Medicare AdvantageDocumentationMedium impact
The 2023 EmblemHealth Risk Adjustment Program for PCPs Is Underway
EmblemHealth·NY · Family Medicine, General Practice, Internal Medicine·Provider News
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
EmblemHealth's 2023 Risk Adjustment Program is active through December 31, 2023, requiring PCPs to maintain accurate documentation and coding for chronic conditions in NYSOH Marketplace, Medicare HMO, and Medicaid members. Providers can earn additional reimbursement by completing provider alerts and submitting progress notes through Veradigm's Collaborate Provider Portal.
Action Required
By December 31, 2023: PCPs must ensure accurate medical record documentation and claims coding for all chronic conditions in EmblemHealth NYSOH Marketplace, Medicare HMO, and Medicaid members. Register for monthly Veradigm webinars through the secure provider portal. Complete provider alerts and submit progress notes in Veradigm's Collaborate Provider Portal for additional reimbursement opportunities. Contact Veradigm Customer Support at 800-877-5678 option 7 for portal access assistance.