Resource Library

Tag: Risk Adjustment

The promise of the problem-oriented medical record (POMR)

By making the EHR more problem-oriented, healthcare providers can synthesize patient data, highlight key insights, and support more effective decision-making.

Article

Clinical Documentation and Coding

New problem list solution reveals patient insights

Clinicians don’t have time to scour the EHR for missing problems and hidden insights. That’s why IMO Discovery for Problems does it…

Article

IMO Health Culture

Questions about CMS-HCC Version 28? IMO Health has answers.

Our experts recently held a webinar on CMS’ transition to HCC V28. Here are some highlights from the session's Q&A.

Article

Financial Return

Final MA payment model updates: Rate changes, CMS-HCC V28

CMS has finalized policy updates for Medicare Advantage (MA) plans, including major changes to reimbursement structures like CMS-HCC Version 28.

Article

Interoperability

CMS-HCC Version 28: Get informed and be prepared for change

Join IMO subject matter experts June Bronnert, Vice President, Global Clinical Services and David Arco, Director, Product Management, for an in-depth look…

Webinar

Value Based Care

Major changes proposed to Medicare Advantage payment models

CMS’ latest report proposed major changes to Medicare Advantage reimbursement structure and the clinical documentation used to capture HCCs.

Article

Interoperability

How precise documentation improves HCC reimbursement

How much does specificity in clinical documentation matter? When it comes to Medicare Advantage reimbursement, it matters. A lot.

Article

Financial Return

A guide to HCCs for CMS and HHS – and how RAF scores relate

Hierarchical Condition Categories (HCCs) are critically important for billing and reimbursement needs. Our guide takes a look at how both CMS and…

Report

Clinical Documentation and Coding

HCCs under CMS and HHS: Can you spot the difference?

Hierarchical Condition Categories (HCCs) are important for many healthcare needs – but what exactly is the difference between CMS and HHS’ programs?…

Article

Clinical Terminology

Getting the right reimbursement for high-risk patients: A proven strategy for managing HCCs

This white paper explores how a sound HCC strategy can improve the management of chronic diseases, create a more complete picture of…

White Paper

Clinical Documentation and Coding

Payment models and value-based care

When it comes to value-based care, payment models can be tough to understand. We’re breaking down what you need to know below.

Article

Financial Return

Five things to know about HCCs and EHR workflows

HCCs are critically important, yet complex and sometimes confusing. We’re highlighting five things to simplify HCC documentation within EHR workflows.

Article

Clinical Terminology

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DATA QUALITY MANAGEMENT

Tag: Risk Adjustment

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POINT OF CARE WORKFLOW

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