White Papers

CMS Medicare Risk Adjustment – CY2017 Final Announcement & Call Letter

On April 4th, 2016, CMS released the Medicare Risk Adjustment Final Announcement and Call Letter for the Calendar Year 2017.

This release updates the Advance Notice of February 22, 2016, and indicates what changes of adjustments CMS has decided to make for the year.

The Final Announcement details Medicare Parts C & D. As noted, these details are in effect for Payment Year 2017, which reflects dates-of-service in 2016.

CMS states they will keep the same HCC’s and diagnoses for the CMS-HCC model. However, important changes have been made regarding CMS-HCC segmentation.


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