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NOTICE:
  • RETRO PREPAYMENT REVIEWS : FYI: There were no Prepayment cases selected for 7/17/2018 from HFS.
  • eQSUITE ISSUES??: Are you having troubles or getting kicked out? CLEAR YOUR CACHE! Ask your IT desk to delete your temporary Internet files, then log out and back in.
  • ATTENTION!: Please check that you are using your correct log on for our system if you have more than one user name. Your log on is directly linked to Provider ID. Many hospitals have new Provider IDs for inpatient Med/Surg and/or Psychiatric.
  • DETOX Reviews: Weekend detox admissions Friday/Saturday should be entered online during the weekend; if no weekend coverage they must be submitted online by NOON on the next business day (Monday).
  • PER DIEM CASES: Please remind UR staff that it is crucial to include additional diagnosis codes to help support the length of stay for all Per-Diem reimbursed hospital stays.
  • DRG Disharge Reviews: Only put d/c date in Utilities if DRG review is 1 day stay. For all other DRG discharge reviews ONLY create new review and record d/c date in review.
  • MCO Edit Pop Up: If you confirm the patient does NOT have MCO, please submit a helpline ticket to remove the MCO edit.
  • TROUBLE WITH D/C REVIEW?: Create a New Review, select cont stay and put in TAN. Click Retrieve data to enter in the Discharge Review, you will include the discharge date, answer quality screening questions and include brief d/c summary.
  • How Do I Put in D/C for 1 day stay?: If you have ALREADY PUT IN ADMISSION REVIEW and patient is d/c (1 day stay only). Click on utilities tab and submit just the d/c date. For stays 2 or more days, please submit a d/c review (cont stay)for quality screening.
  • Physician CONTACT: It is VITAL to have an updated phone number for the Physician in eQSuite. Please verify that the phone on file is correct or add new phone number in the Physician grid.
  • PRIOR AUTH IMPORTANT: The grace period for late requests is over. Effective August 1st we will not accept any Prior Auth request less than 3 business days prior to the procedure.
  • ADX Reminder: ADX CODE: The admit dx code field requires all digits and no decimal.
  • PSYCH Review: No Axis grids I-V to fill out! Please include any addtl dx codes in dx grid
  • MCO - save time: If patient is covered under MCO at admission - no eQHealth review is needed. Check with your insurance verifier or HFS eligibility at 800-842-1461. Contact MCO.