Kristi S Repetto

• Infrastructure re-design in both facility and professional fee coding areas
• Acute Care Net Days in Accounts receivables for 2020 represents 17% decrease from 2019
• Created revenue cycle partnership with external vendor to address Acute Care medical necessity denials resulting in $5,100,000 in additional collections (Acute Care)
• Increase in revenue and quality metrics
• Increase overall system Case Mix Index (CMI) by .6% for FY 2020, resulting in approximately $1.3 million increase in net revenue through Quality Documentation review. CMI increase achieved in spite of reduced surgeries due to pandemic
• Maintained average percentage of AR on hold for coding between 2% and 4% (Acute Care)
• Decreased professional billing Average Days in AR by 4.4 days, representing 18.64% decrease from FY 2019 (Professional claims)
• Implemented technology platform for Quality Documentation, in September 2020; will result in increased reviews and queries without adding additional staff. (Acute Care)
• Created monthly Quality Documentation Education newsletter for professional and facility audiences, utilizing standard template for consistency
• Implemented concurrent coding platform for straight Medicare patients to facilitate accessibility of Bundled Payment patient population. Also provide forward facing length of stay information to providers and Care Management teams to achieve timely discharges.
• Implemented CME credit process for all providers completing coding education sessions
• Co-chaired LPG Provided Education Council to bring together Revenue Cycle, Medical Informatics, Legal, Compliance, and LPG Operations to create better patient records.

• Increase overall system CMI by 1.85% for FY 2019, resulting in approximately $4.1 million increase in net revenue
• Created partnership arrangement with National Coding partner and transferred inpatient coding team in order to leverage national knowledge base for coding accuracy
• Created automated suspension process and improved process to support Quality Documentation in chart completion with physicians and physician liaisons
• For discharges with LOS greater than 3 days, Risk of Mortality (ROM) is 38% higher and Severity of Illness (SOI) is 22% higher when Quality Documentation team reviews chart, resulting in more accurate capture of patient conditions that impact quality scores/risk adjustment.
• Co-created concept to retool EPIC training for providers to improve patients’ records through improved documentation.

Responsible for Quality Documentation Specialists at 5 acute care settings.

• Facilitated workgroups with senior leadership focusing on Health Grades, Value Based Purchasing, Denials Management and Leapfrog
• Monthly reporting of revenue and risk adjustment
• Ongoing development of physician education
• Implemented processes to evaluate all hospital re-admissions and moralities.
• Implementation of “tiered status” for staff to differentiate levels of experience and salaries.
• Steering committee for facilitation of conversion to EMR from paper.
• Partnered with IT team to implement technology platform for staff

• Team Lead of two hospital campuses and 8 employees.
• Implemented and developed strategies to enhance t revenue, and quality reporting of Cape Coral Emergency Department.
• Responsible for educating physicians of their integral role and collaborative efforts needed in Quality Documentation process.

• Nursing School Clinical Instructor
• Over 15 years of Critical Care experience in various clinical settings
• Dialysis, Pain clinics, Home Health, Outpatient Surgery Centers and Congestive Heart Failure Clinics.