Rise

Cale Browning Director – CDE Performance Management

Ochsner Health Network

Cale Browning, MBA, CPC, CRC is the Director of Clinical Documentation Excellence & Risk Adjustment for Ochsner Health Network, the Value-Based Care division of Ochsner. Cale has nearly 10 years of experience in Risk Adjustment in various roles such as Risk Adjustment Coder, MRA Frontline Lead, Manager of Risk Adjustment Education, and Director of Revenue Cycle on both the payer and provider side of healthcare. Cale started at Ochsner in October of 2020 as a Risk Adjustment Performance Improvement Manager tasked with building out the necessary Key Performance Indicators (KPIs), dashboards, and educational material for Executive Leadership then absorbed the Clinical Documentation Excellence Team in February of 2022. Since that time, Cale and the CDE Leadership Team have designed and implemented a state-of-the-art Ambulatory / Outpatient CDI Program that supports Primary Care and Specialty service lines with proven success within the first year, subsequently presenting their vision at several conferences and work groups since. 

Jeannine Bumford Director, Risk Adjustment Operations

Christus Health

Jeannine Bumford has worked in the Risk Adjustment industry for over twelve years, beginning her journey in 2012 as a Risk Adjustment Auditor. Experienced, goal-oriented, and innovative leader who has worked with Medicare, Medicare Advantage, and Marketplace business lines. She is the Director of Risk Adjustment Operations for Christus Health. Designed and successfully implemented Provider Education, Coding, and Quality Assurance programs throughout her career. Holds Professional Coder (CPC) and Risk Coder (CRC) certifications. She lives in Waxahachie, Texas, with her husband and three girls. 

Deb Curry Risk Adjustment Programs Director

Medical Mutual

Deb joined Paramount Healthcare/Medical Mutual of Ohio in May 2013 and oversees the Risk Adjustment, Coordination of Benefits, and Subrogation departments.

Prior to her position with Paramount she had 21 years’ experience working with the State of Ohio workers’ compensation program, both for the government and a contracted managed care organizations. She came to Paramount with extensive knowledge in medical coding, provider billing and education, Medicare payment methodologies, quality assurance, and regulatory compliance.

Deb attended The University of Toledo for both her undergraduate and graduate degrees and currently holds a Masters of Business Administration with major in Healthcare Systems Management. She is an active member of the American Health Information Management Association (AHIMA) and is a Registered Health Information Administrator (RHIA) and Certified Coding Specialist, physician based (CCS-P). Deb is also an active member of the America Academy of Professional Coders (AAPC) and is a Certified Risk Adjustment Coder (CRC). Also, Deb is a member of RISE and holds certificates as a Risk Adjustment Practitioner (RAP) and Advanced HCC Auditor (AHCCA). Additionally, Deb is a Board Member of the University of Toledo Health Information Administration Advisory Board, Health and Human Services Alumni Affiliate at The University of Toledo, and Health Information Technology Advisory Committee at Owens Community College.

Dr. Shannon Decker Principal 

VBC One 

Dr. Shannon Decker is principal at VBC One, a consulting firm assisting physician groups, health plans and vendors maximize the performance of their value based contracts and offerings.  Dr. Decker has more than 20 years experience in health care and most recently led teams in risk, quality, data and analytics, telehealth, COVID response and delegation compliance.  Of her more than 20 years of experience in healthcare--15 include working with risk adjustment, quality and Medicare. Dr. Decker has a PhD. in Interdisciplinary Studies, dual MBA degrees--in Finance and in Marketing, as well as an M.Ed. in Secondary Education and a M.Ed. in Administration and Leadership. Dr. Decker is on the faculty at Arizona State University and is also an associate professor of Higher Education & Adult Learning (HEAL) and chief methodologist for Walden and Capella Universities where she chairs and oversees the dissertations of doctoral students. An author of two books and several peer-reviewed articles, and a prolific national public speaker, her interests include the study of human behavior and how theories on motivation and learning may be brought to bear on population health management. 

Erinn Erny VP / Medical Director – Clinical Documentation Excellence

Ochsner Health Network

Dr. Eirinn Erny, M.D. joined Ochsner Health in August 2019 with the Medvantage Clinic in Primary Care and Wellness at Ochsner Jefferson Hwy.  In January 2022, she transitioned to the Ochsner 65+ Clinic while working as a Physician Lead in Population Health. Prior to joining Ochsner Health, she was a Medical Director at a risk-based clinic. As of August 2022, Dr. Erny joined the OHN Clinical Documentation Excellence team as Medical Director while continuing to see patients at the Ochsner 65+ Clinic. She has worked with the CDE team to expand suspecting of HCCs, education of clinicians, and understanding of the BPA and metrics in practice.

Ana Handshuh Principal

CAT5 Strategies

Ana Handshuh, Principal at CAT5 Strategies, is a government programs executive with expertise in creating and implementing corporate programs for the healthcare industry. Her background includes Quality, Core Measures, Care Management, Benefit Design and Bid Submission, Accreditation, Regulatory Compliance, Revenue Management, Communications, Community-based Care Management Programs and Technology Integration. Ms. Handshuh currently serves on the Board of the Resource Initiative and Society for Education (RISE), the preeminent national professional association dedicated to managed and accountable care financing and delivery. She is a sought after speaker on the national healthcare circuit in the areas of Quality, Star Ratings, Care Management, Member and Provider Engagement, and Revenue Management. Her recent consultancy roles have included assisting organizations create programs to address the unmet care management needs in the highest risk strata of membership, document their processes and procedures, achieve accreditation status, design and submit government program bids, institute corporate-wide programs and create communications strategies and materials. She possesses sophisticated business acumen with the ability to build consensus with cross-functional groups to accomplish corporate goals. Ms. Handshuh served as the Vice President of Managed Care Services at Central Florida Inpatient Medicine (CFIM). In this role, she provided leadership and strategy on CFIM projects and collaborations with physicians, risk entities, hospital health care systems, and health plans. CFIM is the largest Hospitalist group in Central Florida, with 70 providers discharging over 50,000 patients annually from multiple hospitals across two health care delivery systems and 24 skilled nursing facilities. At CFIM Ms. Handshuh previously served as the Vice President of Operations. Prior to those assignments, she worked with Precision Healthcare Systems as their Vice President of Quality Improvement. In that capacity, she led the IPA’s Quality efforts and collaborated with payers on implementing programs to move the needle on Quality and Star Rating initiatives. Ms. Handshuh also served as the Director of Corporate Program Development at Physicians United Plan. In this role, she led the Quality Management and Corporate Communications departments and spearheaded the development of innovative integrated technology solutions to drive business excellence and Star Rating achievement initiatives. For the past fifteen years Ms. Handshuh has taken an active role in redefining and implementing changes that have led to improvements and greater efficiency within Government programs and healthcare delivery. Prior to joining Physicians United Plan Ms. Handshuh was the founder of I-Six Creative. Under Ms. Handshuh’s vision and leadership, I-Six Creative provided expertise in the areas of managed Medicare benefit design, MSO/IPA operations, provider network strategy, new market launches, technology integration, corporate communications and quality improvement.  

Ava Johnson Associate Director, Ambulatory CDQI

Mount Sinai Hospital, NYC

Ava Johnson is the Associate Director of the Outpatient Clinical Documentation Quality Improvement department at Mount Sinai Hospital in NYC. Ava is a seasoned coding instructor, physician educator, multispecialty coder, CDI specialist and public speaker with a focus on executive leadership and career development. 

Lacy D. Moss Manager of Risk Adjustment Education

Christus Health

Lacey Moss is a certified coding professional with extensive experience in risk adjustment education and HCC coding for Medicare populations. Over the past decade, she has worked closely with clinicians and staff, training them to improve medical record documentation and achieve optimal coding accuracy. Lacey is passionate about helping healthcare providers bridge the gap between clinical documentation and code assignment, ensuring compliance with regulatory guidance and supporting value-based care models.

Susan Waterman Director of Risk Adjustment

Baylor Scott and White Healthcare

As Director of Risk Adjustment, Susan Waterman has been empowered to plan, design and oversee business and strategic objectives in creating and optimizing a Risk Adjustment Department responsible for ensuring the accuracy of risk adjustment payments while successfully managing all activities related to Medicare Advantage, ACA and Exchange Risk Adjusted lines of business. In that capacity Susan directed department changes that resulted in multi-million dollar gains in Risk Adjustment, brought all chart review activity in-house, and partnered with the hospital CDI/Quality Physicians to create an Outpatient CDI Department focused on documentation quality, Risk Adjustment activities and clinic training. 

A proven leader in her field, Susan’s professional experience includes coding and compliance management, auditing and provider training, system management, and consulting services.