Epic 2026 Risk Adjustment Framework compliance

hotdamazonhotdamazon
in CDI Expansion

Hi All,

Has anyone done a deeper analysis on the updated Epic 2026 Risk Adjustment Framework alongside the current 2022 and proposed 2026 ACDIS/AHIMA Guidelines for Achieving a Compliant Query Practice?

Curious how teams are:

  • Aligning Risk Adjustment Framework CMS-HCC capture with compliant query practices
  • Applying ACDIS/AHIMA guidelines for technology-driven queries in Risk Adjustment Framework workflows
  • Optimizing Epic build/workflows for the Risk Adjustment Framework to align with non-leading query standards
  • Balancing complete capture with compliance

Would love to hear any insights or lessons learned. Thanks!

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