Stop revenue loss before it starts with proactive upstream and downstream denials management.
The rise in claim denials is placing an unsustainable strain on healthcare systems, overwhelming teams with endless rework and resubmissions. As costs climb and administrative complexities grow, healthcare organizations need a proactive solution to streamline denials management and protect their financial health.
In a study of almost 40 million patient encounters, IMO Health found that:
• 25% were documented with codes that could have been more specific
• 8.8% were initially coded with non-primary codes prone to denials
Whether upstream or downstream, IMO Health’s coding intelligence enriches patient documentation with logical, actionable prompts that ensure high-quality data, reduce clinician burden, streamline mid-cycle processes, and optimize reimbursements.
In a recent IMO Health survey conducted during an HFMA webinar:
of respondents identified reclaimed coder time for higher-value work, reduced coder queries, and enhanced provider coding education as the top benefits of intelligent coding content.
cited implementing both upstream and downstream interventions as the most comprehensive approach to denials management.
These insights underscore the importance of addressing coding challenges across the workflow—from point of care to retrospective review—exactly where IMO Health’s solution delivers impact.
[IMO Health's] admin coding groupers have been invaluable in identifying these problematic diagnoses. It would be impossible to do this without them!
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