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Hospitals/Paternity HFS

Details: Only hospital employees should e-mail the Department of Healthcare and Family Services' Division of Child Support Services. Please include in your inquiry your name, hospital and phone number should we need to contact you. Frequently Asked Questions. Medicaid/Provider Number – The supply order form requires a provider number. This number is

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HOSPITAL SERVICES

Details: Inventory of Health Care Facilities and Services and Need Determinations Illinois Health Facilities and Services Review Board Illinois Department of Public Health 9/1/2017 INVENTORY OF HOSPITAL SERVICES

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› Url: https://www2.illinois.gov/sites/hfsrb/InventoriesData/HealthCareFacilities/Documents/Hospital%20Inventory%202017.pdf Go Now

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Hospital Inpatient HFS

Details: Hospital Inpatient. Inpatient payments include two methods of reimbursement: per diem and all patient refined – diagnosis related groups (APR-DRGs). Per diem reimbursed hospitals include rehabilitation hospitals and distinct part units, psychiatric hospitals and distinct part units, specialty children's hospitals, and long-term stay hospitals.

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Healthcare and Family Services

Details: Program From hospital inpatient program log. Part III Outpatient Stats Data should be taken from applicable hospital records. * In the case of a municipally certified children’s hospital or non-distinct part psychiatric unit, an allocation of the applicable Medicare CMS 2552-10 report routine statistics and cost data is required.

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› Url: https://www2.illinois.gov/hfs/SiteCollectionDocuments/hospitalcr.pdf Go Now

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Facility Profiles and Summary Sheets

Details: Hospital Planning Area Data Summaries for 2016. Hospital State Data Summary for 2016. 2015. 2015 AHQ Data Spreadsheet - Excel Format - Revised 11/16/2017. Hospital Data Summary by Health Service Area, 2015 PDF. Hospital Data Summary by Hospital Planning Area, 2015 PDF. Individual Hospital Profiles by Hospital Name, 2015 PDF.

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HEALTH FACILITIES AND SERVICES REVIEW BOARD

Details: Hospital, which is located 16.2 miles (28 minutes), from the McHenry Hospital. The Applicants note the relocation will enable Northwestern Memorial Healthcare to address critical regional healthcare needs in and near McHenry, such as cardiovascular, cancer care, and neurosurgery.

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› Url: https://www2.illinois.gov/sites/hfsrb/Projects/ProjectDocuments/Exempt/E-044-21/E-044-21%20Northwestern%20Medicine%20McHenry%20Hospital%20[Correction].pdf Go Now

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20-039 Mercy Hospital Medical Center Discontinuation

Details: • The Hospital from 2015 thru 2019 had an average daily census (ADC) of 162 patients. Over these same five years emergency department visits averaged 57,400 visits and outpatient visits averaged 360,000 at the hospital. Mercy Hospital provided care to 15% of all emergency department visits in the A -03 Hospital Planning Area and approximately

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Touchette Regional Hospital

Details: presented it was solely about our Hospital, Touchette Regional. Today I feel it is imperative that I share who we are as a health care provider in whole and why that has helped in past transformations, is part of our future changes, and why our role as a key regional access provider is necessary in our region. Our network is a true

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› Url: https://www2.illinois.gov/hfs/SiteCollectionDocuments/TRHTransformationTestimonyver1.pdf Go Now

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STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES …

Details: Hospital City Miles Beds Utilization McDonough District Hospital Macomb 0 12 36.6% Galesburg Cottage Hospital Galesburg 49 16 74.2% Methodist Medical Center of Illinois Peoria 69 68 57.5% OSF Saint Elizabeth Medical Center Ottawa 166 26 64.2% Proctor Community Hospital Peoria 70 18 57.5% Total 140

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› Url: https://www2.illinois.gov/sites/hfsrb/Projects/ProjectDocuments/Exempt/E-034-19/6.%20E-034-19%20McDonough%20District%20Hospital.pdf Go Now

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STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES …

Details: Safety Net Hospital from Illinois Healthcare and Family Services Determination . (attached to this report) 2. Beds, ADC and Utilization as of December 31, 2017 - most recent data available . The Applicants stated: Jackson Park Hospital and Medical Center

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› Url: https://www2.illinois.gov/sites/hfsrb/Projects/ProjectDocuments/Exempt/E-016-19/14.%20E-016-19%20Jackson%20Park%20Hospital%20(Discontinuation%20of%20OB%20services)_.pdf Go Now

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Healthcare and Family Services Safety Net Hospital

Details: A Safety-net hospital is an Illinois hospital that: (a) Is licensed by the Department of Public Health as a general acute care or pediatric hospital, and : (b) Is a Disproportionate Share hospital, as described in Section 1923 of the federal Social Security Act, as determined by the Department, and :

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Transcript of Public Hearing

Details: The acute hospital will have 80 acute mental illness beds, 60 long-term care beds, 44 long-term, acute care beds, three intensive care beds, three medical-surgical beds, and 40 comprehensive physical rehabilitation beds for a total of 230 authorized beds. Woodlake Specialty Hospital would treat all patients regardless of their ability to pay.

