Denials management

Reduce denials, write-offs, and retrospective coding

Stop revenue loss before it starts with proactive upstream and downstream denials management.

A smarter coding strategy can deliver a

0 %

reduction in denied claims in just 30 days

IMO Health’s root cause interventions catch denials before they escalate.

Catch coding errors in real time

Identify common coding errors that prevent data quality issues from the onset.

Alert clinicians of unmet medical necessity at the point of care

Receive coding guidance for covered diagnoses for infusion therapies

Medical Necessity EHR Order screen
Medical Necessity pop up
Medical Necessity covered diagnosis

Ensure precision with trusted clinical intelligence

Coding logic is backed by IMO Health’s industry-leading terminology, offering greater specificity and reducing false positives or over-alerting.

Clarify coding decisions with clinical logic

Detailed coding messages help providers understand why a code is incorrect and suggest a more accurate diagnosis code.

Enrich patient documentation with logical, actionable prompts that ensure high-quality data, reduce clinician burden, and optimize reimbursements.

FAQS

Still have questions? Let's get them answered.

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IMO Health flags unacceptable principal diagnoses, unspecified laterality, unspecified laterality modifiers on CPT® codes, Excludes1 coding errors, and unmet medical necessity for specialty infusions.

CPT is a registered trademark of the American Medical Association. All rights reserved.

No, IMO Health gladly does that work for you. Our expert team of clinical informaticists, terminologists, mapping analysts, and engineers continuously monitor regulatory standards and update our proprietary terminology and mappings accordingly.
Coding intelligence for denials management is available in most EHRs but capabilities vary based on the vendor and system integrations.

Choose when and where alerts appear – at the point-of-care or in the claims edit, and as required “hard stops” or passive reminders.

Ready for cleaner claims?

Ditch the denials. Get coding right using the clinical terminology you already have.