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Advance Possibility

Streamlining Healthcare Coding and Enhancing Revenue Forecasting in the Face of the CMS-HCC V28 Model Transition

healthcare coding
December 10, 2023

Shortly after the version 28 of the Hierarchical Condition Category (HCC) model was announced, Episource engaged with a diverse group of small- to medium-sized health plan clients facing the challenge of transitioning to the newly blended V24-V28 model. Since the average risk score decrease expected with this blended model is 3.56% in CY 2024, we helped these organizations adapt to the latest coding methodologies for risk adjustment and revenue forecasting.

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