Clinical Insights - Risk Adjustment Model
Mental & Behavioral Health Risk Adjustment
A Brief of Major Changes Under V28
September 2, 2025
Clinical Judgment Still Reigns
Hypertension and Related Conditions in Risk Adjustment
March 21, 2025
Risk Adjustment Alert
Obesity, Malnutrition & Frailty Now Demand Clinical Validation
December 18, 2024
Key Changes and Tips in V28
Why V28 HCC Coding Demands Sharper Clinical Precision
August 12, 2024
Cancer with Metastasis
V28’s Impact on RAF Scores
July 28, 2025
Why HCCs Must Reflect Active Condition Management
February 19, 2025
V28 HCC Coding for Heart Failure
Why EF and Specificity Matter
November 4, 2024
CMS-HCC V28
Phased Implementation, RAF Impacts, and Major Coding Shifts
June 9, 2024
Precision Pays
How Specific Diabetes Complications Improve RAF Scores Under CMS’s New Model
May 14, 2025
Infectious Diseases Still Count in Risk Adjustment
TB and Hepatitis C Remain Relevant
January 3, 2025
Chronic Conditions Must Show Active Management
These conditions remain risk-adjusting—but coding alone isn’t enough in Risk Adjustment
September 17, 2024
