otices from most recent P&T Formulary changes to current PER processing changes, and even CME event invitations. The published notifications are grouped respectively for: Provider Communication - Pharmacy Provider Communication - Physician

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Provider Staff Newsletter; keep you in the know about our newest programs, incentive opportunities, study results, and more. Volume 34 - Summer 2022 (PDF) Volume 33 - Fall 2021 (PDF) Volume 32 - Spring 2021 (PDF) Volume 31 - Fall 2020 (PDF) Volume 30 - Fall 2019 (PDF) Volume 34 - Winter 2022 (PDF) Volume 33 - Spring 2021 (PDF) Volume 32 - Winter 2021 (PDF) Volume 30 - Winter 2020 (PDF) Volume 29 - Spring 2019 (PDF) Volume 28 - Winter 2018 (PDF) Volume 27 - Summer 2018 (PDF)To access past Newsletters, please contact the Provider Relations Team at (909) 890-2054.You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.
CA 92324(909) 580-1000(909) 580-6308Barstow Community Hospital820 E Mountain ViewBarstow, CA 92311(760) 256-1761(760) 957-3397Bear Valley Community Healthcare District41870 Garstin DriveBig Bear Lake, CA 92315(909) 866-6501(909) 878-8282Chino Valley Medical Center5451 Walnut Ave.Chino, CA 91710(909) 464-8600(909) 464-8882Colorado River Medical Center1401 Baily Ave.Needles, Ca. 92363(909) 326-7100(909) 326-7292Community Hospital of San Bernardino1805 Medical Center Dr #201San Bernardino, CA 92411(909) 887-6333(909) 806-1044Corona Regional Medical Center800 S Main St.Corona, CA 92882(951) 737-4343(951) 736-6310Desert Regional Medical Center1150 N Indian Canyon Dr.Palm Springs, CA 92262(760) 323-6511(760) 323-6330Desert Valley Hospital16850 Bear Valley Rd.Victorville, CA 92395(760) 241-8000(760) 951-2034Eisenhower Medical Center39800 Bob Hope Dr.Rancho Mirage, CA 92270(760) 340-3911(760) 773-1532Hemet Global Medical Center1117 E Devonshire Ave.Hemet, CA 92543(951) 652-2811(951) 765-4745Hi-Desert Medical Center6601 White Feather Rd.Joshua Tree, CA 92252(760) 366-3711(760) 365-9309Inland Valley Regional Medical Center36485 Inland Valley Dr.,Wildomar, CA 92595(951) 677-1111(951) 698-7721John F. Kennedy Memorial Hospital47111 Monroe St.Indio, CA 92201(760) 347-6191(760) 775-8014Loma Linda University Children"s Hospital11234 Anderson St.Loma Linda, CA 92354(909) 558-8000(909) 558-3278Loma Linda University Medical Center11234 Anderson St.Loma Linda, CA 92354(909) 651-1702(909) 478-3202Loma Linda University Medical Center - Murrieta28062 Baxter Rd.Murrieta, CA 92563(951) 290-4000(951) 290-4092Menifee Global Medical Center28400 McCall Blvd.Sun City, CA 92585(951) 679-8888(951) 766-6470Montclair Hospital Medical Center5000 San Bernardino St.Montclair, CA 91763(909) 625-5411(909) 626-4777Mountains Community Hospital29101 Hospital Rd.Lake Arrowhead, CA 92352(909) 336-3651(909) 336-4730Palo Verde Hospital 250 N 1st St.Blythe, Ca 92225(760) 922-4115(760) 921-5263Parkview Community Hospital Medical Center3865 Jackson St.Riverside, CA 92503(951) 688-2211(951) 352-5363Pomona Valley Hospital Medical Center1798 N. Garey Ave.Pomona, CA 91767(909) 865-9500(909) 865-2104Rancho Springs Medical Center25500 Medical Center Dr.Murrieta, CA 92562(951) 696-6000(619) 627-5949Redlands Community Hospital350 Terracina Blvd.Redlands, CA 92373(909) 335-5500(909) 335-6497Riverside Community Hospital4445 Magnolia Ave.Riverside, CA 92501(951) 788-3000(951) 788-3201Riverside University Health Care System26520 Cactus Ave.Moreno Valley, CA 92555(951) 486-4000(951) 486-4475San Antonio Regional Hospital999 San Bernardino Rd.Upland, CA 91786(909) 985-2811(909) 920-6357San Gorgonio Memorial Hospital600 N Highland Springs Ave.,Banning, CA 92220(951) 845-1121(951) 845-2836St. Bernardine Medical Center2101 N Waterman Ave.,San Bernardino, CA 92404(909) 883-8711(909) 881-4337St. Mary Medical Center18300 US Highway 18Apple Valley, CA 92307-2206(760) 242-2311(760) 946-8714Temecula Valley Hospital31700 Temecula PkwyTemecula, CA 92592(951) 331-2200(951) 331-2211Victor Valley Global Medical Center15248 Eleventh St.Victorville, CA 92395(760) 245-8691(760) 245-6996
fornia Physician Orders for Life Sustaining Treatment (POLST) Registry (CPR) to connect a digital POLST network throughout the Inland Empire Healthcare System which includes independent physicians, hospitals, skilled nursing facilities, and the Health Information Exchange (HIE). The goal of this initiative is to provide a more effective means of documenting, communicating, and ensuring Member desired Treatment at the end of life is being honored. By clicking on these links, you will be leaving the huroji.com website.To login, visit Working Toward a Statewide POLST Registry in California | POLST (capolst.org)To sign up, simply go to POLST for Healthcare Providers | POLST (capolst.org) CPR Correspondence (PDF) CPR FAQ (PDF)For any questions, please contact Care Directives at (888) 621-4383 or email support
caredirectives.org.You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.

