IMO Core

IMO Core is a clinical documentation and problem list management solution from IMO Health, designed for healthcare organizations seeking to improve data quality, streamline clinician workflows, and optimize financial performance. By providing comprehensive clinical terminology and intelligent coding support, IMO Core helps clinicians document patient problems with greater specificity, reduces administrative burden, and drives better outcomes across billing, reimbursement, quality reporting, and population health initiatives.

IMO Core addresses a core challenge in healthcare IT: disjointed and overly complex EHR workflows that impede accurate patient data capture. These workflow gaps have real downstream consequences, affecting denied claims, risk adjustment scores, and reimbursement accuracy. IMO Core is built to minimize disruption to both clinical and financial workstreams while ensuring high-quality, actionable data at every step of the care journey.

Key Outcomes and Performance Metrics

• 33% improvement in visit diagnosis specificity through robust clinical terminology
• 24% increase in risk adjustment factor (RAF) scores for optimized reimbursement
• 68% reduction in denied claims via in-workflow prompts that flag non-primary codes in Code First
• $23 million increase in Medicare Advantage reimbursement achieved within six months

Document with Ease and Specificity

• Pre-bill coding prompts that flag errors such as non-primary problems documented in the primary position, unspecified laterality, and Excludes1 notes
• Flags unaddressed Hierarchical Condition Categories (HCCs) that impact yearly risk scores and reimbursement
• Simple, easy-to-use diagnosis search that prompts clinicians for required levels of specificity during documentation

Make Problem Lists More Meaningful

• Organizes and categorizes 99.9% of terms found in problem lists
• Contextualizes medication and lab results for 97% of problems
• Cleans duplicate, outdated, and redundant problem list data
• Highlights HCCs and chronic conditions within the problem list
• Delivers greater insights from problems that may be missing from the problem list
• Ensures that relevant patient data from across the patient record remains visible to clinicians

Capture Accurate, Detailed Coding Behind the Scenes

• Provides comprehensive clinical terminology mapped to all major global coding systems
• Covers all possible ways to describe patient problems, including synonyms, misspellings, acronyms, and local vernacular, connected through unique IMO Health lexicals that map to all appropriate billing codes
• Updated five times per year to ensure ongoing compliance with regulatory standards

Supported Coding Standards and Terminologies

• ICD-9-CM and ICD-10-CM
• SNOMED CT® US Edition
• CMS HCC and RxHCC
• SNODENT
• DSM-5-TR® and DC: 0-5
• PDPM and PDGM
• ICD-O-3
• Mondo/OMIM

Improve Patient Outcomes Through Data-Driven Insights

• Quickly identify HCCs from past patient encounters to support proactive care management
• Leverage IMO Clinical AI to extract relevant data from unstructured clinical notes
• Aggregate insights from multiple health plans into a single unified view

IMO Core capabilities vary based on EHR channel and integrations, allowing organizations to deploy the solution within their existing technology infrastructure. The platform is designed to reduce clinician health IT burden while simultaneously supporting stronger financial performance through more accurate coding, reduced claim denials, and optimized risk adjustment.