AFMC Physician Review News – Fall 2018

By Chad Rodgers, MD, FAAP I hope everyone is enjoying this crisp fall weather. We’ve been very busy here at AFMC. We are in the process of the re-bid for our largest review contract, which we have held for many, many years. Things have changed in Arkansas since the...

AFMC Therapy Review News – Summer 2018

Summertime is here and livin’ should be easy, but it has been a busy time at AFMC. There have been a lot of technical changes and challenges over the last few months for therapy advisors who are performing reviews. We have all learned some lessons and improvements...

Virtual Review Is Safer, Faster

Physician review is more secure and streamlined when performed in the virtual realm.To keep our review standards high, AFMC is now using Virtual Desktop Infrastructure (VDI) for all physician reviews. As a virtual desktop, VDI mimics an actual computer desktop via a...

AFMC Physician Review News – Summer 2018

Summertime is here and livin’ should be easy, but it has been a busy time at AFMC. There have been a lot of technical changes and challenges over the last few months for physician advisors who are performing reviews. We have all learned some lessons and improvements...

Correct Use of Medicaid Observation Status

By Tom Tinsman, MD For physicians performing utilization review for AFMC, it is critically important to clearly understand and properly use Medicaid Observation status. This understanding is also helpful for all physicians to ensure they use the correct admission...

Do You Have Experience?

Do you have coding experience? Occasionally, our review staff needs assistance in determining appropriate billing codes for services provided. The coding may involve care provided in the NICU, in physicians’ offices for extension of benefit reviews, durable medical...