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› Url: https://www2.illinois.gov/sites/hfsrb/Projects/ProjectDocuments/Exempt/E-011-21/2021-08-12%20E-011-21%20Transcript%20of%20Public%20Hearing.pdf Go Now

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Mercy Hospital and Medical Center, Chicago

Details: Letter of Intent to Discontinue Mercy Hospital 7/30/2020. Application 8/31/2020. Request for Public Hearing 9/4/2020. Impact Letter - The Loretto Hospital 9/10/2020. Impact Letter - St. Anthony Hospital 9/10/2020. Support Letter - Carol Schneider, Mercy Hospital 10/28/2020. Support Letter - Jameika Sampson, Mercy Hospital 10/28/2020.

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STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES …

Details: Rush Specialty Hospital, LLC is a Delaware limited li ability corporation owned 100% by Rush-Select Holdings, LLC. Rush Specialty Hospital, LLC., if this project is approved will have 56 comprehensive physical rehabilitation beds and 44 long-term acute care beds. This is a substantive project subject to a 1110 and 1120 review. Financial commitment

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STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES …

Details: John H. Stroger Jr. Hospital of Cook County Chicago 6 A-02 464 Loretto Hospital Chicago 6 A-02 187 Mount Sinai Hospital Medical Center Chicago 6 A-02 319 Norwegian American Hospital Chicago 6 A-02 215 Presence Saint Mary Of Nazareth Hospital Chicago 6 A-02 387 Presence St. Elizabeth Hospital Chicago 6 A-02 108

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› Url: https://www2.illinois.gov/sites/hfsrb/Projects/ProjectDocuments/2016/16-030/15.%2016-030%20John%20Stroger%20Cook%20County%20Hospital.pdf Go Now

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Illinois Department of Healthcare and Family Services

Details: Hospital Old ID Hospital Name HFS Conf. Class Admits Relative Weight Case Mix Rate Directed Payment 15008 Advocate Christ Medical Center High Medicaid 1,415 3316.189 2.344 $ 2,241.39 $ 7,432,873 3073 Advocate Illinois Masonic MC High Medicaid 350 723.175 2.066 $ 2,241.39 $ 1,620,917 3055 Advocate Trinity Hospital High Medicaid 370 456.434 1.234

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Hospitals and Potentially Infectious Medical Waste

Details: A hospital incinerator requires a permit from the Illinois EPA Bureau of Air to burn its own waste and that of its medical staff. If the hospital accepts any off-site waste from a person who is not a member of its medical staff, then a permit from the …

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Illinois Department of Healthcare and Family Services

Details: 13013 Wabash General Hospital Critical Access 10 $ 5,225.07 $ 52,251 1,522 $ 163.69 $ 249,134 $ 301,385 $ 100,462 3062 Warner Hospital & Health Srvcs Critical Access 0 $ 5,225.07 $ - 728 $ 163.69 $ 119,165 $ 119,165 $ 39,722

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Healthcare Transformation Collaboratives Cover Sheet 1

Details: Address the deficit of hospital beds and urgent care in the South side of Chicago and improving access to care. Detailed Project Description There are shortages of primary care physicians in many communities within South Cook County coupled with a hospital bed ratio of 522 beds per person and/or 2 beds per 1000, below the national 2021 average

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STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES …

Details: Answer: Yes, a hospital or health care facility can temporarily suspend or discontinue a category of service or temporarily suspend a facility’s operations for COVID-19 purposes. This may be done to free additional beds for those being treated for COVID-19.

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STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES …

Details: Hospital of the Hospital Sisters of the Third Order of St. Francis and the owner of the site of the proposed radiation oncology clinic is Green Mount Developers, LLC. This project is considered a nonsubstantive project subject to a Part 1- 110 and Part 1120 review.

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Hospital Rate Reform Initiative HFS

Details: Hospital Rate Reform Resources . The Department has completed the Hospital Specific Cost Detail Worksheets. To obtain your facility’s worksheet, please email your request to [email protected]illinois.gov. Please include your facility’s name(s) and MEDICARE ID number(s) in the request, as well as the email address to which you would like the

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Handbook for Providers of Hospital Services Chapter H-200

Details: Handbook for Hospital Services Chapter H-200 – Policy and Procedures HFS H-200 (vii) =Definitions Effective June 15, 2011 ARS - Alternate Reimbursement System is an inpatient per diem rate based on the hospital's allowable operating cost and other costs reimbursed on a per diem basis, and applicable adjustments.

