Provider Notice Issued 03/19/2021

Date:   March 19. 2021

 

To:       Enrolled Hospitals:  Chief Executives Officers, Chief Financial Officers, and Patient Accounts Managers

 

Re:      Update to Inpatient Delivery Claims Containing LARC Device Codes

 

 

This notice is a follow-up to the February 8, 2021 provider notice regarding payment of inpatient delivery claims containing long acting reversible contraceptive (LARC) device codes. The

APR-DRG information below applies to claims for both Medicaid fee-for-service and HealthChoice Illinois managed care plans.  

 

A system issue had prevented claims grouping to APR-DRG 560 from receiving the LARC device add-on payment. Effective February 25, 2021, the issue was resolved for fee-for-service claim billing, and claims grouping to APR-DRG 560 are now pricing correctly. Any claims that were previously billed and did not receive the add-on should be voided and rebilled at this time.

 

Providers should contact the individual managed care plan for guidance on rebilling any affected managed care claims.

 

Questions may be directed to a hospital billing consultant in the Bureau of Professional and Ancillary Services at 877-782-5565 or the applicable HealthChoice Illinois managed care plan.

 

 

 

Kelly Cunningham, Administrator

Division of Medical Programs​

Notices

 

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