The Encounter Linkage Problem That Will Cost Plans Billions Starting in 2027
The 85% Failure Rate Nobody Talks About CMS’s CY 2027 Final Rate Announcement, published April 6, 2026, included a data point that should alarm every plan relying on unlinked chart review diagnoses for risk score. Of the 88.8 million chart review reconciliation (CRR) diagnoses submitted in 2023, 85% couldn’t be matched to encounters. That’s roughly … Read more