Find answers to frequently asked questions about IMO Health, including our solutions, security features, and industry-leading terminology.
IMO Health is a clinical data intelligence business focused on ensuring data integrity and quality across the healthcare continuum – including health systems, payers, life sciences organizations, and health tech vendors.
Roughly 80% of healthcare data is unstructured, often hiding critical details, such as Hierarchical Condition Categories (HCCs), and causing gaps in the patient narrative. By combining rich, highly nuanced medical terminology, extensive domain knowledge, and artificial intelligence (AI), IMO Health structures and operationalizes clinical data to generate sharper insights and inform more intelligent healthcare decisions.
Deeply embedded in the provider space, we developed a comprehensive intelligence layer that captures and encodes patient encounters with unmatched completeness and precision. We’ve since expanded our suite of solutions, integrating accountable, domain-specific AI to address a host of modern data challenges, including:
IMO Health’s knowledge layer – combining world-class talent, artificial intelligence (AI)-driven technology, and proprietary clinical terminology – places it in a league of its own. Unlike generic health tech vendors, IMO Health boasts:
Clinical terminology is the standardized language used to describe patient conditions, treatments, and procedures in electronic health records (EHRs). It ensures that healthcare data is documented in a way that is consistent, accurate, and actionable across systems and care settings. Without it, the information in EHRs can become fragmented or ambiguous, leading to challenges in patient care, billing, analytics, and research.
IMO Health specializes in enhancing clinical terminology to improve documentation workflows and make data more structured and usable. Clinical terminology is foundational for clinical decision-making and reliable insights among healthcare organizations.
IMO Health works with every major EHR in the US including Epic, Oracle, and MEDITECH. We also have long-standing partnerships with ambulatory EHR vendors such as NextGen, athenahealth, Veradigm, and eClinicalWorks.
In all cases, IMO Health provides the essential clinical terminology and corresponding code mappings that power these vital solutions. However, many of our EHR partners also integrate IMO Health’s innovative clinical workflow tools that help manage problem lists more effectively – ultimately driving better clinical and financial outcomes.
At the most foundational level, IMO Health allows clinicians to “speak clinician”; documenting in the EHR using natural, intuitive language. We then align those words with clinically vetted, precise terminology that connects to the appropriate codes behind the scenes. In addition, IMO Health assists clinicians by:
IMO Health helps prevent medical coding denials by addressing the root causes of errors directly within clinical workflows. Coding mistakes – such as unspecified laterality, unacceptable primary diagnoses, or incorrect sequencing – are common and costly, leading to denials, delays, and revenue loss. By identifying these issues at the point of care, IMO Health allows clinicians and coders to make timely corrections before claims are submitted.
In addition to flagging common coding errors, IMO Health tackles more complex challenges like “code first” sequencing rules and Excludes1 coding conflicts. These are often missed because providers aren’t trained in coding logic, and many claims are submitted without thorough coder review. Our coding intelligence provides real-time alerts and automated prompts that guide providers and coders in correcting these issues early, preventing claim rejections and minimizing rework.
IMO Health supports optimized reimbursement and risk adjustment by helping providers capture and code chronic conditions tied to Hierarchical Condition Categories (HCCs) – directly within their clinical workflows. We ensure diagnostic integrity through smart, EHR-integrated tools that enable the capture of greater specificity. This helps ensure the accuracy of risk adjustment factor (RAF) scores and improves reimbursement through Medicare Advantage plans and other shared savings incentives under value-based care programs.
A key focus is optimizing the medical problem list, which is often incomplete or cluttered. IMO Health surfaces relevant HCCs from prior encounters, unstructured clinical notes, and payer data, prompting providers to confirm or update diagnoses in real time. This reduces missed conditions, enhances RAF accuracy, and minimizes the burden of manual review and retrospective coding. IMO Health also keeps its terminology solutions up to date and aligned with evolving HCC models, supporting compliance with the Centers for Medicare & Medicaid Services (CMS) guidelines and reducing audit risk.
IMO Health manages updates to standardized code sets through a meticulous, expert-led process designed to ensure accuracy and minimal disruption to clinical workflows. Updates from regulatory bodies are continuously monitored by our team of clinical informaticists, terminologists, mapping analysts, and engineers and when new codes are released or existing codes are revised or retired, they evaluate the changes, determine the impact, and update IMO Health’s clinical terminology and mappings accordingly.
