Navigating CMS PY2027 Chart Review Linkage Requirements

CMS has finalized a rule that changes how diagnoses from chart review records are counted toward risk scores starting Payment Year 2027. If a Chart Review Record is not linked to a valid encounter, the diagnosis will be excluded — full stop.

With an estimated $7.2 billion industry-wide impact, this is one of the most consequential risk adjustment changes in years. Most plans are still assessing their exposure.

Join us for a focused 35-minute session built for risk adjustment, coding, and compliance teams — not a regulatory recap, but an operational playbook you can act on immediately.

What we'll cover:

• What CRR linkage now requires under the final PY2027 rule

• How audio-only telehealth diagnoses (Modifier 93/FQ) are also excluded

• How to measure your revenue exposure at the HCC and vendor level

• How to prioritize and align encounters, CRRs, and vendors before cutoff

Not a regulatory recap — an operational session for teams that need to act now.