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Inpatient Acute Care - Medical/Surgical
The following
outlines the types of review requests that may be submitted for
Inpatient Acute Care by Web, Phone,
Fax or Mail depending on the type of certification.
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| |
|
Type of Review Requests
for Inpatient Acute Care |
Requests may be
submitted
by: |
|
Pre-certification |
Web, Phone or Fax |
|
Emergency Admission
(Post-Admission) |
Web, Phone or
Fax |
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Concurrent Certification |
Web, Phone or
Fax |
|
Retrospective Certification
(Length of Stay < 8 days) |
Web, Phone or
Mail |
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Retrospective Certification
(Length of Stay > 8 days) |
Mail |
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Certification Phone Line: 888-204-0502
Certification Fax Line: 888-204-0504
Web-Based
Submission:
www.hsom.org
Certification Mailing Address: (Retrospective
Reviews with a length of stay greater than 8 days must be
sent via mail)
HealthSystems of
Mississippi
175 East Capitol Street
Suite 250, Lockbox 13
Jackson, MS 39201 |
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Acute Psychiatric Inpatient Care
(Adult and Adolescent/Child)
The following
outlines the types of review requests that may be submitted for
Acute Psychiatric Inpatient Care by
Web, Phone,
Fax or Mail depending on the type of
certification.
|
| |
|
Type of Review Requests
for Acute Psychiatric Inpatient Care |
Requests may be
submitted
by: |
|
Pre-certification |
Web, Phone or Fax |
|
Emergency Admission
(Post-Admission) |
Web, Phone or
Fax |
|
Concurrent Certification |
Web, Phone or
Fax |
|
Retrospective Certification
(Length of Stay < 8 days) |
Web, Phone or
Mail |
|
Retrospective Certification
(Length of Stay > 8 days) |
Mail |
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Certification Phone Line: 888-204-0502
Certification Fax Line: 888-204-0504
Web-Based
Submission:
www.hsom.org
Certification Mailing Address: (Retrospective
Reviews with a length of stay greater than 8 days must be
sent via mail)
HealthSystems of
Mississippi
175 East Capitol Street
Suite 250, Lockbox 13
Jackson, MS 39201 |
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Swing Bed
The following
outlines the types of review requests that may be submitted for
Swing Bed by
Phone or
Fax depending on the type of
certification.
|
| |
|
Type of Review Requests
for Swing Bed |
Requests may be
submitted
by: |
|
Pre-certification |
Phone or Fax |
|
Concurrent Certification |
Phone or Fax |
|
Retrospective Certification
(Length of Stay < 8 days) |
Phone or Fax |
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Certification Phone Line: 888-204-0502
Certification Fax Line: 888-204-0504
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Transplant Services
The following
outlines the types of review requests that may be submitted for
beneficiaries pre-approved by HSM for
Transplant Services (bone marrow,
peripheral stem cell, heart, lung, liver transplants, outpatient
peripheral stem cell and small bowel) by Web, Phone
or Fax depending on the type of
certification.
|
| |
|
Type of Review Requests
for Transplant Services |
Requests may be
submitted
by: |
|
Pre-certification |
Web, Phone or Fax |
|
Emergency Admission |
Web, Phone or Fax |
|
Concurrent Certification |
Web, Phone or Fax |
|
Retrospective Certification
(Length of Stay < 8 days) |
Web, Phone or
Mail |
|
Retrospective Certification
(Length of Stay > 8 days) |
Mail |
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Certification Phone Line: 888-204-0502
Certification Fax Line: 888-204-0504
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Psychiatric Residential Treatment
Facility
The following
outlines the types of review requests that may be submitted for
PRTF by
Fax or Mail depending on the type of
certification.
|
| |
|
Type of Review Requests
for PRTF Services |
Requests may be
submitted
by: |
|
Pre-certification |
Fax or Mail |
|
Concurrent Certification |
Mail |
|
Retrospective Certification
(Length of Stay < 8 days) |
Mail |
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Certification Fax Line: 888-204-0504
Certification Mailing Address:
HealthSystems of
Mississippi
Attn: PRTF Coordinator
175 East Capitol Street
Suite 250, Lockbox 13
Jackson, MS 39201
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Private Duty Nursing
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All Private Duty Nursing (PDN) requests for Certification must
be mailed to:
HealthSystems of
Mississippi
Attn: PDN Coordinator
175 East Capitol Street
Suite 250, Lockbox 13
Jackson, MS 39201
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Durable Medical Equipment (DME)
The following
outlines the types of review requests that may be submitted for
Durable Medical Equipment by Fax
or Mail depending on the type of
certification.
|
| |
|
Type of Review Requests
for Durable Medical Equipment |
Requests may be
submitted
by: |
|
Certification |
Fax or Mail |
|
Retrospective Certification |
Fax or Mail |
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Certification Fax Line: 888-204-0159
Certification Mailing Address:
HealthSystems of
Mississippi
Attn: DME Department
175 East Capitol Street
Suite 250, Lockbox 13
Jackson, MS 39201
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Home Health Services
The following
outlines the types of review requests that may be submitted for
Home Health Services by Web, Fax,
or Mail depending on the type of
certification.
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| |
|
Type of Review Requests
for Home Health Services |
Requests may be
submitted
by: |
|
Pre-certification |
Web, Fax or Mail |
|
Concurrent Certification |
Web, Fax or Mail |
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Retrospective Certification |
Fax or Mail |
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New
Certification Fax Line: 888-204-0377
Effective 1/16/07
Web-Based
Submission:
www.hsom.org
Certification Mailing Address:
HealthSystems of
Mississippi
Attn: HH Department
175 East Capitol Street
Suite 250, Lockbox 13
Jackson, MS 39201
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Outpatient Therapy (PT, OT, and SLP)
The following
outlines the types of review requests that may be submitted for
Outpatient Therapy (PT, OT, SLP) Services by
Fax or Mail depending on the type of
certification.
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| |
|
Type of Review Requests
for Home Health Services |
Requests may be
submitted
by: |
|
Pre-certification |
Fax or Mail |
|
Concurrent Certification |
Fax or Mail |
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Retrospective Certification |
Fax or Mail |
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Certification Fax Line: 888-557-1920
Certification Mailing Address:
HealthSystems of
Mississippi
Attn: Outpatient Therapy Department
175 East Capitol Street
Suite 250, Lockbox 13
Jackson, MS 39201
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