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Maryland Payers Billing Guidelines

Johns Hopkins​

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Document Title	Date Document Added	Expiration	Source
Johns Hopkins-advmd-premier-termination.pdf​	Oct 1, 2024​	​	​Payer
​ John Hopkins-eprep-primer.pdf​​	​ Oct 1, 2024	​	​Payer
​John Hopkins prup447-inpatient-reimb-policy-notice-eff-10-18-24.pdf (hopkinsmedicine.org)​	​Sep 1, 2024	​	​Payer
​ John Hopkins prior authorization lab codes changes for priority partners​​	Sep 1, 2024​	​	​Payer
​John Hopkins providerpulse-summer-2024.pdf (hopkinsmedicine.org)​​	​Aug 1, 2024	​	​Payer
​John Hopkins Change Healthcare Cybersecurity Incident (hopkinsmedicine.org)​	​Jun 27, 2024	​	Johns Hopkins
​John Hopkins reason-code-required-on-adjusted-claims.pdf (hopkinsmedicine.org)​	​Jun 25, 2024	​	​Johns Hopkins
​ John Hopkins Newsletter provider-pulse-spring-2024.pdf (hopkinsmedicine.org)​	​Jun 25, 2024	​	​ Johns Hopkins
​John Hopkins Provider Payments prup432-pnc-echo-pmts-advmd-usfhp.pdf (hopkinsmedicine.org)​​	​Jun 25, 2024	​	​Johns Hopkins
​JHHP New Process for Authorization Status - Availity​​	​May 26, 2024	​	​Johns Hopkins
​JHHP New & Updated Reimbursement Policies ​​	​May 26, 2024	​	​Johns Hopkins
​​JHHP Provider claims and payment updates ​	Apr 29, 2024		​Johns Hopkins
​John Hopkins Prior Authorization Drug List​	​Mar 30, 2024		​Johns Hopkins
​​John Hopkins Behavioral Health Services​	​Mar 30, 2024		​Johns Hopkins
​John Hopkins Reminder to Update Demographic data​​	​Mar 30, 2024	​	​Johns Hopkins
​JHHC New CPT Requiring prior Authorization​	Feb 28, 2024		​Johns Hopkins
​ JHHC Recent code changes for USFHP​	​Feb 28, 2024		​ Johns Hopkins
​JHHC 2024 Behavioral Health Services Requirements and Audit Process​	Feb 28, 2024	​	​Johns Hopkins
​​ JHHC Reimbursement Policies -eff-2-1-24.pdf (hopkinsmedicine.org)​	​Jan 28, 2024	​	​Johns Hopkins
​​JHHC Reimbursement-Policy-Notification-12-30-23.pdf (hopkinsmedicine.org)​	Dec 22, 2023		​Johns Hopkins
​ JHHC overpayment-address-reminder.pdf (hopkinsmedicine.org)​	​Dec 22, 2023	​	​ Johns Hopkins
​JHHC quarterly-changes-reminder.pdf (hopkinsmedicine.org)​	​Dec 22, 2023	​	​Johns Hopkins
​John Hopkins provider notice​​	​Nov 30, 2023	​	​Johns Hopkins
​Johns Hopkins Quality Measure Toolkit (hopkinsmedicine.org)​​	​Oct 27, 2023	​	​Johns Hopkins
​JHHC Recent changes to COVID-19 Coverage for USFHP .pdf ​	Jul 31, 2023​	​	​Johns Hopkins
​JHHC Balance transfers from MC400 to Facets.pdf ​​	​Jul 31, 2023	​	​Johns Hopkins
​JHHC John Hopkins Healthcare becomes Johns Hopkins Health Plans.pdf ​	​Jul 31, 2023	​	​Johns Hopkins
​JHHC New CPT and HCPCS Code for Advantage MD and USFHP Requiring Prior Authorization​	Jun 30, 2023		Johns Hopkins
​JHHC Changes and Additions to the Gender Affirming Treatment Medical Policy​	May 31, 2023​	​	​Johns Hopkins
​JHHC New Reimbursement Policy_venipuncture_reminbursement.pdf (hopkinsmedicine.org)​​	​May 31, 2023	​	​Johns Hopkins
​JHHC New Prior Authorization Requirements for Certain Provider-Administered Medications​	​Apr 15, 2023	​	​Johns Hopkins
​​JHHC Upgrade to JPAL Prior Authorization Tool​	​Apr 15, 2023	​	​Johns Hopkins
JHHC Redetermination for Priority Partners Members​	Apr 15, 2023		Johns Hopkins
​ JHHC New CPT and HCPCS Codes Requiring Prior Authorization​	​ Mar 29, 2023	​	​Johns Hopkins
​ New CPT Codes and HCPCS Codes for USFHP requiring prior Authorization for effective Feb 13​	Feb 22, 2023​	​	​Johns Hopkins
​ New CPT Codes for Advantage MD Requiring Prior Authorization​	​Feb 22, 2023	​	​ Johns Hopkins
​ New CPT Codes requiring prior Authorization for Priority Partners​	​Feb 22, 2023	​	​ Johns Hopkins
​ Reminder: Updated Priority Partners Forms for Newborn notification and PCP change Requests​	​Feb 22, 2023	​	​ Johns Hopkins
​EHP Behavioral Health Claims Payments​	​Feb 22, 2023	​	​Johns Hopkins

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