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Hospital Provider Audits and Requirements for Inpatient Medical Records and Inpatient Admission Orders
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
May 24, 2013
We identified it
Jun 20, 2026
Summary
Illinois OIG has established new audit standards and documentation requirements for hospital inpatient medical records and admission orders for Medicaid patients. Hospitals must maintain compliant policies, ensure proper signatures on all records, and face potential recoupment for non-compliance.
Action Required
Immediately: Hospital billing teams must ensure all inpatient admission orders have legible signatures from credentialed medical staff with admitting privileges. Implement signature logs or attestation processes for illegible signatures. Verify all medical records are legible, complete, dated, timed, and properly authenticated. Replace any stamped signatures with written or electronic signatures. Failure to comply will result in OIG audit discrepancies and recoupment of entire inpatient stay payments.