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Dementia’s Hidden Impact on RAF Scores:

A Practical Guide for Value-Based Care 

Alzheimer’s dementia affects more than 11% of adults over 65, but only a fraction ever receive a formal diagnosis. The result: patients miss timely interventions, RAF scores don’t reflect true risk, and systems shoulder the cost. 

This gap is both a clinical and financial liability - especially as CMS-HCC V28 raises the bar for specificity, accuracy, and compliance. 

This guide explores how precise detection and coding can elevate care quality, improve RAF accuracy, and protect financial performance under V28.

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Your Roadmap to Turning Dementia Detection Gaps into Value-Based Gains

Practical strategies for balancing risk capture and quality care. 

  • How dementia complicates other chronic conditions and inflates care needs
  • What V28 means for dementia coding vs. V24, and how to adapt quickly
  • Compliance pitfalls to avoid in dementia documentation
  • The financial case for early detection, with real-world cost savings scenarios
  • Real-world example of how a primary care group is using digital cognitive assessment in AWVs for more accurate risk capture
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Tools and Insights You Can Immediately Put to Work
chart and checklist

Charts and Checklists

Breakdowns that show how coding has evolved and what CMS auditors look for in documentation

cost impact

Cost Impact Scenarios

Analysis of early vs. delayed dementia detection with itemized per-patient annual cost differences

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Coding Examples

Sample notes showing compliant, specific capture of mild, moderate, and severe dementia 

See How Stronger Dementia Detection Can Strengthen Your Value-Based Strategy 

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