Mr. Hafner is the vice president of risk adjustment at Upperline Health, where he oversees the Medicare risk adjustment program to ensure accurate and efficient coding practices. His responsibilities include managing the coding team, optimizing processes and ensuring compliance with Centers for Medicare & Medicaid Services regulations. Mr. Hafner collaborates with various departments to integrate innovative solutions like AI, which has significantly enhanced accuracy and efficiency in risk adjustment workflows. With over a decade of experience in healthcare and eight years focused on risk adjustment, he has developed comprehensive training programs to facilitate the transition to the CMS hierarchical condition category version 28 model. His leadership has led to a 40% increase in identified conditions, improving risk scores and reducing administrative burdens. Prior to joining Upperline Health, he served as director of risk adjustment at Fort Myers, Fla.-based Millennium Physician Group, where he implemented strategies that enhanced coding efficiency and accuracy.