Each update from ICD-10-CM, CPT, SNOMED CT, and other global coding systems is handled with precision – from loading and analyzing new files, to reviewing and remapping affected terms. This includes identifying new concepts, verifying changes in meaning, and flagging codes that require manual review. Updates are first implemented in a development environment for testing before being released into production, ensuring clean integration with client systems.
With 30 years of experience and a library of over 5 million clinical terms, IMO Health eliminates the burden of maintaining fragile, error-prone code crosswalks in-house. By packaging updates into a user-friendly format and syncing them regularly with EHRs, we help organizations stay current with coding standards, reduce compliance risks, and maintain high-quality clinical data across the care continuum.
Technology partners – including electronic health record (EHR) vendors, health data analytics platforms, and AI-powered health insights solutions – can embed IMO Health’s clinical terminology and normalization capabilities through secure, scalable application programming interfaces (APIs) managed via the IMO Health Developer Portal.
IMO Health equips life sciences organizations with the data integrity and clinical context needed to generate impeccable evidence. Our life sciences solutions span the full research continuum, from normalizing and enriching fragmented real-world data (RWD), to powering precise patient cohorting and site selection in clinical trials, to accelerating systematic and scientific literature review.
Built on provider-native clinical terminology, IMO Health delivers what generic ontologies and black-box AI can’t: clinically precise, transparent, and research-ready data. Grounded in the language of the point of care, we transform fragmented RWD, trial documents, and biomedical literature into assets that reflect the true complexity of patient journeys.
The result is stronger cohorts, accelerated trial enablement, and more confident evidence generation. With IMO Health, life sciences teams get insights they can trust to speed development, demonstrate value, and improve outcomes.
IMO Health leverages AI and NLP to transform unstructured clinical text, such as provider notes and problem lists, into structured, coded data that integrates seamlessly with various health IT systems. This enables real-time documentation support, ambient note generation, accelerated medical coding, and enhanced analytical capabilities. The result is reduced clinician burden, improved reimbursement capture, and more actionable patient data across workflows.
Our AI is grounded in a combination of meticulous clinical content, expert human oversight, and rigorous governance. Every AI-powered feature is underpinned by IMO Health’s trusted terminology, which is built following strict editorial guidelines and maintained regularly. We design systems that explain the reasoning behind their own outputs and empower clinicians and coders to review the AI logic and audit model behavior as needed. This human-in-the-loop structure ensures responsible, accountable, and explainable AI that supports clinical safety and trust.
General-purpose LLMs, such as ChatGPT, struggle with medical coding, often producing errors that jeopardize reimbursement, clinical decisions, and more. In a recent test, ChatGPT-5 generated correct medical codes only 55% of the time – that’s like flipping a coin. In contrast, IMO Health’s LLMs are domain-specific, built on a foundation of clinical terminology for precise and reliable coding. This foundation enables our models to achieve around 92% accuracy in tasks like ICD-10-CM coding. We also implement various techniques that other health tech companies don’t use, such as advanced prompt engineering, retrieval augmented generation (RAG), and fine-tuning.
The security of PHI is a top priority for IMO Health, and we take bold steps to safeguard this data for ourselves and on behalf of our valued clients. These measures include:
Yes. While SOC 2 and HIPAA compliance aren’t mandatory, IMO Health proactively completes both because we understand how essential they are to our customers’ security and risk assessments.
These reports, conducted by an independent third-party auditor, provide objective, verified assurance that our policies and practices meet rigorous standards for protecting confidential information.
We encourage a “trust but verify” mindset and believe our SOC 2 + HIPAA engagement demonstrates a deep commitment to accountability and transparency. Our goal is to ensure that neither we nor our customers are exposed to threats like data breaches, ransomware, or reputational harm. At IMO Health, safeguarding data is a responsibility we take seriously because trust is everything.
Yes, IMO Health supports FHIR-based interoperability.
FHIR, or Fast Healthcare Interoperability Resources, is an API-based standard that supports real-time, structured data exchange. It powers apps, patient portals, and EHR integrations.
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