SDOH and IP Reimbursement

SDOH and IP Reimbursement
Stay in the know about how proposed changes to SDOH codes could affect IP MS-DRG reimbursement.
Inpatient prospective payment system (IPPS) payment is made based on the use of hospital resources using various factors: the treatment of a patient’s severity of illness, the complexity of service, and/or the consumption of resources. Generally, a higher severity level designation of a diagnosis code results in a higher payment to reflect the increased hospital resource use.
CMS is proposing to change the severity of three ICD-10-CM diagnosis codes describing homelessness from a Non-CC to a CC (complication/comorbidity) designation. This will reflect the higher average resource costs of cases with these diagnosis codes compared to similar cases without these codes. The codes being considered are:

  • Z59.00 (Homelessness, unspecified)
  • Z59.01 (Sheltered homelessness)
  • Z59.02 (Unsheltered homelessness)
Please keep an eye on this change, as the final rule should be available in August 2023 and may affect payments for discharges on or after October 1, 2023.

Looking for coding help?

Learn more about Intellis IQ coding services. Our solutions are leading the way in the HIM industry.

Intellis coding education

Need help to earn CEUs or educate your team? Visit the Intellis IQ Education Center and get your free account or contact us for more information. Our team offers quarterly coding clinic reviews, coding clinic reviews for CDI, and other valuable courses.

Intellis is dedicated to elevating the business of healthcare. We are committed to offering support and the most current information and updates to collaborate with coding and CDI professionals to realize their fullest potential. We enthusiastically seek opportunities to develop ourselves and each other. We understand that knowledge is the key to success for our clients navigating the ever-changing health information management landscape.

Coding or CDI careers

We’re always looking for qualified coders to join our industry-leading team. Check out our team and current openings if you’re interested in new opportunities.

Kim Felix Receives PHIMA Distinguished Member Award

  Kim Felix, PHIMA Distinguished Member AwardWe’re pleased to congratulate Intellis’ Director of Education Kim Felix, RHIA, CCS, on being named the Pennsylvania Health Information Association (PHIMA) 2023 Distinguished Member. Kim was honored at the PHIMA Annual Conference. We’re amazed at her accomplishments and so proud to have her as a leader on our team. The PHIMA Distinguished Member Award honors an outstanding association member who is recognized for loyal services to the association and contributions to the profession. The award recognizes an individual for regional, state, and national service, including offices held, published articles, teaching, and other contributions. Kim’s contributions have been significant, and the PHIMA Board of Directors recognizes her long-standing commitment to the association and health information management profession.

Kim is the Director of Education for Intellis. She has over 25 years of HIM coding experience, including coding, auditing, and management at various University and Community Hospitals. She is the project manager for a large-scale HCC federal engagement.  She also was the project manager for an ICD-10 conversion for analytics software.  

Kim’s education experience includes adjunct faculty appointments at Gwynedd-Mercy College, Pierce College, and Thomas Jefferson University and acting as a study mentor at Western Governors University.

At Intellis, Kim was the visionary behind the Intellis IQ Center. The IQ Center is our online platform where individuals and facility personnel can earn AHIMA and AAPC continuing education units. She has presented over twenty courses on the platform addressing coding tips, coding updates, coding clinic reviews, and COVID-19 updates. Additionally, the platform provides insight into CDI education and documentation quality.

Congratulations, Kim, on receiving the PHIMA Distinguished Member Award. We appreciate all that you do for our team and the healthcare industry.

Keystone Health relies on Intellis to address data challenges

In a recent Health Data Management article, Keystone Health Chief Operating Officer addressed the importance of ensuring clinician satisfaction with data integrity during EHR conversion. Legacy data missing from a new EHR can result in data gaps causing physician frustration, redundant treatment, and disjointed care management. To help overcome the challenges caused by missing patient data, meet go-live deadlines, and ensure physician satisfaction, Keystone Health turned to Intellis.

Read the article here.

Find out more about Intellis HIT solutions.

Intellis Included on Seminole 100 List
Seminole 100 logo

Seminole 100

Florida State University’s Seminole 100 recognizes the 100 fastest-growing FSU alumni-owned or alumni-led businesses. Intellis is proud to be included on this prestigious list. Ranking among the most trusted providers of healthcare information services, Intellis specializes in medical coding, health information management, and healthcare IT solutions.

