Guide

HCC evolution: Preparing for the shift from Version 24 to Version 28

Read time: 7 minutes

Summary

In March 2023, the Centers for Medicare & Medicaid Services (CMS) unveiled substantial modifications to the Hierarchical Condition Categories (HCC) model, a transition that will span three years beginning in 2024.

This announcement has prompted healthcare organizations nationwide to focus on understanding the changes, evaluating their financial implications, and creating strategies to effectively navigate this significant shift.

In this guide to the transition from HCC Version 24 to Version 28, June Bronnert, IMO coding expert and VP of Global Clinical Services:

  • Reviews the basics of HCCs and their purpose in healthcare
  • Explains CMS’s reasons for evolving the model and key changes to be aware of
  • Outlines challenges and strategies for managing the switch

Who It's For

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