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Evaluation and management “E/M” downcoding 101: The paid claim problem going undetected

E/M downcoding issues often fly under the radar. Understand why this is, how to identify issues, and what steps can be taken…

Article

Clinical Documentation and Coding

The hidden cost of poor data quality in HEDIS and quality reporting

Learn how fragmented clinical data can exclude eligible patients from HEDIS measures and limit quality improvement efforts.

Article

Clinical Documentation and Coding

The medical problem list toolkit

Learn why medical problem lists matter and explore practical resources to improve documentation, risk adjustment, care quality, and clinical data.

Article

Clinical Terminology

7 ICD-10 codes inspired by your summer reality TV binge

Things are heating up – both outside and on the screen. Below, we match seven popular reality shows with the ICD-10-CM codes…

Article

Clinical Documentation and Coding

The financial impact of Medicare’s IPO phaseout: What hospital leaders need to know

Medicare’s IPO list will be phased out by 2028, increasing risk for hospitals. Learn why this matters – and how to support…

Article

Clinical Documentation and Coding

Preparing for the 2027 maternity coding overhaul

Understand the implications of CPT code updates for maternity care, including the importance of interoperability and clinical terminology.

Article

Clinical Terminology

The reality of peer-to-peer reviews: Delays, admin burden, strained patient care

Learn how a proactive RCM solution can increase access to care, reduce admin costs, and improve patient outcomes.

Article

Clinical Terminology

IMO Health’s clinical terminology policies – and the “perfectionists” who maintain them

By curating a centralized, highly governed terminology framework, IMO Health helps organizations produce stronger, more reliable clinical data.

Article

Clinical Terminology

Why accurate procedure data is critical for cath lab information systems

Without standardized procedure terminology and precise code mappings, workflows can become inefficient, impacting scheduling, reimbursement, and more.

Article

Clinical Documentation and Coding

Simplifying CMS-0057-F: Prior authorization for clinicians, payers, and patients

Prior authorization is finally getting faster. New federal rules aim to cut delays, improve transparency, and streamline workflows by 2027.

Article

Clinical Documentation and Coding

Remote patient monitoring and the evolving CPT® code landscape in 2025–2026

RPM coding has continued to evolve, with updated codes scheduled to take effect in 2026. Here’s what’s changing and what it means…

Article

Financial Return

Fixing the problem list for better clinical care

A cluttered problem list slows clinicians and creates risk. Learn how better governance and smarter tools can improve accuracy and usability.

Article

Clinical Documentation and Coding

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Browse all resources

Knowledge is meant for sharing

[ POINT OF CARE WORKFLOW ]

[ DATA QUALITY MANAGEMENT ]