Medicare AdvantageDocumentationHigh impact
23-909 Join Us for a Webinar on CMS Risk Adjustment Model Changes
Health Net·CA·Coding
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
CMS is implementing a new Medicare Advantage risk adjustment model (v28) with a three-year phased approach starting in 2024, replacing the current v24 model. This affects how HCC codes are used for risk adjustment, with new categories being added and others deleted, impacting documentation and coding requirements for Medicare Advantage patients.
Action Required
By August 16-18, 2024: Providers and billing staff should attend the CMS-HCC Risk Adjustment webinar (Wednesday 3-4 PM PT or Friday 8-9 AM PT) to learn about new HCC model v28 changes. Register through provided links or access recorded training online. Review new HCC categories being added/deleted and update documentation practices to ensure accurate patient health status coding for Medicare Advantage risk adjustment.