V28 Beyond the 2026 Transition: What Does It Mean for Your Risk Adjustment Program?

The transition is complete. The audits are already here.

The V28 transition is done. CY 2026 is the first plan year under the fully implemented model. No more blended weights. No more transition cushion. Every diagnosis submitted now is being scored under V28 in full, and audited under V28 in full.

For most plans, the transition got the attention. What comes after didn’t.

But after is where the audits live. In March 2026 alone, three OIG audits hit error rates of 81-91% on high-risk diagnoses, with many findings tied directly to V28 specificity gaps that plans assumed they had closed.

This webinar breaks down what the completed V28 transition actually means for your coding, compliance, and audit posture, and what to fix before reviewers find it for you.

You’ll walk away with:

  • What the completed V28 transition means for your 2026 coding and compliance posture

  • Which V28 specificity standards auditors are now enforcing in the field

  • How recent OIG audit findings map directly to V28 documentation gaps

  • Why “history of” coding, problem-list drift, and copy-forward errors compound under fully live V28

  • The questions every RA leader should be asking their coding team this quarter

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Panelists

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Wynda Clayton, MS, RHIT – Lead Presenter

Director of Risk Adjustment Coding & Compliance

Wynda was a RADV auditor when the program first started and maintains close contact with current CMS auditors. She brings a unique perspective on how CMS reviews documentation and what V28 specificity standards mean for audit defense in 2026 and beyond.

CAT VALYI

Cat Valyi – Moderator

Senior Marketing Consultant

Cat Valyi is a seasoned B2B healthcare marketing strategist with over 30 years of experience and the creator of the 3D Strategic Marketing Approach. She’s also a speaker, podcast host, and founder of CV Strategic Marketing Solutions, helping healthcare organizations grow through clear, results-driven marketing.

Who Should Attend

At organizations including Medicare Advantage plans, ACA health plans, ACOs, value-based provider groups, and third-party administrators

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