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d range of topics for all types of Providers with questions regarding billing requirements and claims processing guidelines. Resources are not limited to webinars, computer based training, and webinars. Providers also have direct access to their Regional Representative and the Small Provider Billing Unit (SPBU) through this link (By clicking on this link, you will be leaving the huroji.com website) https://learn.medi-cal.ca.gov/.Medi-Cal Rates and CodesBy clicking on these links, you will be leaving the huroji.com website.Medi-Cal RatesThe file lists the maximum reimbursement rates payable by the Medi-Cal program for covered procedures described in the HCPCS and CPT-4 coding system. Resource: websiteCPT CodesThis website is aimed at providing information to Providers on Medicare"s National CCI edits, but will not address specific CCI edits.Resource: websiteAlpha-Numeric HCPCS FilesThese files contain the Level II alpha-numeric HCPCS procedure and modifier codes, their long and short descriptions, and applicable Medicare administrative, coverage, and pricing data. Resource: websiteZIP code To Carrier Locality FileThis file is primarily intended for use by ambulance suppliers to map ZIP Codes to CMS carriers and localities. This file will also map ZIP Codes to their State and can determine whether the ZIP Code has a rural designation as determined by CMS. Resource: websiteMedicare Physician Fee ScheduleInformation on services covered by the Medicare Physician Fee Schedule (MPFS).Resource: websitehuroji.com Fee Schedule huroji.com Fee Schedule - December 08, 2020 (PDF)Provider Dispute Resolution Process For more information about the Provider dispute resolution process for contracted and non-contracted Providers, click hereOther Health Coverage (OHC) Coordination of Benefits with Other Health Coverage (OHC) (PDF) Frequently Asked Questions (FAQs) - OHC (PDF)
OS June 30, 2022, payments will run out through June 2023.The Proposition 56 VBP Program provided direct payments incentivizing Providers to meet specific measures aimed at delivering key quality healthcare services that improve the quality of care to Medi-Cal beneficiaries. Targeted areas were behavioral health integration, chronic disease management, prenatal/post-partum care and early childhood prevention. For more information about the VBP Program, please visit the DHCS website at https://www.dhcs.ca.gov/provgovpart/Pages/VBP_Measures_19.aspx. By clicking on this link, you will be leaving the huroji.com website. Value Based Payments Program Guide Value Based Payments (VBP) Program Guide (PDF) - Published: January 01, 2022Value Based Payments Dispute Forms Value Based Payments Program - Paid Claims Dispute Request (PDF) Published: January 19, 2022 Value Based Payments Program - Encounter Dispute Request (PDF) Published: January 19, 2022Please e-mail completed forms to ValueBasedPaymentsProgram
huroji.comAt-Risk Condition CodesThe At-Risk Condition Codes list includes diagnosis codes to identify Serious Mental Illness, Substance Use Disorder or Homelessness Conditions for the VBP Program. These conditions qualify Providers for an additional payment amount for VBP services. Please refer to page 4 of the VBP Program Guide for additional details. At-Risk Condition Codes (PDF) Published: March 25, 2020You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.
ude printable reference documents for your convenience and ease of use.Go to the Quality & Clinical Resources and Tools page. In this section find information regarding Clinical Practice Guidelines. Safety Resources