Resource Library

Tag: Risk Adjustment

A proactive approach to HCC management for better risk-adjusted reimbursement

Imprecise or missing HCCs can lead to millions in lost revenue. Learn how to improve coding – in workflow – for higher…

Insight Brief

Financial Return

How can precise risk adjustment coding maximize revenue in 2025?

See how the right solutions can streamline risk adjustment coding for increased specificity, care quality, and Medicare Advantage revenue.

Article

Financial Return

Prepare for RADV audits with precise clinical documentation and HCC coding

Learn how refining HCC management in clinical documentation can bolster RADV audit preparation and help safeguard your bottom line.

Article

Financial Return

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

POINT OF CARE WORKFLOW

DATA QUALITY MANAGEMENT

PROBLEMS WE SOLVE

Tag: Risk Adjustment

Ideas are meant for sharing.

POINT OF CARE WORKFLOW

DATA QUALITY MANAGEMENT

PROBLEMS WE SOLVE