culture, Value

Apixio is very good at what they do. They are very good at telling us when something will constitute...

May 2023
||
(0)
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Director

Relationship

Apixio does a great job at making sure we are getting things done and meeting our goals. They are...

May 2023
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(0)
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Director

Product

The dashboard in Risk Adjustment Suite could be more user friendly, be more interactive, and have a...

Apr 2023
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(0)
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Director

Relationship

I love the people at Apixio. Working with their people and executives has been great. Apixio's...

Apr 2023
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(0)
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Director

Product, Value

Apixio is helping us with more efficient retrospective coding for our membership. I love the NLP...

Apr 2023
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(0)
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Director

Operations

The training has been great. I am looking to hire a new team member, and I have no worries about...

Apr 2023
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Related Articles
Article
KLAS article icon
Options Expanding for Risk Adjustment
11 November 21    |   Ryan Pretnik and Jennifer Hickenlooper
A growing field of vendors offers risk adjustment technology and services. In our latest report, we set out to discover which vendors offer the widest breadth of capabilities. 



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