For companies to be considered for the Seminole 100 designation, they must meet criteria established by the Jim Moran Institute for Global Entrepreneurship, FSC College of Business. Organizations must have

  • An FSU alumnus or group of FSU alumni that has ownership in the company and has served as a C-Suite executive (i.e., chairman, CEO, president, or managing partner) for three consecutive years prior to nomination, or
  • An FSU alumnus that has led the company as a C-Suite executive for three consecutive years prior to nomination, or
  • An FSU alumnus that founded the company and has been active as a member of its senior management team for three consecutive years prior to nomination.

Intellis executive board member and current FSU College of Law student David Van Doren, RHIA, CCS, will attend the 6th annual Seminole 100 Celebration as Intellis is honored. The Saturday, February 25th event recognizes and honors FSU’s entrepreneurs and allows them to share valuable business insights with each other.

We are proud and honored to be named to the Seminole 100.

Intellis COO Addresses Physician Satisfaction During Acquisition

With health system acquisition of physician practices and medical groups steadily increasing since 2012, Intellis COO Glenn Schweidler, RHIA, discusses “How Data Boosts Physician Satisfaction During Acquisition: Real-World Lessons Learned” in Health IT Answers. Read the article here.

Find out more about Intellis HIT solutions.

Get updated on the 2022 Query Compliance Brief and earn AHIMA CEUs

The newly released and much anticipated 2022 UPDATE of the AHIMA/ACDIS Guidelines for Achieving a Compliant Query Practice is here! We’re offering two live webinar opportunities for you to be informed, stay up-to-date, and earn 1.5 AHIMA-approved CEUs. Choose your date and register: Friday, November 11th, 10 AM EST  or Thursday,  November 17th, 2 PM EST.

Intellis is now an e4 company

Today, the leadership of Intellis is pleased to announce that we are now an e4 company. The combination of e4 and Intellis creates the nation’s leading HIM and coding solutions provider, with a twenty-year history of partnering with hundreds of organizations across the healthcare ecosystem. The management teams of both companies will continue with the business, and e4’s Jim Hennessy will serve as CEO of the combined company.

Firmament Facilitates Merger of e4 and Intellis, Forming Healthcare RCM and IT Industry Leader 

NEW YORK, September 27, 2022 | Firmament, a leading provider of structured equity capital solutions to small- and medium-sized enterprises, announced today a majority growth equity investment into e4 Services (“e4” or the “Company”) in support of its merger with Intellis. e4 provides healthcare consulting and professional services to hospitals and healthcare systems across the United States, specializing in revenue cycle management (RCM) and information technology (IT) services, including health information management (HIM), coding, clinical documentation integrity (CDI), and complex project management. Intellis provides HIM, coding, CDI, and auditing services to U.S. hospitals and healthcare systems. Post-transaction, Intellis will be rebranded to “Intellis, an e4 company.”

The combination of the two companies creates the nation’s leading provider of HIM and coding solutions, with a twenty-year history of partnering with hundreds of organizations across the healthcare ecosystem. The management teams of both companies will continue with the business, and e4’s Jim Hennessy will serve as CEO of the combined company.  

Hennessy commented, “The merger of e4 and Intellis creates a unique industry leader within the HIM, coding, and healthcare IT verticals. Like e4, Intellis has a long history of placing customer satisfaction above all else. We could not be happier to merge with such a reputable organization that shares our same values, and we look forward to accelerated growth together.” Hennessy also commented on e4’s partnership with Firmament stating, “We have been partners with Firmament for over two years and are pleased to deepen our relationship together. Their team has proven to have not only a strong understanding of the healthcare industry but also a genuine desire to work closely with us to achieve our goals and grow our business.”

Intellis co-founder David Van Doren added, “The combination of e4 and Intellis creates a holistic service provider to healthcare systems across the country, delivering a one-stop shop to healthcare executives looking to improve their HIM, coding, and IT functions and infrastructure. We have known the e4 team for years and are already comfortable working as a team to optimize customer experiences and accelerate our growth trajectory.”

Green Campbell, Vice President at Firmament stated, “Healthcare providers across the country are battling tightening labor markets and rising wages, making hiring and maintaining internal staff increasingly difficult. e4 and Intellis provide healthcare experts with a proven track record of delivering exceptional results to some of the country’s largest healthcare systems. Both the e4 and Intellis founders and management teams have built outstanding businesses, and we are excited to partner with them as they enter their next phase of growth.” 

Parris Boyd, Partner at Firmament added, “Both e4 and Intellis have established themselves as leading service providers to mission-critical parts of the healthcare industry. We are proud to continue our relationship with e4 and to establish a new partnership with Intellis.” 

