HealthSystems of Illinois, NFP
The Medicaid Quality Improvement Organization (QIO) for the
State of Illinois Department of Heathcare and Family Services.


 

Reminder: Our office will be closed on Friday, July 3, 2009.

GOT QUESTIONS? LOOK TO THE RIGHT.

The links on the right side of our home page will give you answers to many of your questions. Click on these links to get valuable information regarding the utilization and quality review program and requirements.

We recently updated both our Frequently Asked Questions as well as our
Provider Utilization Review Manual (click on Hospital Education Resources
)

To receive instruction on the new log in process to access our Web Review System, please contact our Helpline at (800) 418-4045 - 8 a.m. to 5 p.m., Monday through Friday.

 

 

New Provider Updates

Click on the links below to view each document.

2009 Web Review Training
 Tuesday, June 30
1:30 to 3 PM
CLICK HERE to register

Click here to view more Provider Updates.

 

Education Sessions - JULY EDUCATION SESSION NOW OFFERED


 PROVIDER EDUCATION SESSION
 2 to 3 pm
July 13 session full
July 16 session full
July 20

Mandatory Concurrent Review Requirements, Exceptions and Billing Process

CLICK HERE to register

With the rise of third party billers as well as frequent changes to
hospital case management, it is increasingly important for persons

in these roles to have a clear understanding of mandatory
concurrent review and the billing process for HFS medical program participants.

 HSI is offering an educational session designed specifically to address:

Ø      Mandatory concurrent review requirements

Ø     Role of the admitting diagnosis – What, When, Who, Where & How?

Ø     HFS mandatory concurrent review exception process

Ø     Billing requirements – A88 No Certification on File

Ø     Selection of retrospective review cases

Simply log into the session from the comfort of your own facility.  This session is provided via an Internet and toll-free teleconference.  Please plan for a conference-style meeting. We ask for (1) internet connection per facility, allowing more hospitals to participate.

CLICK HERE to suggest a future education topic.

Provider Resources



ON THE WEB

Entering Clinical Information (.pdf)
Tips and tricks to entering clinical information on Web

 

Click here to view more Hospital Education Resources


Diagnosis Codes

Coding Job Aids - Effective with admissions on or after November 1, 2008. These lists contain the admitting diagnosis codes subject to review from HFS' Attachments A-C.

To download HFS' Attachments A-D, click here.

 

For Hospitals

Helpline (800) 418-4045
(8 a.m. - 5 p.m. Central, Monday - Friday)

Certification Line (800) 418-4033
(7 a.m. - 5 p.m. Central, Monday - Friday)

- Education & Training Registration

- Frequently Asked Questions

- Hospital Education Resources  
- Provider Updates & HFS Notices
- Physician Reviewer Information
- Recommended Links

For SASS Providers & CARES

About HSI

 - Holiday Schedule
 - Employment Opportunities
 - Directions

Web Review System
 - Submit Review Requests
 - Reports and Communication
 - CMH Entry
 - The WAVE

PURS (Internal Use Only)


Home

2050-10 Finley Road
Lombard, IL · 60148                          General Phone: (630) 317-5100


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