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SIGN UP FOR FREE DRG WEB REVIEW TRAINING - Thursday, April 05, 2012
Our next DRG Web Review Training session will be held via Webinar on Friday, May 18th at 11:00 am, CST. Click here to sign up today! 
CHANGES IN MEDICAID PROVIDER STATUS? For Physicians and Hospitals - Thursday, March 01, 2012
IMPORTANT NOTICE: If there has been a change in Physician practice address or phone, please contact the Provider Participation Unit (PPU) at HFS in Springfield to update this information (217) 782-0538. 
  
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eQHealth Services

Since our inception in 2002, eQHealth Solutions (formerly HSI) has consistently achieved significant impacts in quality of care and Medicaid program savings. As eQHealth Solutions, we assist the Illinois Department of Healthcare and Family Services with: 
Medical Determinations Utilization Review Quality Improvement
Healthcare Technologies Provider Education  Clinical Studies
 

 
 
We also
conduct quality assurance projects for Illinois’ Home and Community-Based Services (HCBS) waiver program. These include program development consultation, onsite reviews and program monitoring activities and waiver participant experience surveys. 

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Quick Resources
Frequently Asked Questions Regarding Utilization and Quality Review
FAQs -
Updated May , 2010 

Admitting Diagnosis Codes Subject to Review - no revisions in 2010/11
Coding Job Aids Alpha- Updated November 2009
Coding Job Aids Numeric - Updated November 2009 
HFS' Attachments A-D -
Link to HFS' Website

Need to Update Your Hospital Contact Information?
Hospital Contact Form

Quick Guide to the Reconsideration Process
Quick Guide for Reconsiderations
Reconsideration Request Form

>>Click "Provider Resources" tab above to find additional resources<<

 Long Term Acute Care Hospitals (LTAC)                                                            
In September, 2010, Healthcare and Family Services (HFS) issued an Informational Notice to Hospital Administrators regarding Long Term Acute Care Hospital Quality Improvement Transfer Program Act.  Click here to go to the Act.

A provision of the Act requires mandatory concurrent review of all LTAC admissions for those covered under HFS Medical Program. All LTAC admissions on and after October 1, 2010 are subject to mandatory concurrent review.

Need to upload your CARETools?   Click here to be directed to the LTAC Web Portal

 

 
 

 

  
Web System
Certification Requests. Review Status. Discharges.
Work On Line - Anytime

Our Web-based system offers 24/7 online availability to:       
  • Submit admission and concurrent review requests 
  • See pended reviews and enter additional information   
  • Enter d/c dates for per-diem hospitalizations 
  • Obtain status updates for Web or phone reviews   
  • Access provider-specific Web reports  
  •  Submit helpline questions online
Sign up for a free hospital Web account today
Assign a Web Administrator for your facility, fill out a Hospital Contact Form and fax it to us. An eQHealth representative will contact you.
  
Links to eQHealth Web Systems
  

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