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Strategies for High-Level Medical Decision Making in Diagnosis and Risk Analysis

Presenter Jaci J. Kipreos, COC, CPC, CDEO, CPMA, CRC, CPC-I, CEMC
Broadcast Date 9/24/2025
Time 10:00am PT / 11:00am MT / 12:00pm CT / 1:00pm ET
Presentation Length 60 minutes
Price $65 (Non-members $85)
Strategies for High-Level Medical Decision Making in Diagnosis and Risk Analysis Webinar

Learn more about this event

This presentation will aim to provide a deeper understanding of the clinical reasoning processes that make diagnostic decisions and risk assessments in healthcare. We will consider how providers extrapolate data and apply clinical guidelines to assist a deeper understanding of the documentation.

We will consider risk analysis and its impact on documentation and coding. We will discuss how clinicians evaluate patient risk factors, stratify severity, and make decisions that influence coding for procedures, outcomes, and quality metrics. Real-world examples will illustrate how risk-based decision-making affects code selection, reimbursement, and compliance. Attendees will leave with practical strategies to enhance coding precision by aligning their work more closely with clinical intent and decision-making frameworks.

Learning Objectives/Agenda

• Practical knowledge of clinical documentation
• Strategies for a deeper understanding of risk
• Thorough understanding of the various meanings of “risk”
• Understanding the documentation required to report ICD-10-CM codes
• Risk areas in diagnostic coding

Why is this topic important?

Risk has many different meanings. Whether it is considered for high complexity decision making or for a risk adjustment payment policy or patient risk, all require clear documentation. Documentation will always remain the key factor in reporting any types of codes.

Who would benefit from this topic?

• Medical Coders
• Medical Billers
• Auditors
• Revenue Cycle members
• Practice Managers

Jaci J. Kipreos, COC, CPC, CDEO, CPMA, CRC, CPC-I, CEMC

About The Author

Jaci J. Kipreos, COC, CPC, CDEO, CPMA, CRC, CPC-I, CEMC

Jaci has been working in the field of medical coding and auditing for over 30 years and has been a Certified Professional Coder (CPC) since 1994 and attained her COC for facility- based coding issues in 2005.  She has also obtained her credential as a Certified Professional Medical Auditor and is certified in the specialty of Evaluation and Management Coding.  In 2019 Jaci obtained her certification in documentation improvement, CDEO, and incorporates this into the compliance audits that she conducts.
Kipreos has worked in a variety of practice settings and has particular expertise in coding for family practice, urgent care, OB/GYN, general surgery, Medicare’s Teaching Physician Guidelines, with a particular emphasis on compliance with Evaluation and Management guidelines.
Jaci is a past president of local chapters of AAPC in both Richmond, VA and Charlottesville, VA.  She also served as the President for the AAPC National Advisory Board from 2013-2015.  Jaci received her B.S. in Finance from Virginia Tech

 

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Two ways to register for this event
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