About e4

e4 ( provides healthcare consulting and professional services to hospitals and healthcare systems across the United States, specializing in revenue cycle management and information technology services, including health information management, coding, clinical documentation integrity, and complex project management.

About Intellis

Intellis ( provides coding, health information management, clinical documentation integrity, and auditing services to U.S.-based hospitals and healthcare systems. 

About Firmament

Firmament ( provides structured equity capital solutions to small- and medium-sized enterprises. Firmament is a value-added partner to entrepreneurs, management teams, and business owners and curates solutions by deploying versatile capital in a user-friendly way. Firmament concentrates on software and services businesses with significant scaling potential in the healthcare, logistics, wellness, and environmental sectors. With offices across the United States and in the United Kingdom, Firmament is focused on turning small business into big business.

Intellis referenced in Healthcare Innovation article

In Healthcare Innovation’s article “Revenue Cycle Management and the EHR: Looking at an Important Intersection,”  Joe Galdi, vice president of revenue cycle systems at the 14-hospital RWJ Barnabas Health system shared his perspectives on the challenges and opportunities facing revenue cycle management in this fraught moment in U.S. healthcare. We’re proud to see Intellis mentioned by Joe Galdi. Read the article here.

Find out more about Intellis MPI Clean-up solutions.

IT Infrastructure Needs in Healthcare

Recently, Healthcare IT Today shared a number of insights into the health data and interoperability needs in healthcare. Now, with insights from Intellis CSO Shawn Van Doren and other experts, they explore some of the more classic IT infrastructure needs in healthcare.

Weighing In on Oracle Acquisition and New Vision

Following Oracle’s  $28.4 billion acquisition of Cerner Corporation, board chair and CTO Larry Ellison announced his vision of a national health records database. Health IT Answers reached out to Intellis Chief Operations Officer Glenn Schweidler, RHIA, and other industry leaders to find out what they think about developing a national health records database.

Welcome Lori Harbison

Intellis is pleased to announce the addition of Lori Harbison, LPN, CCDS, CDIP, CCS as our Manager of Clinical Documentation and Quality Services.

Lori brings over 30 years of experience in nursing, including 13 years of experience in Clinical Documentation Integrity. A proven subject matter expert with a deep understanding of review, audit, and education, Lori is respected for her contributions and vast knowledge in the Clinical Documentation field.  

Lori is a credentialed CDI specialist holding a CDIP from AHIMA and a CCDS from ACDIS. Additionally, Lori is a clinical LPN and credentialed CCS. Lori’s philosophy is built on the principle that to meaningfully affect clinical documentation, the physician, CDS, and coder must work together as a cohesive unit. She is committed and passionate about fostering and advancing physician engagement and clinical documentation integrity education.  Lori has developed and presented customized education programs for individual physicians, large-scale physician groups, and health care systems, which has driven increased physician engagement and quality documentation. Lori is recognized for the advancement of the CDI profession by her work on many innovative targeted projects, including early adoption of CDI at patient round table discussions and CDI discussion at physician rounding and other progressive initiatives. 

Prior to joining Intellis, Lori led the CDI training program at the Cleveland Clinic for 13 years. As the Quality and Education Coordinator, Lori was charged with the comprehensive training of clinical nurses, coders, and HIM professionals in their complete education as CDI specialists. In this capacity, she developed detailed training programs and continuing education for the growth and development of skilled and experienced CDI specialists. Lori is an accomplished educator and mentor with a proven record of successfully training adult learners.  Lori prides herself on the long-term accomplishments of her trainees, many of whom hold CDI leadership positions as well as other health care executive roles. 

Contact Lori


  • Certified Clinical Documentation Specialist (CCDS)
  • Certified Clinical Documentation Practitioner (CDIP)
  • Certified Coding Specialist (CCS)
  • Licensed Practical Nurse (LPN)

Industry Areas

  • Inpatient clinical documentation integrity
  • Clinical documentation education-physician 
  • Clinical documentation education-CDI specialist
  • Medical Record Review and Auditing
  • Query compliance
  • Inpatient Coding

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Media Contact:
Dan Cooke, President

In the Know – March 2022

For March 2022, our IN THE KNOW newsletter focuses on:

    Ransomware Recovery
    • Earning CEUs
    • Employment Opportunities
    • Welcoming Elaine Lips
    • Coding Tips