This page addresses follow-up questions and additional information pertinent to our webinar
HCC Updates: The Change from Version 24 to Version 28.
** The coding information and guidance are valid at the time of publishing. Learners are encouraged to research
subsequent official guidance in the areas associated with the topic as they can change rapidly.

Q:  Are SDOH codes included in the current CMS HCC risk payment model?
A:  Currently social determinants of health are not included in the HCC payment model but there is talk this could be coming in the future.

Q:  Where can I find the CMS Final Rule files?
A:  When CMS releases their final rules, the files can be found on their website – CMS.gov. They have an entire page dedicated to Risk Adjustment so you can easily do a search and find everything in one spot.

Q:  You mentioned that the version 28 payment model applies to CMS-HCCs. Does the HHS-HCC model have the same number of HCC categories?
A:  No, the HHS-HCC payment model is different and from what I have seen, includes more HCC categories because more diagnoses not pertinent in the Medicare Advantage population are included. I believe there are about 127 HCC categories in that model.

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