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The CMS HCC V28 Coding Mistakes That Cost Health Plans Millions (And How to Fix Them)
CMS HCC V28 has been fully implemented, yet many health plans are still losing millions due to persistent coding and documentation mistakes. Despite updated systems and coder training, internal audits and early RADV findings continue to reveal errors in high-impact areas such as diabetes, chronic kidney disease staging, malnutrition severity, pressure ulcer documentation, and vascular disease specificity. This article breaks down the most common CMS HCC V28 coding mistakes driving revenue loss and audit risk—and explains the practical operational fixes health plans must implement to protect risk scores and remain compliant under the new model.