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Abraham Lincoln Memorial Hospital Lincoln Page 1

Details: OPERATOR: Adventist Bolingbrook Hospital Ownership, Management and General Information Patients by Race White # Black # American Indian # Asian # Hawaiian/ Pacific # Hispanic or Latino: Not Hispanic or Latino: Unknown: 55.4% 18.0% 0.0% 4.1% 0.0% 22.4% 16.8% 83.1% 0.1% Hospital Profile - CY 2017 Adventist Bolingbrook Hospital Bolingbrook Page 1

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2020 Medicaid Hospital Cost Reports HFS

Details: Medicaid hospital cost reports are listed by their fiscal year, report type (H-hospital, P-psychiatric subprovider, R-rehabilitation subprovider), and facility ID (file provided with each Medicare ID, Medicaid ID, city, hospital name, and fiscal year begin and end dates). Any questions concerning the filing of cost reports should be addressed to:

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Hospital Billing Scenarios

Details: The patient received outpatient laser surgery of the eye at a local hospital on September 2, 20XX. The procedure is listed in the Ambulatory Procedures Listing (APL). No problems arose and the patient was released the same date. Total charges on the hospital claim were $3,582.00. The patient has a $276.00 Spenddown to meet monthly.

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Handbook for Providers of Hospital Services Chapter H-200

Details: hospital outpatient settings for which the hospital must conform to the policies and billing procedures for other non-hospital providers of services. Payment for these services will be based on the same fee schedule that applies to these services when they are provided in the non-hospital-based setting. Medicare crossover claims billed on

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STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES …

Details: Mercy Hospital and Medical Center is a safety net hospital on the Southside of ago. Chic The Hospital is in the A-03 Hospital Planning Area. The A-03 PlannAreinga has a population of approximately 770,000 residents. The Hospital from 2015 thru 2019 had an average daily census (ADC) of 162 patients. Over th same five-year periodis emergency

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Two Parents: Give Your Child HOPE (Hospital Opportunity

Details: A hospital staff person or other adult may serve as a witness when you sign the VAP. The form is a legal document and must be filled out accurately and filed with HFS. Hospital staff will mail the VAPs to HFS for filing. Any information you do not have or know should be completed with a dash or write in "Do Not Know." 4.

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Hospital Rate Sheets Effective July 1, 2018 HFS

Details: Hospital Rate Sheets Effective July 1, 2018. Page Content. ABRAHAM LINCOLN CHILDRENS HOSP-12006-20180701.pdf. ABRAHAM LINCOLN MEMORIAL-12005-20180701.pdf. ADVENTIST BOLINGBROOK HOSPITAL-2005-20180701.pdf. ADVENTIST HINSDALE HOSPITAL-8012-20180701.pdf. ADVOCATE BROMENN MEDICAL CTR-14001 …

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Outpatient Rate Reform Questions and Answers HFS

Details: If during the same treatment span, subsequent to emergency department or observation services, the patient is admitted to the hospital as an inpatient, only the emergency room charge or the observation service may be billed on the outpatient claim. It is up to the hospital to determine which outpatient service will provide greater reimbursement.

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By Hospital, By Plan January

Details: RML Specialty Hospital HINSDALE LTAC $ 179,693 $ 247,413 $ 154,900 $ 203,168 $ 58,734 $ 843,909 AMITA Hlth Alexian Bros BH Hosp. SCHAUMBURG Psych FS $ 157,594 $ 74,558 $ 77,847 $ 182,052 $

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› Url: https://www2.illinois.gov/hfs/SiteCollectionDocuments/JanuaryMarch2021MCAPForWeb.pdf Go Now

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Institutional System Errors For Hospital, Hospice, ASTC

Details: For Hospital, Hospice, ASTC, and Birth Center Claims *All claims past 180 days timely filing will need a G55 override in addition to any other overrides noted. Page 2 of 6 Problem: Edit currently failing to set on the paper claims where the Value Codes Amount (FL 39-41) is present, but not being picked up by the scanner and is reading as blank.

