The CMS-HCC V28 Model
The CMS-HCC V28 Model

In early 2003, the Centers for Medicare and Medicaid Services (CMS) announced the adoption of a new Hierarchical Condition Category (HCC) risk model. Encounters with dates of service up to December 31, 2022 were subject... read more

Regulatory Evolution in Risk Adjustment
Regulatory Evolution in Risk Adjustment

Until recently, the Office of the Inspector General (OIG) and the Department of Justice (DOJ) were seldom mentioned in news concerning documentation, coding, and risk adjustment. However, a recent surge in news coverage... read more

The Vital Role of Documentation and Coding in Risk Adjustment and Value-Based Payment Models
The Vital Role of Documentation and Coding in Risk Adjustment and Value-Based Payment Models

In the ever-evolving healthcare landscape, accurate documentation and coding are pivotal in ensuring quality care, appropriate reimbursement, and successful risk adjustment. Let’s delve into why these aspects are... read more

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