Resource Library

Tag: Clinical Documentation and Coding

What causes healthcare claim denials? 10 common types RCM leaders should know

Explore 10 common types of healthcare claim denials and how addressing coding, documentation, and coverage issues upstream can help prevent them.

Article

Clinical Documentation and Coding

Prior authorization approved. Claim denied. Now what?

Join IMO Health experts as they uncover the critical gaps between prior authorization and medical necessity, examine common reasons claims are denied,…

Webinar

Financial Return

How clinical data governance can prevent downstream revenue loss

Denials often start upstream in clinical data. See why it drifts, four steps to govern it, and how one health system cut…

Insight Brief

Financial Return

Preparing for the future of CMS Star Ratings

Success in Star Ratings will depend on an organization's ability to identify care gaps, support preventive care, and measure performance consistently.

Article

Regulatory updates and legislation

Here’s what’s changing in the 2027 ICD-10-CM code set update

The 2027 ICD-10 code set brings new specificity across genetic conditions, emerging diagnoses, toxic exposures, and more. Explore five key updates here.

Article

Clinical Documentation and Coding

What’s changing in 2027? A look at the latest CPT® updates

Get ready for the 2027 Current Procedural Terminology (CPT®) code set changes taking effect January 1, 2027.

Webinar

Regulatory updates and legislation

FY 2027 IPPS changes: Is your clinical data ready?

Explore key FY 2027 IPPS changes and what they mean for MS-DRGs, clinical data, coding, reimbursement, and health system readiness.

Article

Regulatory updates and legislation

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

Medicare’s IPO list will be phased out by 2028. Learn what the shift means for revenue, scheduling, and surgical data governance.

Article

Surgical scheduling

See clinical context in action: Explore IMO Health’s Knowledge Graph

See how connected clinical data adds context, specificity, and meaning to support AI, analytics, revenue cycle, research, and more.

Guide

AI and NLP

Why CPT codes are the missing key to prior authorization

See how procedure data quality can make or break electronic prior authorization as healthcare moves toward more automated workflows.

Article

Financial Return

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

Your guide to the ICD-10-CM 2027 updates

Join IMO Health experts for an overview of the latest ICD-10-CM changes and what they mean for clinical and coding workflows. We’ll…

Webinar

Clinical Documentation and Coding

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Tag: Clinical Documentation and Coding

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