2023年9月11日 · The latest policy updates—version 28 (V28)—will slowly phase out version 24, which has been in use since 2020. V28 includes significant changes to the Medicare Advantage (MA) capitation rate and risk adjustment methodologies.

2024年2月28日 · Release of New Model Version V28. A new version of the CMS-HCC model, V28, was finalized in 2023 for implementation in CY 2024. The V28 model includes these significant changes: Restructured hierarchical condition categories based on: ICD-10-CM rather than ICD-9-CM; Updated Fee-For-Service data years of 2018 rather than 2014 for diagnoses

2024年1月4日 · Are you ready for the changes in the CMS-HCC Model V28? Documentation and diagnostic coding are imperative for accurate risk adjustment. Check out our latest blog post to learn about the changes in the model and how it impacts Medicare Advantage patients.

2024年3月19日 · Under V28, more than 2,000 diagnosis codes no longer map to a risk-adjusted HCC, which means model changes more negatively impact chronically ill populations. V24 remains in place until 2025. Risk score calculation for …

2023年12月18日 · In March 2023, the Centers for Medicare & Medicaid Services (CMS) issued the “Final Notice,” in which they finalized the 2024 risk adjustment Hierarchical Condition Category (HCC) model known as V28. This model is expected to significantly change Medicare Advantage (MA) capitation rates.

Risk adjustment and the establishment of CMS-hierarchical condition category (HCC) Version 28 (V28) has brought significant changes to the dynamic environment of health care reimbursement. To help practitioners adapt and succeed in continuous documentatio.

2023年9月28日 · The Centers for Medicare & Medicaid Services (CMS) has launched the new risk adjustment Hierarchical Condition Category (CMS-HCC) model for 2024. The upcoming Version 28 (V28) will feature modifications to the Medicare Advantage (MA) capitation rate and risk adjustment methodology.

2023年9月14日 · In the shift from V24 to V28, HCCs have been added, deleted, renamed, and renumbered. Our guide breaks it all down and provides practical next steps.

2023年6月14日 · Transitioning from version 24 (V24) to version 28 (V28) includes significant changes to HCC codes, disease mappings, and impacts on RAF scores. Organizations have some good news as a blended percentage will be used for the 2023 data collection year.

2024年9月18日 · V28 focuses on the severity, rather than the number, of medical conditions and uses a constraining process where related HCCs are given the same coefficients. This is intended to capture more complete and accurate data for patients with chronic conditions.