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Provider Education

At JHHC, provider education plays a core role in our collaborative relationship with the facilities and practices in our network. The training presentations below supply relevant and timely information to providers and staff about the health plans we offer at JHHC.

The training presentations give an overview of JHHC and our individual product lines as well as providing updated information on changes and additions to our plans. The presentations also outline the claims, referral, and appeals processes, and lists important numbers and resources for provider inquiries and support.

eviCore

JHHC eviCore Lab Management Program Orientation Adv MD
JHHC evICore Lab Management FAQs Adv MD and PP
JHHC eviCore Lab Management Provider Orientation Presentation PP
JHHC eviCore Lab Management Provider FAQs PP
JHHC eviCore Lab Management Program Expansion Adv MD and PP
JHHC eviCore Radiology and Advanced Cardiac Imaging FAQs Adv MD and PP
JHHC eviCore Radiology and Cardiac Imaging Provider Orientation Presentation Adv MD and PP
JHHC eviCore Post-Acute Care QRG Adv MD and PP
JHHC eviCore Post-Acute Care FAQ  Adv MD and PP
JHHC eviCore Post-Acute Care Utilization Management Program Adv MD and PP
JHHC eviCore Specialized Musculoskeletal Therapies PT OT FAQ Adv MD and PP
JHHC eviCore Provider Orientation Musculoskeletal Management Adv MD and PP
JHHC eviCore Physical Therapy & Occupational Therapy Adv MD and PP
JHHC eviCore Pain Joint Spine FAQ Adv MD and PP
JHHC eviCore Pre-Cert form SNF LTAC IRF
JHHC eviCore Concurrent Review Authorization Form

JHHC Provider Education

JHHC Monthly Provider Orientation - All Product Lines
JHHC NovoLogix Prior Authorization Training for Providers
Provider Education Presentation - All Product Lines
Advantage MD Provider Education Presentation
Advantage MD Provider Education Presentation - D-SNP (HMO)

EHP Provider Education Presentation
Priority Partners Provider Education Presentation
USFHP Provider Education Presentation

ProgenyHealth

ProgenyHealth Provider Education Presentation - All Product Lines
ProgenyHealth Provider Education Presentation (Fact Sheet) - All Product Lines

Required Cultural Competency Training 

Cultural competency training is a requirement for participating providers in the JHHC network: Johns Hopkins Advantage MD, Johns Hopkins Employer Health Programs (EHP), Priority Partners, and Johns Hopkins US Family Health Plan (USFHP).

As a health care provider contracted by JHHC, our expectation is for you and your staff to gain and continually deepen your knowledge of, and ability to support, the values, beliefs and needs of diverse cultures.

This results in effective care and services for all people by taking into account each person’s values, experiences and linguistic needs.

By enhancing the cultural competency of your workforce, together, we can:

  • Improve the quality of patient-care delivery and health outcomes
  • Increase member satisfaction
  • Provide greater access to services

HHS offers A Physician's Practical Guide to Culturally Competent Care, a free, online educational program accredited for physicians, physician assistants, and nurse practitioners. This guide is available at the HHS website. The HHS website offers CME/CE credit and equips health care professionals with awareness, knowledge, and skills to better treat the increasingly diverse U.S. population they serve.

 

After completing the training, please fax a copy of your certificate to 410-424-4604.

Job Aids

Process for Authorization Requests to a Skilled Nursing Facility (SNF)
Optum Claim Edit System (CES)

HealthLINK Job Aids

Provider Clinical Appeal Submission Web Form
Johns Hopkins Prior Authorization Lookup Tool (JPAL)
Provider Payment Dispute Web Form in HealthLINK

Checking Patient Eligibility in HealthLINK

 
 

View instructions via pdf

Submitting a Claim in HealthLINK

 
 

View instructions via pdf

Reviewing Claim Status in HealthLINK

 
 

View instructions via pdf

Reviewing Authorization Status in HealthLINK

 
 

View instructions via pdf