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Handbook for Practitioners Rendering Medical Services

Details: Hospital salaried physicians, with the cost of their services included in the hospital cost reports, are not approved for participation unless their contractual arrangement with the hospital enables them to submit their own charges for professional services. •

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Illinois Department of Healthcare and Family Services

Details: Hospital Old ID Hospital Name HFS Conf. Class Admits Relative Weight Case Mix Rate Directed Payment 15008 Advocate Christ Medical Center High Medicaid 2,051 3778.438 1.842 $ 1,800 $ 6,801,189 3055 Advocate Trinity Hospital High Medicaid 570 695.011 1.219 $ 1,800 $ 1,251,019 3025 Ann & Robert H Lurie Child Hosp High Medicaid 1,052 2666.003 2.534

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Medicaid Hospital Cost Reports HFS

Details: Instructions (.pdf) All Illinois hospitals enrolled in Medicaid must file a Hospital Statement of Cost. The cost reports are due in the Bureau of Health Finance within five months after the end of the hospital's fiscal year. All hospitals which have a distinct unit, such as a psychiatric or rehabilitation unit, must file separate cost reports

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State of Illinois Department of Healthcare and Family

Details: Hospital Rate Reform Initiative Provider Cost Calculation Review Instructions Overview As part of the Illinois Medicaid Hospital Rate Reform Initiative, the Department of Healthcare and Family Services (the "Department") is estimating the cost of SFY 2008 and 2009 Medicaid fee-for-service inpatient and outpatient claims data.

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NOTES ON THE 2017 ANNUAL HOSPITAL QUESTIONNAIRE …

Details: ANNUAL HOSPITAL QUESTIONNAIRE FOR 2017 This is a formal request by the Illinois Department of Public Health for full, complete and accurate information as

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STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES …

Details: The Hospital is located in the HSA V Health Service Area and the F-07 Hospital Planning Area. The F-07 Hospital Planning Area includes Randolph, Perry, Jackson, Union, Alexander, and Pulaski Counties; Monroe County Precincts 1, 6, 8, 9, 12, 13, 15, 20 and 23. There are eight hospitals in this planning area including Memorial Hospital of Carbondale.

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Safety Net Hospital Determination Effective 10/1/2018 9/30

Details: A Safety‐net hospital is an Illinois hospital hospital that: (a) Is licensed by the Department of Public Health as a general acute care or pediatric hospital, and : (b) Is a Disproportionate Share hospital, as described in Section 1923 of the federal Social Security Act, as determined by the Department, and :

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REPORTS OF CHILD ABUSE AND NEGLECT January 31, 1991 – …

Details: Delnor Hospital St. Charles Kane Norwegian American Hospital Chicago Cook V. PERINATAL SYSTEM: LOYOLA UNIVERSITY - FOSTER G. MCGAW HOSPITAL A. Perinatal Center: Foster G. McGaw Hospital of Loyola University 2160 South First Avenue Maywood, IL 60153 // Neonatal Director: Craig Anderson, M.D. (708) 216-6964

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Illinois Department of Healthcare and Family Services

Details: Hospital Old ID Hospital Name HFS Conf. Class Admits Relative Weight Case Mix Rate Directed Payment 15008 Advocate Christ Medical Center High Medicaid 1,965 3805.498 1.937 $ 2,016.00 $ 7,671,884 3055 Advocate Trinity Hospital High Medicaid 374 615.614 1.646 $ 2,016.00 $ 1,241,077 3025 Ann & Robert H Lurie Child Hosp High Medicaid 828 2309.167 2

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Health Financial Systems In Lieu of Form CMS-2552-10

Details: Hospital and Hospital Health Care Complex Address: 1.00 Street:200 STAHLHUT DRIVE PO Box: 1.00 2.00 City: LINCOLN State: IL Zip Code:62656 County:LOGAN 2.00 Component Name 1.00 CCN Number 2.00 CBSA Number 3.00 Provider Type 4.00 Date Certified 5.00 Payment System (P, T, O, or N) V 6.00 XVIII 7.00 XIX 8.00 Hospital and Hospital-Based Component

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Hope Children's Hospital

Details: 5) Be a hospital devoted exclusively to caring for children; or 6) Be an out-of-state hospital meeting the federal definition of a DSH hospital. Your hospital qualifies for Disproportionate Share under criteria: 0 Your hospital qualifies for Medicaid Percentage Adjustment and Medicaid High Volume under criteria: 1,5

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› Url: https://www2.illinois.gov/hfs/MedicalProviders/MedicaidReimbursement/RY%202011%20DSH%20-%20MPA%20-%20MHVA%20Determination/Documents/Hope%20Childrens%20Hospital%20Oaklawn.pdf Go Now

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HOSPITAL TRANSFORMATION REVIEW COMMITTEE BYLAWS …

Details: The Hospital Transformation Review Committee (HTRC) is created to assist the Illinois Department of Healthcare and Family Services (HFS) in developing a hospital transformation program to provide financial assistance to hospitals in transforming their services and care models to better align with the

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