V24 to V28 Transformation
September 2025 Medicare Advantage Payments
What Plans Need to Know (Without the Headache)
August 30, 2025
Clinical Judgment Still Reigns
Hypertension and Related Conditions in Risk Adjustment
June 11, 2025
Risk Adjustment Alert
Obesity, Malnutrition & Frailty Now Demand Clinical Validation
June 9, 2025
Key Changes and Tips in V28
Why V28 HCC Coding Demands Sharper Clinical Precision
Spotlight on Risk Adjustment
The Eight High-Risk Conditions Every MAO Must Watch
August 15, 2025
Why HCCs Must Reflect Active Condition Management
V28 HCC Coding for Heart Failure
Why EF and Specificity Matter
CMS-HCC V28
Phased Implementation, RAF Impacts, and Major Coding Shifts
Every Diagnosis Counts
Know Why Even Small RADV Errors Can Cost Big
August 6, 2025
Infectious Diseases Still Count in Risk Adjustment
TB and Hepatitis C Remain Relevant
Chronic Conditions Must Show Active Management
These conditions remain risk-adjusting—but coding alone isn’t enough in Risk Adjustment
