We are preparing to update to 5.5 in about six months and are attempting to 
write outpatient rules for Illinois Medicaid.   Are there any sites in Illinois 
who are using 5.5, or have rules written for outpatient services that also 
perform the up-front adjustment?  We have not used proration for these types of 
accounts in the past due to the many exceptions Medicaid has with their payment 
methods.  

Some of the issues we are running into are for example when a Medicaid patient 
is seen in the emergency room and theN subsequently has surgery, Medicaid bases 
the payment on the greater of the two services.  We are not sure how to write 
this into a rule.  

If you are using 5.5 proration for any outpatient Medicaid services, can you 
please contact me either by e-mail, or the phone number below?  

If you have also struggled with writing these types of rules, is there any 
interest in getting a group together to propose that Meditech write these for 
Illinois sites at a cost?


Thank you,
Wendy Miller
Applications Specialist
Information Systems
Sarah Bush Lincoln Health Center
(217) 258-4189
[EMAIL PROTECTED]


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