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



Provider Updates

HealthSystems of Illinois publishes the "Provider Update" bulletin to ensure accurate and timely communications with health care providers. The bulletin will be published as needed and faxed to your office. Archived issues are available on the HSI Web site.
 

The following documents are viewable with Adobe Acrobat Reader. To print .pdf files, use the Adobe Printer icon, not the print function of your browser. You can use the Save icon to save the .pdf to your computer.
 
Vol. 5, No. 9 - May 8, 2008 Change to Medication Table for Web Review Requests

Notice - May 6, 2008

HSI's Web Report Currently Unavailable
Notice - May 5, 2008 HSI's Web Reports Unavailable 5/5/08
Vol. 5, No. 8 - May 2008 REMINDER - HSI Web-based Review System Unavailable This Weekend
Notice - May 1, 2008 REMINDER - HSI Web-based Review System Unavailable for CARES Providers
Vol. 5, No. 7 - April 2008 HSI Web-based Review System Unavailable First Weekend In May
Notice - April 21, 2008 HSI Web-based Review System Unavailable for CARES Providers
Notice - March 27, 2008 New Utilization Review Manual
Notice - March 19, 2008 New Hospital Contact Form
Notice - March 10, 2008 HFS And HSI Hosting Teleconferences - April 2 & April 4
Vol. 5, No. 6 - January 2008 Notice of Cancelled Review Requests For Admitting Diagnosis Not Subject To Review
Notice - December  27, 2007 HSI Experiences Temporary Power Outage
Vol. 5, No. 5 - December 2007 HSI Will Be Closed for the Holidays
Letter - December 3,  2007 Letter - Clarification on Daily Lists
Vol. 5, No. 4 - November 2007 Short Stay Review Extension for Thanksgiving Weekend
Vol. 5, No. 3 - October 2007 Clarification for Utilization Review for DRG Reimbursed Hospitalizations
Vol. 5, No. 2 - October 2007 Update for Review Process - DRG-Reimbursed Hospitalizations
Vol. 5, No. 1 - August 2007 HSI Simplifies Inventory Tracking Sheet for Offsite Review
Letter - June 2007 HFS Clarification of New Error Code A88
Vol. 4, No. 11 - May 2007 New Process: Updating Medicaid Participants’ Contact Information During Admission Review
Letter - May 10, 2007 Important Information for Submitting Medical Records to HSI for Review
Vol. 4, No. 10 - May 2007 Medical Records Due Date Extended for Retrospective Review
Notice - May 1, 2007 Teleconferences to Discuss Changes to Utilization Review
Vol. 4, No. 9 - February 2007 HFS Announces updates to utilization review program
Vol. 4, No. 8 - February 2007 New A/C Review Component: Quality Screening
Vol. 4, No. 7 - January 2007 Utilization Review Policy Update for Short Stays
Vol. 4, No. 6 - December 2006 Key Changes to Medicaid Inpatient Utilization Review
Vol. 4, No. 5 - November 2006 We will be closed for Thanksgiving
Vol. 4, No. 4 - September 2006 Change in Patient Discharge Status Codes
Vol. 4, No. 3 - November 2006 InterQual® Criteria Revisions and Updates to Utilization Review Program

Vol. 4, No. 2 - July 2006

Change in Method for Submitting Concurrent Reviews

Vol. 4, No. 1 - June 2006
HSI Awarded QIO Contract

Vol. 3, No. 6 - December 2005

Administrative Denials Eliminated

Vol. 3, No 5 - December 2005
A/C Reviews for Short Stays Permitted After Discharge

Vol. 3, No. 4 - April 2005

Summary Report Data Illustrated in Graphs

Vol. 3, No. 3 - March 2005
Submitting Discharge Dates Via the Web

Vol. 3, No. 2 - February 2005

Submit Helpline Questions Via the Web

Vol. 3, No. 1 - January 2005
Automated Case Listings For Onsite Review

Vol. 2, No. 9 - December 2004

New Summary Reports Available

December 2004
Discharge Date Submission Feature

Vol. 2, No. 8 - October 2004

New Reports Available on HSI’s Website

Vol. 2, No. 7 - October 2004
Referenced Example Doc.
Examples of Unambiguous Admitting Orders

Vol. 2, No. 6 - September 2004

Web-based Report Includes SASS Information
Vol. 2, No. 5 - August 2004 Submit Helpline Questions Online

Vol. 2, No. 4 - July 2004

Enhancement to HSI’s Web Review System Discharge Date Submission Feature
Vol. 2, No. 3 - June 2004 HSI Schedules Computer System Maintenance

Vol. 2, No. 2 - April 2004

Changes to Patient Discharge Status Codes

Vol. 2, No. 1 - March 2004 Simple Steps to Submitting Web Review

Vol. 1, No. 6 - October 2003

Hospitals Benefit From Web Review System

Vol. 1, No. 5 - October 2003 Retrospective Outcome Report Available on the Web

Vol. 1, No. 4 - August 2003

Coding Job Aids Available to Hospitals

Vol. 1, No. 3 - August 2003

Questions Most Frequently Asked of HSI’s Helpline and Nurses

Vol. 1, No. 2 - June 2003

Enhancement to HSI’s Web Review System Diagnostic Code Search Feature

Vol. 1, No. 1 - March 2003

Patient Account Numbers - New Report - HSI Process Flow Charts

HIPAA Business Associate Agreement Determination Notice
Sample Report of Coding Changes

HFS Informational Notices

The following provider notices from HFS are viewable with Adobe Acrobat Reader. Click here to view additional HFS informational notices to hospitals.
 
May 1, 2008 Attachment C Utilization Review Update
September 19, 2007 Inpatient Utilization Review Update
July, 2007 Healthcare and Family Services Clarification of Error Code A88
February 27, 2007 Changes to Utilization Review
November 28, 2006 Inpatient Utilization Review Update
November 6, 2006 Utilization Review – InterQual Behavioral Health Criteria
February 2, 2006 Utilization Review – Revisions to Concurrent Review Procedures
October 31, 2005 Utilization Review – Additional Diagnosis Codes Subject to Review
March 30, 2005 Utilization Review – Deletion of Diagnosis and DRG Codes Subject to Review
January 21, 2005 (SASS) Program Video Conference
June 25, 2004 Hospital Participation in the (SASS) Program
August 14, 2002 Utilization Review – Diagnosis and DRG Codes Subject to Review
July 23, 2002 Peer Review Organization – HealthSystems of Illinois

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