What is the process for authorizing inpatient admissions to any level of care?
HSI reviews only acute care medical/surgical and psychiatric inpatient admissions and only for admitting diagnosis codes on HFS Attachment A, B, or C. HSI does not perform prior-authorization or pre-certification review. The initial (admission) review is conducted after admission. Hospital staff or physicians should submit requests for certification within one business day of admission or shortly thereafter and while the patient is still hospitalized. The admission review request may be submitted to HSI via our toll-free certification telephone line or through our Web-based review system.
