Provider Education
At Johns Hopkins Health Plans, 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 Johns Hopkins Health Plans.
The training presentations give an overview of Johns Hopkins Health Plans 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.
Training Materials
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- eviCore Lab Management Program Orientation Adv MD
- evICore Lab Management FAQs Adv MD and PP
- eviCore Lab Management Provider Orientation Presentation PP
- eviCore Lab Management Provider FAQs PP
- eviCore Lab Management Program Expansion Adv MD and PP
- eviCore Radiology and Advanced Cardiac Imaging FAQs Adv MD and PP
- eviCore Radiology and Cardiac Imaging Provider Orientation Presentation Adv MD and PP
- eviCore Post-Acute Care QRG Adv MD and PP
- eviCore Post-Acute Care FAQ Adv MD and PP
- eviCore Post-Acute Care Utilization Management Program Adv MD and PP
- eviCore Specialized Musculoskeletal Therapies PT OT FAQ Adv MD and PP
- eviCore Provider Orientation Musculoskeletal Management Adv MD and PP
- eviCore Physical Therapy & Occupational Therapy Adv MD and PP
- eviCore Pain Joint Spine FAQ Adv MD and PP
- eviCore Pre-Cert form SNF LTAC IRF
- eviCore Concurrent Review Authorization Form
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- Monthly Provider Orientation - All Product Lines
- 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)
- Advantage MD Provider Education Presentation - HMO Select
- EHP Provider Education Presentation
- Priority Partners Provider Education Presentation
- USFHP Provider Education Presentation
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Cultural competency training is a requirement for participating providers in the Johns Hopkins Health Plans 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 Johns Hopkins Health Plans, 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