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Risk adjustment with HCCs and 3M CRGs: The ins and outs for HIM professionals

Michael Malohifo’ou, RN, MBA
Colleen Deighan, RHIA, CCS
Megan Clark, MBA

September 12th and 13th, 2019

  • How can clinicians and HIM professionals collaborate when it’s time to document and measure population health?

    Why are patient risk scores so critical for HIM professionals?

    How do the 3M™ Clinical Risk Groups (CRGs) compare with the hierarchical condition categories (HCCs), and can the two complement each other?

    All good questions! For the answers, review our webinar from Sept. 12 and 13 to discover how these two risk-adjustment methodologies:
     

    • Can impact both quality and financial performance
    • Differ from each other
    • Are used today in population health management and value-based purchasing

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Get to know our presenters:

  • Megan Clark

    Megan Clark, MBA, consultant, Population and Payment Solutions, 3M Health Information Systems

    Megan primarily works with payers and providers that are implementing 3M methodologies for population health and quality initiatives. Her particular areas of focus are the 3M™ Clinical Risk Groups (CRGs), 3M™ Population-focused Preventables (PFPs) and 3M™ Potentially Preventable Readmissions (PPRs). Megan also works with New York State Medicaid managed care organizations and other major payers as they implement value-based programs.
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  • Michael Malohifo'ou

    Michael Malohifo’ou, RN, MBA, consultant, CDI, Coding and Classification, 3M Health Information Systems

    Michael has 22 years of experience in health care, including direct clinical patient care experience in the operating and recovery rooms, clinical research, the PICC insertion team, cardiology, urology and neurology. He has also worked in clinical practice management for outpatient and multi-specialty ambulatory and acute care organizations. With extensive expertise in healthcare informatics and analytics, Michael has managed multiple coding and billing operations in outpatient and acute settings, with a special focus on CDI and revenue cycle management.

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  • Colleen Deighan

    Colleen Deighan, RHIA, CCS, consultant, Outpatient CDI, Clinical Coding and Revenue Cycle Management, 3M Health Information Systems

    Colleen provides advisory services for outpatient CDI, clinical coding and revenue cycle management services to 3M clients. With over 25 years of progressive technical and managerial experience in these fields, Colleen has served as a director of professional coding, CDI director, a senior director of coding compliance and a senior program director for ICD-10 implementation at Cleveland Clinic. Colleen also served as adjunct faculty at Cuyahoga Community College’s Health Information Management program for 12 years, teaching courses on medical coding, reimbursement methodologies and medical terminology.
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