The 2021 EmblemHealth Risk Adjustment Program for Primary Care Practitioners (PCPs) is Underway (January 1, 2021 through December 31, 2021).
EmblemHealth has continued to partner with Pulse8™ to promote risk adjustment education and gap closure efforts for our New York State of Health (NYSOH) Marketplace, Medicare HMO and Medicaid members. The process of risk adjustment relies on providers’ accurate medical record documentation and claims coding to capture the complete health status of each patient. To help raise awareness about the risk adjustment process, Pulse8 is offering free, 60-minute monthly webinars, each session followed by a question-and answer period. We encourage you and your staff to take advantage of this educational opportunity. You may register for Pulse8’s monthly webinars through the secure provider portal or on our website here.
Collabor8™ Provider Portal
Once in the EmblemHealth provider portal, you will have access to Pulse8’s Collabor8, a
web-based tool that supports improvements in documentation, quality, and risk score accuracy. By submitting a claim to EmblemHealth and completing a compliant Provider Alert along with the supportive progress note(s) in Collabor8, you can receive additional reimbursement.
Here is what one of our valued network provider says about the Pulse8/Collabor8 program:
“The Collabor8 portal is super easy to use. Its simple and straightforward functionality requires very little time to train staff.
The diagnosis codes and conditions for consideration are clear. Providing both the ICD-10 code and description of the condition category allows for quick review of patient records and query to provider, if needed.
The PDF format for submission of supporting documents is convenient and simple. The interface uploads each PDF in a snap and without fail. It is very impressive as many other portals struggle with this functionality.”
If you are interested in learning more about how you can access Pulse8’s provider resources and webinars, please contact Pulse8’s Customer Support team Monday through Friday, 8 am to 8 pm at 844-8PULSE8 (844-878-5738) or mail to firstname.lastname@example.org.