Case Study
Apixio & Sigma Health Plan - Increasing Risk Score Accuracy with HCC Profiler - Code Identifier
Apixio & Sigma Health Plan * Increasing Risk Score Accuracy with HCC Profiler - Code Identifier NEW HCC CODES CODING ACCURACY LIVES REVIEWED *Pseudonym 983 70,000 98.5% In 201 7 , Sigma Health Plan* will use the HCC Profiler service to perform first- pass chart review for both their MA and commercial memberships. Large health plan in a major metropolitan region Formal project consists of 1st and 2nd pass review of previously coded MA charts Apixio won business after successful 5-week pilot EHR & PDF charts processed Fast Facts: First & Second Pass, MA About the plan: About the project: 100,000 total MA lives Sigma Health Plan * A Winning Pilot: Sigma Health Plan* (SHP) commissioned 5-week parallel pilots with Apixio and another vendor for a first pass review of 200 medical chart