Register for “Meaningful Differences Between the Foundational Applications:​ ​RevElate and Millennium CPA”

Every health system transitioning to Cerner RevElate is following a unique path. No matter what path you are on, proper planning can help you can avoid unnecessary challenges during your implementation.

Join e4 on Friday, February 24 from 12pm to 1pm EST for a free educational webinar session that highlights meaningful differences between RevElate and Millennium CPA. From nomenclature to approaches to error management, we will explore concepts to help you better prepare and adapt for the changes ahead.  

Attendees will learn the importance of addressing terminology differences at the initiation of your project, how RevElate’s design for error management compares to Millennium impacts operational resources and workflow design, and what the conceptual differences between RevElate and Millennium are that must be managed for a successful outcome.

About the presenter …

Tim Brennan is a PMP certified project manager with over 28 years of experience in health care. Tim started his career with a major payer supporting electronic claim submission and benefit inquiry. He spent 15 years as an implementation project manager for two software vendors – one focused on HIM solutions, the other on bed-side patient safety solutions for nursing. Most recently, Tim has been a Practice Director at e4 Services where he is responsible for a team of 16 project and program managers. During that time, Tim has also managed multiple projects and programs including ICD 10, finance and supply chain conversions, and Cerner revenue cycle implementations – both CPA and Soarian Financials.

E/M Tables & Tip Sheets Now Available!

Significant E/M changes went into effect on January 1st! We have the E/M resources you need to be prepared! Our E/M MDM Tables and Tip Sheets are now available! What’s included?

MDM Tables (8 total)

There is an individual MDM (Medical Decision Making) table for ALL the 2023 categories that now utilize the new method of determining the level of service:

  1. OV/Other Outpatient Services
  2. Emergency Department
  3. Nursing Facility – Initial
  4. Nursing Facility – Subsequent
  5. Hospital Inpatient/Observation – Initial
  6. Hospital Inpatient/Observation – Subsequent
  7. Consults – Inpatient & Outpatient
  8. Home/Residence – New & Established Patients

Additional Tip Sheets include (12 total)

There are 3 key elements used in MDM (Problems Addressed, Data and Risk – double sided tip sheets for each).  Also, tip sheets on Time and the categories in E/M that use Time (two double sided) and Prolonged Time (double sided):

  • Problems Addressed – definitions and key takeaways (one double sided tip sheet)
  • Data – definitions and key takeaways (one double sided tip sheet)
  • Risk — definitions and key takeaways (one double sided tip sheet)
  • Time – Office Visits and Prolonged Time [99417 – commercial vs G2212 – CMS] (one double sided tip sheet)
  • Time – all remaining categories (Inpatient/Obs, Nursing Facility, Consults, Home/Residence and key takeaways from Time) (one double sided tip sheet)
  • Prolonged Services & time thresholds for G codes from CMS (one double sided tip sheet)

Intellis Honored in the 2023 Seminole 100

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Intellis Partner and Executive Chairman, David Van Doren, RHIA, CCS

Intellis has been named as one of the top 100 fastest-growing companies owned or led by Florida State University alumni. Intellis Founder and current FSU Law student, David Van Doren, RHIA, CCS, will be in attendance as Intellis is honored at the 6th annual Seminole 100 Celebration on Saturday, February 25. This event recognizes and honors FSU’s entrepreneurs and allows them to share valuable business insights with each other.

Intellis has grown to become one of the most trusted providers of healthcare information services and solutions in the market. By combining forces with e4 earlier this year, the collective e4 and Intellis team now represents the nation’s premier provider of Coding, HIM, and Healthcare IT solutions.

Congratulations to Intellis on this stellar achievement!

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e4 & Intellis Team Up to Present and Exhibit at Fall 2022 ACDIS & SePHIMA Joint Meeting

Pictured from left: Gina Stewart, Chris Parfitt, Kim Felix, Kristy Evans, Alex Quirits, and Trina Shreck

The e4 and Intellis teams presented and exhibited at the 2022 Fall ACDIS and SePHIMA Joint Meeting at Jefferson Alumni Hall in Philadelphia. This was another great opportunity to continue sharing the exciting new message that these two organizations have combined to now become the premier national provider of HIM services and coding solutions.

The event was highlighted by an informative presentation from Intellis VP of Education Kim Felix, RHIA CCS. Kim touched on important topics such as cancer coding, Monkeypox coding, and insights for ICD-10-CM and ICD-10-PCS.

The presentation was filled with great Q&A’s, engaging discussions, and a wealth of valuable information – something that Kim is well known for contributing to these meetings.

As 2023 approaches, the e4 and Intellis teams are committed to continue prioritizing education in the coming year, and the combining of both teams ensures a strengthened core of valuable educational resources.

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Join us for our upcoming CEU-accredited webinar!

