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Analysis and news for medical coding professionals

Regulatory changes, payment models, technology, and trends reshaping medical coding and the revenue cycle in the United States.

From the 2020 CMS-HCC model (V24) to the 2024 CMS-HCC model (V28): 86 to 115 payment HCCs, and from 9,797 to 7,770 ICD-10-CM codes inside the payment model

Risk adjustmentAugust 10, 202613 min read

CMS-HCC V24 vs. V28: what changed and why it matters

The V28 model redefines which diagnoses generate an HCC, reorganizes categories, and changes how clinical risk is represented. We look at the main changes and their impact on Risk Adjustment coding.

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A medical chart coding screen inside PractiEHR

Technology and AIAugust 10, 20266 min read

AI and medical coding: where professional judgment is still essential

Automation can already identify diagnoses and suggest codes. We review what is changing in the revenue cycle and why validation, clinical context, and compliance still require specialized knowledge.