Procedure documentation and coding

Standardize procedure terms, coding, and documentation

We ensure your EHR data is structured and mapped to the right codes to minimize the maintenance of healthcare dictionaries and support reimbursement and reporting.

Challenges

Procedure, lab, and organism files easily become unorganized and outdated

Constant code changes, thousands of chargeable services, and complex mappings frequently lead to vague terms and missing information. Manual data building, mapping, and upkeep demand substantial resources and can result in poor documentation, patient safety issues, redundant lab testing, system integration issues, and imprecise eCQM and HEDIS reporting.

Inaccurate procedure data impacts revenue cycle and financial outcomes

Outdated and incorrectly mapped codes increase rework, drive up denials, and delay reimbursements. This, in turn, impacts cash flow, creating financial risk across revenue cycle operations.

HOW WE HELP

IMO Core Procedure

IMO Core Procedure maintains comprehensive, performable care service terms and code mappings in EHR dictionaries, supporting consistent clinician documentation and ensuring more detailed and accurate data.

Trust comprehensive, current procedure terminology

Gain complete coverage of performable care services

Maps procedure (lab, radiology, imaging) data, lab results, and organisms to applicable code sets
Code sets include CPT®, ICD-10-PCS, LOINC®*, HCPCS, SNOMED CT®

*Includes Data Standards from Regenstrief Institute and LOINC Compendium from Mayo Clinic, LabCorp, and ARUP

Capture detailed coding behind the scenes

Ensures accurate billing and consistent clinical terminology across the EHR
Integrates multiple code sets and system maps for seamless data exchange
Aligns with USCDI V3 and V4 data element requirements

Streamline workflows and efficient operations

Provides advanced procedure search capabilities and seamless EHR integration
Minimizes time spent on maintenance tasks
Enhances tracking of patient safety measures for improved outcomes and reimbursement in value-based purchasing (VBP) and HEDIS

SNOMED and SNOMED CT® are registered trademarks of SNOMED International.
CPT is a registered trademark of the American Medical Association. All rights reserved.

Creating an accurate procedure terminology requires dedicated technical, clinical, and coding expertise. That can be a drain on available resources. That’s why there’s IMO Health.

With IMO Core Procedure, we saved time and effort during the implementation of a new enhancement to our EHR software suite. This approach eliminated the need for our teams to review spreadsheets and conduct clinical evaluations on radiology and imaging orders.

Wyndi Sklar-Bleeker

Lead Analyst, EIS, Cedars-Sinai

IMO Core Procedure improves the quality and structure of recorded data:

Content is clean and organized for current and future use

Latest Resources

Reducing the burden of USCDI compliance: IMO Health’s approach

Vidhya Sivakumaran, PhD, shares how IMO Health proactively added USCDI concepts into its clinical terminology to support providers and health IT partners.

M.E.A.T. 101: Can your clinical documentation withstand a RADV audit?

Clinical notes aren’t just paperwork – they’re the first line of defense when it comes to accurate, audit-ready risk adjustment documentation.

Article

Proceed with caution: Why code crosswalks are built to fail

Code crosswalks are everywhere in healthcare, but there’s no safety in numbers. In fact, this practice is full of pitfalls that have...

Still wondering how IMO Core Procedure can help your organization?

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

POINT OF CARE WORKFLOW

DATA QUALITY MANAGEMENT

PROBLEMS WE SOLVE