As It Relates to You Planned Elective Inpatient (IP) Admissions As a reminder, elective Inpatient (IP) procedures or surgeries need to be preauthorized by admitting physicians. Also, hospitals still need to notify Health Alliance of a planned elective IP admission within 24 hours.
In yesterday's flash regarding the Guiding Care Pre-Authorization Training, the email address to receive a copy of the presentation should be [email protected] . We apologize for any confusion. If you have questions, please contact your provider relations specialist.
For dates of service on or after January 1, 2020, Clear Coverage and the Health Alliance portal will be replaced with a new preauthorization system called Guiding Care. Providers and their office staff members are invited to join one of our upcoming webinars to learn more about Guiding Care.
As you know, it is vital your patients have access to accurate, up-to-date information in the provider directory. To ensure this accuracy, the Illinois Department of Human Services, the Illinois Department of Insurance, and the Centers for Medicare & Medicaid Services all require that providers review and update their information quarterly or whenever there is a significant change.
As of 8/1/19, CPT codes 27279 and 27280 are now managed by eviCore and both require PA. When selecting the CPT code for a case, you’ll receive the message below: