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Reimbursement Methodologies and Their Impact on Coding and CDI

During this informative session, presenters will review the different aspects of risk adjustment and how CDI and coding programs can successfully prepare for the transition into a value based payment world, while understanding the impact to organizations in relation to quality metrics and beyond.

The goal of this presentation is to provide education on the many different aspects of risk adjustment for healthcare providers and to present areas for attendees to focus on to ensure their respective organizations are prepared. Discussion will also include how technology can drive results for CDI and Coding programs in this new era of health care.

Learner Outcomes

Presenters at this session will:

• Share the many different ways accurate and complete coding impacts your facility beyond MSDRG optimization, including professional fee claims.
• Highlight additional CDI and coding metrics to monitor your program’s impact in a risk adjusted world.
• Share different ways technology and process changes can assist you in the expansion of your coding and CDI programs and partner with others in your organization to prepare for the challenges brought on by value-based care payment models.


Anne Robertucci
HIM Portfolio, Optum360 Eden Prairie, MN

Krystal Haynes, RHIA, CCS, CDIP
Optum360 Seattle, WA

Shannon Weintraub, MBA
Product Managment, Optum360 Woodinville, WA
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