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Insights That Move Healthcare

Expert perspectives on revenue cycle, risk adjustment, compliance, and healthcare strategy – designed to help providers, plans, and leaders make smarter operational and financial decisions.

Understanding the Impact of the CMS-HCC Phase...

Risk adjustment services for Medicare Advantage organizations are now operating in a materially different environment. The three-year phase-in of the 2024 CMS-HCC (V28) risk adjustment model is complete – meaning 100% of risk scores for non-PACE Medicare Advantage organizations are now calculated under the updated model [1].

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risk adjustment audits RADV payment years 2020 2021 2024 risk adjustment solutions documentation review
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