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Elizabeth M. Whitehorn, Director

Provider Notice issued 02/28/07

 

Updates to the Ambulatory Procedures Listing (APL) for January 1, 2007

To:​ Enrolled Hospitals: Chief Executive Officers, Chief Financial Officers, and Patient Accounts Managers; and Ambulatory Surgical Treatment Centers (ASTCs)​
Date:​ February 28, 2007​
Re:​

Updates to the Ambulatory Procedures Listing (APL) for January 1, 2007 ​

 

 

The revised APL, effective for dates of service on or after January 1, 2007, is available on the department’s Web site at: <http://www.hfs.illinois.gov/reimbursement/apl.html>. No changes have been made to the APL group rates.

 

The APL is sorted in both procedure code order and APL group order. The list has been revised to reflect updated CPT and HCPCS coding. Codes that have been defined as obsolete via the CPT or HCPCS coding systems have been removed. The APL is available in two formats, a printable report or a text-delimited file. Paper copies of the APL may be obtained by contacting the Bureau of Comprehensive Health Services at 877-782-5565.

Providers are reminded that any code that has been determined obsolete by the CPT or HCPCS coding systems will not be payable, even if the department experiences a delay in updating the APL on the Web site.

In the future, the department will not send a formal notice to announce an APL fee schedule update. Providers that are registered to receive notification when new information is posted to the Web site will be informed electronically when new listings are available. Providers wishing to receive E-mail notification, when new provider information has been posted by the department, may register at the following HFS Web site: <http://www.hfs.illinois.gov/provrel/>.

Electronic claim submission via the Internet is available by registering on the department’s Medical Electronic Data Interchange, Internet Electronic Claims (MEDI/IEC) System at:

http://www.myhfs.illinois.gov/

Any questions regarding this notice may be directed to the Bureau of Comprehensive Health Services at 877-782-5565.

 

Theresa Eagleson Wyatt
Acting Administrator
Division of Medical Programs