EmblemHealth works with Veradigm to promote risk adjustment education and gap closure efforts for EmblemHealth members. The 2024 EmblemHealth Risk Adjustment Program for Primary Care Providers (PCPs) is underway and runs from Jan. 1, 2024, through Dec. 31, 2024.
We encourage our PCPs to maintain accurate medical records and claims coding to capture the complete health status of all NY State of Health (The Official Health Plan Marketplace) members, Medicare Advantage HMO members, and Medicaid members.
The risk adjustment program is designed to help our PCPs identify members with chronic conditions who require an annual evaluation. The program also supports correct coding and documentation of the severity of their condition.
EmblemHealth needs evidence of ongoing care to support accurate reimbursement for government programs. As a bonus, PCPs who also complete a compliant provider alert and provide the supporting progress note(s) in Veradigm’s Collaborate Provider Portal can receive additional reimbursement.
Veradigm offers a series of free, 60-minute monthly webinars. Each session is followed by a question-and-answer period. We recommend that you and your staff take advantage of this educational opportunity. You may register for the monthly webinars through the secure provider portal or on our Veradigm webinar page.
Webinars are held on Tuesdays and Thursdays in the morning and afternoon to accommodate all schedules. Here are the March, April, and May topics:
- March 26 and 28: Give Yourself a Break: Coding for Orthopedic Conditions.
- April 23 and 25: Take a Deep Breath: Coding and Documentation for the Most Common Pulmonary Conditions.
- May 28 and 30: From the Heart: Coding and Documentation for Cardiovascular Conditions.
2024 Collaborate Provider Portal
Collaborate is a web-based tool that supports improvements in documentation, quality, and risk score accuracy. PCPs can visit Veradigm’s Collaborate Provider Portal via the EmblemHealth provider portal at emblemhealth.com/providerportal. See instructions for using the Veradigm Collaborate portal.
If you are interested in learning more about how you can view Veradigm’s provider resources and webinars, contact Veradigm’s Customer Support team at 800-877-5678 option 7 from 8 a.m. to 8 p.m., Monday through Friday or at support@veradigm.com.
JP 64940 03/2024