We’re keeping you up to date on the AHIMA/ACDIS Guidelines Update for Achieving a Compliant Query Practice (Industry Practice Brief, 2022 Update). Choose from 2 live webinars: Fri., Nov. 11th, 10 AM ET, or Thurs, Nov. 17th, 2 PM ET. Learn what you need to know and earn 1.5 AHIMA-approved CEUs. Find out more and register here.

e4 Makes an Impression at the Oracle Cerner Healthcare Conference

Painting the town green!

As the leading national implementer of Cerner solutions, e4 is here to help you navigate every step of your Oracle Cerner journey. Speaking of navigation, e4’s glowing green mobile billboard truck drove around the CHC conference areas and followed a route throughout the Power & Light District, where conference after-parties were being held. Check out the video below to see the truck in action, along with some highlights from our Client Appreciation Party!

Food, drinks, games, & more!

On Tuesday night of OCHC, e4 hosted a client appreciation party that became the talk of the conference! From sliders and drinks to bowling and virtual golf, there was no shortage of fun when e4 took over the entire 21,000 sq. ft. one-of-a-kind bar and gaming parlor, No Other Pub.

With well over 100 people in attendance, the environment was buzzing with energy. Attendees enjoyed ping pong, shuffleboard, virtual golf, water pong, bowling, foosball, and darts. While a $500 Amazon Gift Card was the prize for anyone who could sink a hole-in-one, everyone left a winner, as there was plenty of branded swag given out, including golf balls, golf towels, and golf bag umbrellas. e4 thanks all who were able to attend. The team is already looking forward to seeing everyone again in Kansas City during next year’s 2023 Oracle Cerner Healthcare Conference!

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e4 and Intellis Team Up at AHIMA 2022

The e4 and Intellis teams collaborated to put together an attention-grabbing experience at the 2022 AHIMA Conference in Columbus, Ohio.

When the opening ceremony kicked off Sunday evening, conference attendees were greeted by a centered putting green that displayed the year’s biggest HIM industry update: e4 and Intellis have combined to become the nation’s premier HIM and coding solutions provider.

An immediate buzz surrounded the booth, and the message was received loud and clear as people lined up for a chance to make putts for giveaway entries.

An Event to Remember

To celebrate this merging of these two companies, e4 and Intellis hosted a client appreciation party at Nada. With more than one hundred clients, customers, and team members in attendance, the atmosphere was buzzing with plenty of laughs and hugs, good conversations, and great vibes.

The e4 and Intellis teams thank everyone for coming out, and both groups could not be more excited to provide HIM and coding solutions as one unified team!

Intellis Becomes an e4 Company

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Today, the leadership of e4 is pleased to announce that Intellis is 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.

Listen Now: e4’s Jim Hennessy Cohosts New Jersey HIMSS CMIO Podcast with Angela Yochem of Novant Health

The New Jersey HIMSS Digital Transformation podcast series continues as we have another in-depth discussion with a national leader on the topic. This episode’s guest is Angela Yochem, Chief Transformation and Digital Officer at Novant Health and Chief Operating Officer and General Manager of Novant Health Enterprises. 

Join your NJ HIMSS host, Jim Hennessy, CEO e4 Services, as he talks with Angela about the digital transformation journey at Novant, including their application of data analytics to drive changes in the patient experience and levels of care.

This New Jersey HIMSS CMIO podcast series explores digital technology trends, approaches, challenges and keys to success with leading Chief Medical Information Officers and technology experts. Click below to listen to the podcast and learn more about NJ HIMSS at

e4 to Present Free NARUG Lunch and Learn: Strategies for Achieving a Successful Independent Cerner Millennium Code Upgrade

Join co-hosts Rich Amelio, Information Technology Practice Director, and Kevin McShane, Senior Consultant, Friday, as they discuss strategies for achieving a successful independent Cerner Millennium code upgrade. Taking place February 25th, 2022 from 12:00 to 1:00 (US/Eastern), this presentation is being facilitated by the North Atlantic Regional User Group (NARUG), a CernerUsers Independent Cerner Community.

Learn how to achieve a successful code upgrade that reduces costs and reduces potential go-live issues. The components of this plan include integration architect support services, upgrade plan development and management, package management, testing events facilitation, issues management, and application subject matter expert support.

Attendees Will Learn:  

  • Pre-planning considerations to ensure success
  • The key differences in an independent code upgrade, and how to account for them
  • How to develop and properly execute the upgrade strategy

Register today:

Listen Now: e4’s Jim Hennessy Cohosts New Jersey HIMSS CMIO Podcast on Digital Transformation

Join co-hosts Jim Hennessy, e4 Services CEO and NJ HIMSS Board Member, and Dr. Kennedy Ganti, President of NJ HIMSS Board and NJ Medical Society Board, as they discuss digital transformation in healthcare with Dr. Wayne Fellmeth, CMIO of Hunterdon Health, and Dr. Gregory Herman, CMIO of Inspira Health Network.

This New Jersey HIMSS CMIO podcast series explores digital technology trends, approaches, challenges and keys to success with leading Chief Medical Information Officers and technology experts.

Click below to listen to the podcast, and learn more about NJ HIMSS at