PROVIDER TRAININGS

PROVIDER ORIENTATION AND TRAININGS

Compliance Program

Code of Conduct
Compliance Program and FWA Handbook
CO1 – Fraud Waste and Abuse
CO6 – Compliance Training
CO21 – External Risk Response Process
Compliance Hotline (English) | (Spanish)

Handbooks

Provider Handbook
Member Handbook (English) | (Spanish)

Recommended Trainings

HIPAA Training
Prior Authorization Training
Patient Centered Counseling Training
CME Trainings

Policies

Member Services
MS1 – Member Assignment and Reassignment
MS3 – Member Rights

Clinical Engagement
CE01 – Grievance, Appeals, and Hearings
CE03 – Wraparound
CE05 – Utilization Review
CE11 – Covered Services
CE12 – Prior Authorizations
CE16 – Intensive Care Coordination Services
CE19 – Substance Use Disorder Services
CE21 – Adverse Benefit Determinations
CE22 – Payment and Authorization of Hospital Admissions
CE28 – Transition of Care

Third Party Liability Recovery
F18 – Third Party Liability Recovery

Transitional Care
TC1 – Transitional Care for Acute Care

Provider Network
PN6 – New Provider Orientation and Training
PN7 – Network Adequacy
PN8 – Monitoring Network Availability
PN9 – Monitoring Network Access
PN11 – Provider Selection Process

Contact Us

For all training questions, please contact us at UHNProviderServices@umpquahealth.com. If you have a specific question about provider orientation and trainings, click here to view a contact sheet for several UHA departments.