Rise

Opening Remarks

Deb Curry, MBA, RHIA, CCS-P, CRC
Risk Adjustment Programs Director
Medical Mutual

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 

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 

V28 in Practice: Lessons Learned from the Transition and Beyond  

• Reflect on key lessons learned from the implementation of the V28 model across operations, coding, and care delivery 
• Identify persistent pain points and successful strategies for adapting systems to the fully blended environment 
• Explore opportunities for continued improvement in accuracy, documentation, and provider education under V28 

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

The Provider’s Role in Risk Adjustment 

• Understand the role of the provider on a successful risk adjustment program  
• Investigate techniques for effectively building lasting provider trust
• Assess provider engagement strategies that will impact your risk adjustment initiatives    

Moderator 
Lacey D. Moss, CPC, CRC, Manager of Risk Adjustment Education 
Christus Health  

Eirinn Erny, M.D. 
VP / Medical Director – Clinical Documentation Excellence 
Ochsner Health Network  

Cale Browning 
Director – CDE Performance Management 
Ochsner Health Network 

Day One Wrap Up

Lacey D. Moss, CPC, CRC, Manager of Risk Adjustment Education
Christus Health