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HCC / Risk Adjustment (v28) Under the CMS-HCC Model v28 (effective for payment year 2026), Crohn’s disease and associated conditions map to the following Hierarchical Condition Categories: For Medicare Advantage patients with Crohn’s disease, annual risk adjustment requires recapture of HCC 35 (IBD) each calendar year
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Check whether the evidence concerns the actual product rather than a related offering. Look for relevant limitations in the full documentation.
Ask which time zone applies to the stated deadline. Confirm the deadline again if the arrangement has been amended.
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