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Tag: Risk Adjustment

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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…
Article
Clinical Terminology
How medical problem lists impact risk adjustment
Discover how smarter problem list tooling helps providers and payers close data gaps, streamline risk adjustment, and improve reimbursement accuracy.
Article
Clinical Terminology
A bridge to better data: Uniting providers and payers for smarter risk adjustment workflows
Misaligned data creates risk adjustment challenges, but it doesn’t have to. See how smarter problem list management helps ensure accurate coding and…
Insight Brief
Clinical Terminology
How to make the most of annual wellness visits in 2025
Understand the link between accurate clinical documentation, organized medical problem lists, and efficient HCC capture in supporting value-based care.
Article
Clinical Terminology
IMO Health CEO talks clinical workflows, data quality in healthcare, ROI
Ann Barnes, CEO of IMO Health, explains how the company is transforming data quality in healthcare, emphasizing clinical expertise and industry reach.
Article
Clinical Terminology
Streamlining risk adjustment workflows in medical problem lists
Learn how IMO Health experts leverage the medical problem list to enhance HCC data capture, simplify risk adjustment, and support value-based care.
Article
Financial Return
How clinical documentation impacts revenue cycle management
Explore how precise clinical documentation drives better revenue cycle outcomes – boosting accuracy, reducing denials, and improving reimbursements.
Article
Clinical Terminology
FY 2025 Final IPPS Rule: How it could affect your claims billing
Discover key highlights of the FY 2025 Final IPPS Rule, including how IMO Health flags information with certain ICD-10-CM codes.
Article
Financial Return
Transitioning to HCC V28: A guide to navigating dual payment models
The HCC V28 rollout continues. Learn how to navigate the shift, manage dual models, and ensure accurate clinical documentation.
Article
Financial Return
Evolving HCC models: Navigating the transition from Version 24 to Version 28
The HCC V28 rollout continues. Learn how to navigate the shift, manage dual payment models, and ensure optimal reimbursement.
Report
Clinical Documentation and Coding
Specificity in clinical documentation: 5 considerations for revenue optimization
Discover how specificity gets lost at the point of care (and beyond) and how it could impact your organization’s bottom line.
eBook
Financial Return
Boosting payer-provider collaboration with better HCC data
Let's explore how better HCC capture can improve payer-provider collaboration, leading to enhanced data quality and more efficient workflows in healthcare.
Article
Clinical Terminology

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