Advanced MRA
Mastering CMS HCC Model V24 to V28 Transition
Course Overview
Building on CMS's transition from HCC Model V24 to V28, this course integrates business, clinical, operational, and compliance perspectives so that physicians, coders, CDIs, and practice leaders can document care accurately, capture valid risk, and sustain quality-driven revenue. The structure follows the week-by-week format of our Introductory MRA course while weaving in a deeper, change-management focus and the most recent transition guidance.
Building on foundational MRA knowledge, this advanced course addresses CMS's transition from HCC Model V24 to V28. It integrates business, clinical, operational, and compliance perspectives to help healthcare teams document care accurately, capture valid risk, and sustain quality-driven revenue in today's evolving value-based care environment.
What You'll Learn
- How HCC Model V28 differs from V24—and what it means for your practice
- Documentation of chronic conditions using advanced MEAT methodology
- Identification of frequently missed, high-value diagnoses
- Integration of clinical and operational workflows for accurate risk adjustment
- Development of audit, education, and mentorship processes
- Leadership strategies for sustaining performance in risk-adjusted environments
Who Should Take This Course
Ideal for primary care providers, CDI specialists, coders, office managers, medical assistants, and clinical documentation professionals who have foundational MRA knowledge and want to deepen their expertise with the latest V28 model guidance.
Why It Matters
As CMS transitions from HCC Model V24 to V28, practices must adapt their documentation and coding strategies. This course provides the advanced knowledge and change-management tools needed to maintain compliance, optimize risk capture, and sustain revenue in the new model.
Course Details
- Total Time25-30 hours
- Assessments6 Comprehension Checks
- Format100% online and self-paced
- ApplicationPractical approach for immediate application
Start anytime
Self-paced learning
Course Modules
HCC Model V24 to V28 Transition
Understanding the key differences between HCC Model V28 and V24, and what the transition means for your practice.
Advanced MEAT Documentation
Deeper application of MEAT (Monitor, Evaluate, Assess, Treat) methodology for chronic condition documentation.
High-Value Diagnosis Identification
Identification and capture of frequently missed, high-value diagnoses that impact risk adjustment.
Clinical-Operational Workflow Integration
Integration of clinical and operational workflows for accurate and sustainable risk adjustment.
Audit, Education & Mentorship Processes
Development of robust audit, education, and mentorship processes to ensure ongoing compliance and quality.
Leadership for Risk-Adjusted Environments
Leadership strategies for sustaining performance in risk-adjusted, value-based care environments.
Course Developer
Lynda Dilts-Benson
Ms. Benson, a Registered Nurse licensed in New York since 1982, has worked across nearly every sector of the healthcare continuum and currently holds certifications in Case Management and Risk Coding. For the past 18 years at Access Health Care, she has served as Chief Compliance Officer, Chief Quality Officer, and as Education Director/Chief Learning Officer. She was instrumental in launching Optimum Healthcare Medicare Advantage and Integral Healthcare ACO, creating policy manuals, leading quality initiatives, and authoring numerous staff and patient education modules. She also co-authored two books on Compliance and Medicare Risk Adjustment and, over the past few years, has served as Program Director for the MSc in Healthcare Management program at Vedere University.
Frequently Asked Questions
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