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Portal for Medicare, Medicaid and ACA Risk Adjustment Needs

Home
About
Who We Serve
Payers - Medicare Advantage
Payers - Marketplace
Providers
ACOs
Our Solutions
Risk Adjustment Platform
Risk Adjustment - Retrospective & Prospective
Consulting
Knowledge Base
Risk Adjustment
V24 to V28
EDI 101
EDPS 101
Resources
Blog
Contact Us
  • Knowledge Base
  • Risk Adjustment
  • V24 to V28
  • EDI 101
  • EDPS 101
  • Resources

V24 to V28 Transformation

Mental & Behavioral Health Risk Adjustment

A Brief of Major Changes Under V28

August 20, 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

June 9, 2025

Cancer with Metastasis

V28’s Impact on RAF Scores

June 27, 2025

Clinical Judgment Still Reigns

Why HCCs Must Reflect Active Condition Management

June 9, 2025

V28 HCC Coding for Heart Failure

Why EF and Specificity Matter

June 9, 2025

CMS-HCC V28

Phased Implementation, RAF Impacts, and Major Coding Shifts

June 9, 2025

Precision Pays

How Specific Diabetes Complications Improve RAF Scores Under CMS’s New Model

June 19, 2025

Infectious Diseases Still Count in Risk Adjustment

TB and Hepatitis C Remain Relevant

June 9, 2025

Chronic Conditions Must Show Active Management

These conditions remain risk-adjusting—but coding alone isn’t enough in Risk Adjustment

June 9, 2025

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