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The 2027 Claims Linkage Deadline: Why Medicare Advantage Plans Must Act Now or Risk Losing Risk Adjustment Revenue
A Revenue Integrity Series I Paper No. 3 A policy change buried in CMS's April 6, 2026, Calendar Year 2027 Medicare Advantage Rate Announcement carries one of the most consequential revenue implications for MA plans in recent memory - and most organizations have not yet begun to respond to it. Beginning in Calendar Year 2027, CMS is finalizing the exclusion of diagnoses derived from unlinked chart review records (CRRs) from risk score calculations. In plain language: if you
Francisco Izquierdo
Sep 157 min read
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