How Coding Accuracy Matters More Under CMS HCC V28

The full implementation of CMS HCC Version 28 in 2026 marks a critical shift in Medicare risk adjustment. As CMS moves away from older models, many commonly coded diagnoses will no longer contribute to RAF scores unless supported by stronger clinical documentation and specificity.

Healthcare organizations that fail to align CDI programs, provider education, and coding audits with V28 guidelines may experience reduced RAF scores and reimbursement pressure. Early preparation allows teams to identify documentation gaps, adjust workflows, and maintain accurate risk capture under the new model.

This transition is not just a coding change — it requires a strategic approach to documentation, compliance, and revenue protection.

Read the complete guide and preparation roadmap:
🔗 https://chirokhealth.com/blog/cms-hcc-v28-model-raf-score-drop-2026/?ref=fullpromo3