Resource Library

Tag: Value Based Care

RAF Scores 101: Understanding risk adjustment coding

Master risk adjustment coding and learn how accurate RAF scores and HCC capture can improve reimbursement and value-based care. 

Article

Financial Return

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

HCC risk adjustment in 2025: What’s changing & how to stay ahead

Discover key CMS-HCC updates for 2025, their impact on risk adjustment, and expert strategies to stay compliant and optimize reimbursement.

Article

Clinical Terminology

AI in healthcare 101: The role of clinical AI, ML, and NLP in 2025 and beyond

See how clinical AI is changing healthcare in 2025—from clinical documentation support to drug discovery. Read on for benefits, use cases, and…

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

Z codes 101: What you need to know for clinical documentation, value-based care

Understanding a patient’s health profile and reasons for seeking care is vital for accurate clinical documentation. This Z codes primer is your…

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

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Tag: Value Based Care

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POINT OF CARE WORKFLOW

DATA QUALITY MANAGEMENT

PROBLEMS WE SOLVE