Surgical revenue and OR efficiency

Strengthen surgical revenue integrity and workflows

IMO Core Periop is the foundational terminology and code mapping layer for surgical workflows – strengthening revenue cycle performance, improving OR efficiency, and enabling more detailed procedure scheduling.

$6.4M

In avoided write-offs in one year through corrected CPT/HCPCS mappings

57%

Reduction in Medicare inpatient-only denials in one year

21%

Average improvement in case duration accuracy post‑implementation

100%

Reduction in laterality errors in 3 months

Challenge

Inconsistent surgical data drives OR inefficiencies and lost revenue

Procedure terms and their corresponding CPT® and HCPCS codes are frequently updated, impacting surgical operations such as billing, scheduling, and preference card optimization.

Without a well-maintained, standardized surgical dictionary mapped to the right codes, inconsistent data can lead to site-of-care, laterality errors, and inaccurate case durations – slowing OR efficiency and resulting in denied claims and missed revenue.

HOW WE HELP

IMO Core Periop

IMO Core Periop seamlessly maintains procedure terms with accurate CPT® and HCPCS code mappings – aligning data to reduce denials, reclaim revenue, support accurate scheduling, and optimize preference cards.

Optimize your surgical workflows

Build on accurate, up-to-date surgical terminology

  • Standardizes terminology and reduces duplicates with aligned descriptions and code mappings
  • Expandable, customizable surgical procedure library with automatic CPT and HCPCS updates—maintained by expert coders and clinicians
  • 5,000+ patient-friendly terms that improve patient experience, understanding of patient-facing documentation and transparency

Streamline workflows and improve efficiency

  • Uses granular terminology to support precise case durations and enhance OR utilization
  • Aligns preference cards to streamline setup, procurement, and supply chain management
  • Supports scheduling, room setup, prior authorization, and revenue cycle workflows

Capture better data and maximize financial return

  • Precise CPT and HCPCS mapping reduces prior authorization errors and preventable denials
  • Detects laterality modifiers (across 2,100+ CPT codes during validation
  • Identifies covered and excluded inpatient and ambulatory surgical center (ASC) procedures before scheduling to avoid costly denials and total-loss cases
CPT is a registered trademark of the American Medical Association. All rights reserved.

Features

  • Access standardized surgical terminology used by your peers – tailored across pediatric, academic, community, specialty, and rural hospitals
  • Search by procedure name, CPT code, or HCPCS code across our comprehensive database of 70,000+ terms
  • Clarify ambiguous procedures using detailed descriptions and accurate mappings
  • Download individual or grouped terms in formatted files for seamless EHR integration across scheduling and billing workflows

  • Filter by service line to manage specific procedure sets and quickly identify duplicates
  • Map existing procedures to IMO-validated, clinically sound terms and codes
  • Search IMO Health’s comprehensive catalog and collaborate with clinical informaticists to tailor your dictionary

 

  • Appear alongside standardized clinical terms, aliases, codes, inpatient-only identifiers, and more – in the same file used for the OR scheduling module
  • Seamlessly pass data through to patient-facing interfaces such as kiosks, patient portals (browsers, mobile apps), reminders, and emails
  • Makes patient-facing documentation easier to access and understand
  • Maximize patient clarity, experience, and transparency


IMO Core Periop capabilities vary based on EHR channel and integrations

  • Configure alerts within workflows – control when and where validation occurs
  • Flag missing or incorrect laterality modifiers (right/left/bilateral) to prevent denials
  • Validate inpatient and ASC procedure eligibility before scheduling

Latest Resources

Get the full scoop on the new CMS TEAM model, including what it is, why it matters, and how to ensure readiness.
CMS is phasing out Medicare's Inpatient-Only List of procedures ineligible for outpatient reimbursement. Get the full scoop here.
Ensure you understand all CMS updates for 2026, including the ASC payment increase, site-neutrality payments, and IPO list elimination.

Learn how IMO Health can improve OR efficiencies

Our team is ready to answer any questions you may have. Let’s talk.