Medicare AdvantageDocumentationMedium impact
The 2024 EmblemHealth Risk Adjustment Program for PCPs Is Underway
EmblemHealth·NY · Family Medicine, General Practice, Internal Medicine·Provider News
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
EmblemHealth's 2024 Risk Adjustment Program for PCPs is now active through Dec 31, 2024, focusing on accurate coding and documentation for chronic conditions in NY State of Health, Medicare Advantage HMO, and Medicaid members. PCPs can receive additional reimbursement by completing provider alerts and submitting progress notes through Veradigm's Collaborate Provider Portal.
Action Required
Throughout 2024: Primary care providers must maintain accurate medical records and claims coding for all NY State of Health, Medicare Advantage HMO, and Medicaid members with chronic conditions. Access Veradigm's Collaborate Provider Portal through emblemhealth.com/providerportal to complete provider alerts and submit progress notes for additional reimbursement. Register for monthly educational webinars to improve documentation and coding accuracy.