Summary
Join us as we deep dive into CMS’s proposed 2027 Medicare Advantage and Part D updates. These changes introduce new limits on chart review diagnoses, updates to CMS-HCC and RxHCC models, and increased scrutiny on payment accuracy.
As a result, health plans and providers will face growing pressure to ensure accurate, encounter-based documentation and coding. In this session, industry experts will break down what’s changing, what it means for your organization, and how to strengthen documentation, coding, and data practices to support compliant, accurate reimbursement in a more demanding regulatory environment.
Objectives:
Understand CMS’s 2027 Medicare Advantage and Part D policy changes and their impact on risk adjustment, reimbursement, and chart review practices
Identify how updates to CMS-HCC and RxHCC models affect documentation, coding, and compliant risk capture at the point of care
Apply strategies to strengthen documentation accuracy and clinical data quality to support defensible risk adjustment and payment integrity
Featured speaker(s)
June Bronnert, MHI, RHIA, CCS, CCS-P
VP, Global Clinical Services
IMO Health
Sriam Talluri
Product Sales Director
IMO Health
