Healthcare data is complex, layered, and often varies from provider to provider. This creates obstacles to critical processes, like risk adjusted comparison, and appropriate billing. The opportunity to improve longitudinal documentation can impact the enterprise health system in very real and measurable ways. A program approached Biome to help accurately capture and document patient risks and acuity associated with a cardiovascular procedure and translate this to the procedure documentation and correct coding for the cardiovascular procedures. The results showed a 200% increase in accurate DRG coding for Transcatheter Aortic Valve Replacement procedures, with measurable results experienced within first two quarters of performance improvement initiative start and gains sustained over following four quarters.