Impact of V28 Model to HCC Coding and Benchmarks

Join me April 27th for a live 20-minute webinar - "Impact of V28 Model to HCC Coding" Register Here

V28 Model impact includes:

• Removal of 2,294 diagnosis codes that no longer map to a payment HCC.
• Addition of 268 diagnosis codes that did not map to a payment CMS-HCC in V24.
• ACOs must get a plan in place to update their V28-specific HCC gap closure strategy now to be successful.
• Potential implications to PY 2024 early renewal and track decisions may result as V28 changes the weighting of specific disease groups and provider screening for HCC recapture rate readiness and specialist engagement will be imperative.
• Under V28, coding efforts around cardiology, oncology and nephrology are rewarded with higher coefficients.?For example, the Chronic Kidney Disease coefficients have been increased and differentiated further depending on severity resulting in a positive impact for ACOs.?

Point of Care Solution

A point of care solution for the recapture of recurring chronic conditions coded in the prior year is critical for 2023 and forward.

Join me April 27th for a live 20-minute webinar - "Impact of V28 Model to HCC Coding" Register Here

Kris Gates, [email protected]