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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
Submitting a Claim in HealthLINK
Reviewing Claim Status in HealthLINK
Reviewing Authorization Status in HealthLINK
Log in to your HealthLINK account to view information on your EHP/Priority Partners/Advantage MD patients.
Log in to your HealthLINK account to view information on your USFHP patients.
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