Denials management

Stop revenue loss before it starts with upstream denials management

Reduce denials, write-offs, and retrospective coding.

The problem

Incomplete coding leads to costly denials

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

The solution

Maximize reimbursement with optimal coding

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.

What you can expect

Identify common claim denial causes and address them at the source

Tackle coding discrepancies for unspecified, non-primary, and mutually exclusive diagnoses that should not be coded together

Configure coding correction alerts in your EHR – whether dismissible “soft stops” or required “hard stops”

Insight brief

Learn how to achieve a 10x annualized ROI with a terminology-based solution that stops denials in their tracks.

[IMO Health's] admin coding groupers have been invaluable in identifying these problematic diagnoses. It would be impossible to do this without them!

Peter J. Greco, MD

MetroHealth

POINT OF CARE WORKFLOW

DATA QUALITY MANAGEMENT

PROBLEMS WE SOLVE

Denials management

Stop revenue loss before it starts with upstream denials management

The problem

Incomplete coding leads to costly denials

The solution

Maximize reimbursement with optimal coding

What you can expect

Identify common claim denial causes and address them at the source

Tackle coding discrepancies for unspecified, non-primary, and mutually exclusive diagnoses that should not be coded together

Configure coding correction alerts in your EHR – whether dismissible “soft stops” or required “hard stops”

Insight brief

Learn how to achieve a 10x annualized ROI with a terminology-based solution that stops denials in their tracks.

Ready for cleaner claims?

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

Solutions

Top Articles

Explore

Contact

Headquarters

POINT OF CARE WORKFLOW

DATA QUALITY MANAGEMENT

PROBLEMS WE SOLVE