How 2024 Will Impact HCC Coding and Risk Adjustment

Amy Pritchett, HCC Coding/Auditing & Education Services, Pinnacle.

2023-07-18

  • Review Proposed Changes for Medicare Advantage Plans in 2024

  • Discuss the change from Version 24 to Version 28 and the impact on Risk Adjustment Calculation Methodology

  • Explain how Fee-for-Service will be impacted by the changes

  • Provide examples of how the change will affect Risk Adjustment Factor (RAF) Scoring

  • Review numerous examples of how the change from Version 24 to Version 28 will affect Condition Counts along with Disease Interaction and Coefficients

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