Problem lists and documentation

Create, discover, and use better clinical patient data in your EHR

IMO Health’s problem list solutions streamline clinical workflows to help clinicians document with specificity, manage medical problem lists, and uncover hidden insights to create a more complete patient picture.

Improvement in visit diagnosis specificity with robust clinical terminology

6.9

Increase in risk adjustment factor (RAF) scores for optimized reimbursement

Reduction in denied claims via in-workflow prompts flagging unspecified diagnoses

Challenges

Complicated EHR workflows can impede patient data quality

The clinical workflows designed to document and manage clinical patient data can be disjointed and unnecessarily complex, inhibiting providers from delivering the best possible care.

These workflow challenges also affect data quality, with real downstream impacts on billing, reimbursement, quality reporting, and population health initiatives.

HOW WE HELP

IMO Core

IMO Core simplifies documentation and problem list management and provides access to expansive terminologies better insights to patient problems and misclassified diagnoses. This helps ensure high quality data, lessen the clinician HIT burden, reduce denials, and optimize reimbursements.

Minimize disruption to clinical and financial work streams

Document with ease and specificity

Prompts for unspecified codes, secondary codes, and unacceptable primary diagnosis codes
Flags unaddressed HCCs

Make problem lists more meaningful

Organizes and categorizes 99.9% of terms in problem lists
Contextualizes medication and lab results for 97% of problems
Cleans duplicate, outdated, and redundant problem list data

Capture accurate, detailed coding behind the scenes

Provides comprehensive clinical terminology mapped to all major global coding systems
Updated 5x per year to ensure compliance with regulatory standards

Obtain more patient insights

Easily find other long-term problems from previous encounters

IMO Core capabilities vary based on EHR channel and integrations

Features

Comprehensive clinical problem terminology

Proactively identifies and assists with managing claims at risk of denial or partial reimbursement with notifications for unspecified and potentially misclassified non-primary diagnoses
Covers all possible ways to describe patient problems, including synonyms, misspellings, acronyms, and local vernacular connected through unique IMO Health lexicals that map to all appropriate billing codes
Includes*:
- ICD-9-CM
- ICD-10-CM
- SNOMED CT® US Edition
- CMS HCC & RxHCC
- SNODENT
- DSM-5-TR® & DC: 0-5
- PDPM
- PDGM
- ICD-O-3
- Mondo/OMIM**

*IMO Core capabilities vary based on EHR channel and integrations **In development SNOMED and SNOMED CT® are registered trademarks of SNOMED International. DSM® is a registered trademark of the American Psychiatric Association, and are used with permission herein.

Clinician-friendly diagnosis search and capture

Simple, easy-to-use search that prompts for required specificity

Clinician-focused problem lists

Cleans, organizes, and enhances problem lists with relevant medications and labs
Highlights HCCs and chronic conditions
Delivers greater insights from problems missing from the problem list
Ensures that relevant patient data from across the patient record is visible in the chart
Proactively flags unspecified or misclassified diagnoses at the point of care

Better data capture for billing, quality reporting, and other downstream uses

Seamlessly includes relevant codes for all current industry code sets
Prompts and captures chronic conditions, HCCs, and necessary specificity to optimize reimbursement
Improves oversight and reimbursement opportunities by identifying HCCs from previous encounters

Seamless integration with native EHR workflows

Available via custom EHR integrations, APIs, content files, and FHIR application
Regular terminology release updates

Provider organizations can expect a 10X ROI through reduced denials, rework, and write-offs when they leverage IMO Core.

IMO Core will be a valuable tool in continuing to debulk the patient chart, allowing for a more accurate and cleaner view of the patient's condition.

Dr. Jennie Luna

Scripps Health

The numbers don't lie. IMO Health solutions can bring your organization measurable value by helping to:

Optimize reimbursement
Minimize denied claims
Reduce the HIT burden on clinicians

Latest Resources

Article

HCC coding 101: Understanding Hierarchical Condition Category coding

As more organizations shift to value-based care, precise HCC coding is critical for timely, accurate reimbursement and high-quality patient care.

USCDI compliance starts with clinical terminology—here’s why

From code updates to compliance gaps, your clinical terminology might be costing you more than you think. Here’s how to take control.

Clinical terminology – the key to maximizing reimbursement

Robust clinical terminology mapped to the right codes is the quickest path to optimizing reimbursement. Learn how precision pays in the post...

POINT OF CARE WORKFLOW

DATA QUALITY MANAGEMENT

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