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


Back by popular demand!  HSI will host a Retrospective Review education session.  See below for details. 

HSI Will Be Closed for Thanksgiving - November 27 and 28

 

 

New Provider Updates

Click on the links below to view each document.

WEB REVIEW TRAINING
 December 9, 2008

Click here to register!

Click here to view more Provider Updates.

 

Educational Session

HSI is offering an educational session providing hospitals information about various aspects of the retrospective review process. 

EDUCATION SESSION
 December 10, 2008

10 A.M.

Click here to register!

Topic summary:
Retrospective Review
- An overview of the review process for pre- and post-payment review, explaining the various timeframes for processing and completing the reviews and the information needed when submitting medical records

 

Provider Resources



ON THE WEB

Submitting Additional Information (.pdf)
See how easy it is to submit additional information via the 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)


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Lombard, IL · 60148                          General Phone: (630) 317-5100


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