Health utilization management review
AFMC’s Fort Smith office provides health utilization management reviews for public and private health plans to ensure all health care services reimbursed are provided in the most efficient manner and are medically necessary. Review staff also help providers deliver the highest quality of care while at the same time preventing fraud and abuse.
Review services
- Emergency room
- Concurrent inpatient review
- Retrospective review of inpatient admissions
- Reconsideration reviews
- Extension of benefits for outpatient, lab and imaging
- Hyperalimentation
- Medicaid Utilization Management Program
- Prosthetics and durable medical equipment
- Inpatient utilization management
- Solid organ and bone marrow transplant
- Medical necessity for surgical procedures and use of assistant surgeons
- Private peer review
- Web-based review through Arkansas Medicaid Healthcare Portal for inpatient continued stay
Find out more about AFMC’s Review Services.
Pathology and radiology referral forms
Pathology referral form – use this form when referring a patient for lab tests
Radiology referral form – use this form when referring a patient for radiology testing
Earn extra income. Become a physician reviewer.
Access Arkansas Medicaid Healthcare Portal
Health Information and Privacy Protection
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