Summary
As healthcare transitions from fee-for-service to value-based care, using software that continuously updates regulatory codes like Hierarchical Condition Categories (HCC) and ICD-10-CM is essential. Without it, payers and providers can face data quality issues such as vague diagnoses and missed HCCs which can negatively impact reimbursement, RAF scores, and initiatives like HEDIS and STAR ratings. To solve these problems, it’s crucial to find tools that help bridge operations between payers and providers to improve clinical data quality without adding to the HIT burden.
Listen in as our experts share strategies for closing data gaps, optimizing risk adjustment workflows, and supporting value-based care initiatives.
You can expect to:
Learn how to use EHR problem lists to alert clinicians of missing HCC details, track responses, and reduce documentation rework
Explore how auditing unstructured patient records can identify care gaps and VBC initiatives like HEDIS and STAR
Automate coding and terminology updates to improve operations, interoperability, and compliance, keeping payers and providers audit-ready
Featured speaker(s)
June Bronnert, MSHI, RHIA, CCS, CCS-P
VP, Global Clinical Services
IMO Health
Wes Galbo
SVP, Product Management
IMO Health
David Green
Sr. Manager, Business Development
IMO Health
