Risk adjustment
Capture what counts at the point of care
IMO Health simplifies clinical workflows by surfacing actionable insights from prior encounters, unstructured notes, and payer data directly within the problem list.
[ benefits]
Missing HCCs put up to 25% of value-based revenue at risk.
Streamline your risk adjustment workflow to better document HCCs and diagnosis specificity.
Improve HCC capture
Notify clinicians of potentially missing chronic details, within clinical workflows, to minimize documentation rework.
Document with precision
Capture complex conditions with guided ICD-10-CM refinement tools to improve specificity and meet risk adjustment requirements.
Strengthen collaboration
Centralize care team and multi-payer insights on the problem list to improve care outcomes.
Leverage award-winning NLP
Uncover undocumented conditions in unstructured notes and close coding gaps in prior-year documentation to strengthen compliance and RADV audit readiness.
IMO Health improves diagnostic integrity by capturing greater specificity and surfacing risk adjustment insights to drive value-based care.
[ FAQS ]
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How does IMO Health improve risk adjustment and surface relevant HCCs?
IMO Health improves risk adjustment by embedding relevant HCC insights directly into clinical workflows. Providers see these HCCs in the problem list before or during the visit, ensuring accurate diagnosis capture in real time. Our technology leverages prior encounters, unstructured EHR notes, and payer gap-in-care data to surface suspected or overlooked HCCs and chronic conditions. This ensures that full clinical intent is captured, supporting accurate RAF scores, compliance, and quality reporting across Medicare Advantage (CMS-HCCs), ACA Marketplace (HHS-HCC), Medicare Part D (RxHCC), and state-defined Medicaid (ACG, CDPS, CRG, DxCG).
What is the financial impact of IMO Health risk adjustment solutions?
IMO Health drives financial impact by improving diagnosis specificity with ICD-10-CM refinement tools and by surfacing actionable HCC insights directly in the problem list. Together, these capabilities strengthen risk scoring, quality of care, and audit readiness, while ensuring organizations are reimbursed appropriately for population complexity. By delivering a more complete patient picture, providers achieve RAF scores that align better with patient risk and support sustainable performance in value-based care programs.