From chaos to clarity: HCC 2026 and RADV CMS's new era of risk adjustment | IMO Health

HCC v28, RADV audits, and Medicare Advantage risk adjustment are converging in 2026 – raising the stakes for documentation, compliance, and reimbursement. In this fireside chat, IMO Health’s June Bronnert (VP, Global Clinical Services) and David Green (Business Development Executive) join moderator Katia Arteaga to break down what the full shift to HCC v28 means, how RADV is evolving, and practical steps payers and providers can take now to mitigate audit risk and protect revenue. You’ll hear how ICD-10-CM – based modeling changes condition groupings, why proactive mock audits, timely medical record retrieval, and tighter payer–provider collaboration matter, and where AI at the point of care can boost specificity and close documentation gaps. We also discuss using the problem list as a living “source of truth,” applying the MEAT/MEET documentation framework, and building workflows that surface the right evidence inside the EHR – without adding burden to clinicians. If you’re planning for 2026 submissions or preparing for look-back RADV activity, connect with our team to see how IMO Health can help streamline documentation, improve specificity, and support cleaner files. ______________________________________ About IMO Health IMO Health is a clinical data intelligence business at the heart of a digital revolution in healthcare. Combining rich, highly nuanced medical terminology, extensive domain knowledge, and artificial intelligence (AI), we expertly structure and operationalize clinical data to generate sharper insights and inform more intelligent decision-making. Deeply embedded in the provider world, we developed a comprehensive intelligence layer that captures and encodes patient encounters with unmatched completeness and precision. Now, by weaving ethical and accountable AI into this robust content, we are improving how data is used across the healthcare landscape with powerful new applications in health tech, drug discovery, population health, and payer processes. Visit our website: https://www.imohealth.com/