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Risk Adjustment Overview Risk Adjustment Data File Risk Adjustment Model Update Encounter Data Files Electronic Data Interchange Resources
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Risk Adjustment Models & Coding Precision

Navigating the 2025 RxHCC Risk Adjustment Model
Navigating the 2025 RxHCC Risk Adjustment Model

Key Updates and Implications

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RA Models & CodingSudeeksha KoricherlaOctober 15, 2025Comment
Key CMS HPMS Updates from Summer 2024
Key CMS HPMS Updates from Summer 2024

What You Need to Know

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RA Models & CodingSudeeksha KoricherlaOctober 15, 2025Comment
CMS Finalizes Medicare Part C UM Annual Submission
CMS Finalizes Medicare Part C UM Annual Submission

What MA plans need to know — and how to prepare for 2026 submissions

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RA Models & CodingSudeeksha KoricherlaOctober 4, 2025Comment
CY 2026 Risk Adjustment Update
CY 2026 Risk Adjustment Update

What Plans Need to Know

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RA Models & CodingSudeeksha KoricherlaSeptember 30, 2025Comment
Spotlight on Risk Adjustment
Spotlight on Risk Adjustment

The Eight High-Risk Conditions Every MAO Must Watch

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RA Models & CodingSudeeksha KoricherlaAugust 15, 2025Comment
CMS Reinstates 2012 CPT/HCPCS List for 2015 Risk Adjustment Reconciliation Rerun
CMS Reinstates 2012 CPT/HCPCS List for 2015 Risk Adjustment Reconciliation Rerun

What It Means for MAOs

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RA Models & CodingSudeeksha KoricherlaMay 1, 2025Comment
Why V28 HCC Coding Demands Sharper Clinical Precision
Why V28 HCC Coding Demands Sharper Clinical Precision

Key Changes and Tips

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RA Models & CodingSudeeksha KoricherlaApril 25, 2025Comment
Beneficiary-Level Risk Score Files
Beneficiary-Level Risk Score Files

CMS Releases Beneficiary-Level Risk Score Files to Support 2026 Part C Bids & ESRD Forecasting

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RA Models & CodingSudeeksha KoricherlaApril 11, 2025Comment
The Evolution of Risk Adjustment Eligible Procedure Codes
The Evolution of Risk Adjustment Eligible Procedure Codes

What Gets Dropped and Why It Matters

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RA Models & CodingSudeeksha KoricherlaMarch 28, 2025Comment
Understanding the Proposed Updates
Understanding the Proposed Updates

Proposed Updates for Part D Risk Scores for 2026

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RA Models & CodingSudeeksha KoricherlaJanuary 13, 2025Comment
Navigating Medicare’s Latest Data Updates
Navigating Medicare’s Latest Data Updates

Know What’s New in September 2024

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RA Models & CodingSudeeksha KoricherlaSeptember 11, 2024Comment
CMS Risk Adjustment Submission Deadlines
CMS Risk Adjustment Submission Deadlines

Whatever it is, the way you tell your story online can make all the difference.

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RA Models & CodingSudeeksha KoricherlaAugust 13, 2024Comment

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