Our Approach

Evidence first. Recommendations second.

Patterns found across the industry, proven inside your organization.

Two clinicians examining a sheet of brain scans against a window
Helios Evidence Framework

Six independent sources of evidence.

Industry

AHIMA, ACDIS, HFMA, CMS, OIG

Regulatory

OIG, RAC, MAC, CERT findings

Financial

Denials, revenue leakage, DNFB

Operational

Audits, productivity, QA

Technology

EHR, CAC, encoder performance

Executive

CFO, HIM and Compliance interviews

Charts, reports and binders spread across a desk
Why six

No single source tells the whole story. When they agree, confidence rises.

Two clinicians reviewing information on a tablet together
Helios Operational Validation

Proven in your operation, not assumed from a report.

Before any recommendation, we answer three questions:

  1. Is the problem real?
  2. Can it be objectively demonstrated?
  3. What does it cost if it stays unresolved?
Helios Evidence Traceability Model

From symptom to success measure.

Illustrative example: rising inpatient denials.

  1. 01Observed Symptom

    Rising inpatient denials

  2. 02Supporting Evidence

    Denial reports, audits, DRG reconciliation

  3. 03Root Cause

    Inconsistent principal diagnosis selection

  4. 04Business Impact

    Delayed cash, higher appeal costs

  5. 05Recommended Action

    Standard governance, CDI collaboration

  6. 06Expected Outcome

    Fewer denials, better first-pass accuracy

  7. 07Success Measure

    Lower denial rate, stable CMI

If a recommendation can’t be traced to evidence, it doesn’t belong in an executive decision.

Apply the framework to your operation.

An evidence-traced findings report your leadership can act on.

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