Rise

Opening Remarks

An Introduction to Risk Adjustment

• Analyze risk adjustment’s purpose, participants, and best practices    
• Learn the essential differences in product lines within Risk Adjustment  
• Uncover the importance CMS and the OIG play in Risk Adjustment  
• Unpack commonly used terms and acronyms associated with risk adjustment 

Susan Waterman RHIT, CCS, CPC, CRC, Director of Risk Adjustment,
Baylor Scott and White Healthcare

Understanding Risk Scores

• Learn and practice how to calculate risk scores  
• Hone in on methods and models used to adjust for patient risk   
• Evaluate the factors that contributes to risk scores 

Dr. Shannon Decker, PhD, MBA, MBA, M.Ed., M.Ed, Principal 
VBC One

Unpacking the Fundamentals of the V28 Model

• Examine the key differences between the V24 & V28 model  
• Discuss the impacts of the V28 model on revenue to better understand the system-wide effects  
• Glean an understanding into the ‘why’ behind these changes were made 

Ava Johnson, Associate Director, Ambulatory CDQI
Mount Sinai Hospital, NYC

Transitioning to the V28 Model

• Evaluate areas for operational improvement  
• Explore opportunities in current systems to ease the transition to the V28 model  
• Build strategies for mitigating common errors and bettering processes 

Jeannine Bumford, CPC CRC, Director, Risk Adjustment Operations
Christus Health

Day One Wrap Up