SOUTH PLAINFIELD, NJ, UNITED STATES, January 16, 2026 /EINPresswire.com/ — As 2026 begins, healthcare leaders are no longer preparing for CMS-HCC V28, they are now ...
To attenuate the effects of diagnostic coding by Medicare Advantage (MA) plans—a practice that increases plan payments—beginning in 2024 the Centers for Medicare and Medicaid Services adjusted its ...
"Modifying the HCC model is not a simple technical update or revision," the AMGA says. CMS recently released proposed changes to the CMS-HCC Risk Adjustment Model for payment year 2024 in February, ...
Roughly two-thirds of Medicare’s improper payments 1 trace back to missing or insufficient documentation. For a decade, the industry’s answer has been to fix that downstream in the form of better ...
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