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University of Arkansas for Medical Sciences

Hospital Admissions'
Pre-Registration Web Site

Welcome to Hospital Admissions' Pre-Registration Web Site.  Pre-registration is a function performed within the Hospital Admissions Office of UAMS. To simplify pre-registration, patients have the ability to complete pre-registration through the power of the Internet. This Web Site allows the patient to complete the pre-registration process from their home or other locations with Internet access

If you are planning on being admitted to UAMS, you can use this form to pre-register for your visit to UAMS.

Please Note:  At times, access to the pre-registration form can be slow.  If you are having problems accessing the form, please hit the Stop button on your browser.  Then try clicking the link again.   


To skip the help and move on to the registration, click here for the Online Pre-Registration form.

For further information and help with the online Pre-Registration, click here.

If you wish to fill out and print a Fax-Ready form, please click here.



Main Phone Numbers
Patient Information/Rooms - 1-501-686-6416
General Information - 1-501-686-7000

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Click here to find a doctor by department or area of specialization.>>>


Pre-registration

Why pre-register?

  • Collect patient demographic/insurance information for registration

  • Expedite the registration process in order to decrease patient wait time

  • Advise patients of their financial responsibilities

  • Provide financial arrangements prior to service

  • Inform patients as to what they must bring at time of service (insurance card, Advance Directive, payment if previously arranged)

  • Improve patient relations so patients will have less to worry about during service

  • Provide directions to hospital and department(s)

Patients can pre-register for surgery, or when a test or procedure has been scheduled and admission to the hospital is planned. On-line pre-registration, may occur up to five days before the scheduled date. If the patient is unable to meet this timeframe, pre-registration can be completed, by telephone, the day prior to scheduled service.

What types of services are pre-registered?

Those procedures or treatment that require a stay in the hospital post services.

How is a patient pre-registered?

Pre-registration can be completed several different ways for the patient’s convenience. Choose one of the following options:

On-line Pre-registration

  • Complete the form and transmit

If questions have not been answered, a Patient Access Representative will obtain information when the patient arrives for their surgery, test or procedure.

Fax the Pre-registration Form

Pre-register by Telephone

Call the Hospital Admissions at 501-686-6236.

Be prepared to provide the following:

  • Date of surgery, test or procedure

  • Demographic information

  • Insurance information (on card)

  • Complete physician name(s)

Hours for Pre-registration

The The Hospital Admissions Office hours of operation are from 9:00 a.m. to 6:00 p.m. – Monday through Friday.

Is on-line pre-registration secure?

Hospital Admissions supports UAMS and UAMS Medical Center by respecting the right to privacy and confidentiality of all patients.

Privacy Statement

How will the patient know if hospital has received the pre-registration faxed form or if pre-registration has been completed on line?

If the Hospital Admissions Office has not received an on-line pre-registration or faxed form prior to scheduled surgery, test or procedure, the patient will be called to pre-register by telephone.  If no one calls you, please contact a coordinator at 501-686-6236.

Miscellaneous Information

Pre-admission Testing

The patient will be informed/instructed if any pre-admission/surgical testing is necessary when your scheduling occurs. Please direct all medical questions to your physician/surgeon.

Parking

Click here for a map to UAMS Medical Center and parking at the hospital deck.  Click here for a printer-friendly version of the UAMS Map.

Transportation Home

The hospital recommends that all patients check with their physician/surgeon to determine if the patient will need another individual to transport patient to their home after surgery, test or procedure.

Insurance and Financial Information

Many insurance plans require pre-authorization for hospital admissions and certain outpatient procedures and services. Hospital Admissions Office recommends that the patient check with their insurance carrier to verify that visit has been authorized/pre-certified or physician referral has been obtained.

If you have any financial concerns, regarding your surgery, test or procedure, contact a financial counselor before hospital arrival at one of the following phone numbers:

501-686-7184
501-603-1064

Patients may be requested to pay for services, at time of registration, if services are not covered or if insurance should not be billed.

Note: Patients will receive separate charges for the physician/surgeon since the hospital and physicians are separate entities.

What items should the patient not bring to the hospital?

For the patient’s protection, patients should not bring jewelry, credit cards or large amounts of cash to the hospital. If this occurs, patient will be requested to send items home as soon as possible. Until such arrangement is made, valuables may be stored in the hospital safe. UAMS Medical Center does not assume responsibility for lost items.

Frequently Asked Questions

What is the hospital address and main phone number?

UAMS Medical Center

4301 W. Markham

Little Rock, AR 72205

  • 501-686-6416 (Information Desk/Main Line)

  • 501-686-6416 (Patient Information/Rooms)

  • After hours (after 8:30) call 501-686-7000

What time should a patient arrive for surgery?

Please consult with the physician/surgeon for hospital arrival/surgery time.

Will it be necessary for the patient to bring their insurance card?

Yes. The hospital needs a copy of the insurance card in order to verify coverage and to determine if pre-certification is required for an inpatient admission.

Will patients be required to stop at registration?

Yes. At point of check in, the following will occur by a Hospital Admissions Representative:

  • Forms signed by patient and/or representative

  • Insurance card copied

  • Advance Directive copied (if applicable or executed)

  • Demographic/insurance verified

  • Financial obligations provided or collected

  • Medicare Secondary Payor Questionnaire (MSP) completed for Medicare patients only

Should a patient bring a copy of their Advance Directive to the hospital?

Yes. If the patient has executed an Advance Directive, a current copy needs to be provided to the hospital. Situations and wishes change, so the hospital cannot assume that Advance Directives are valid from one admission to another. If you have questions or concerns regarding Advance Directives, the hospital encourages the patient to talk with their physician and loved ones. If you need additional information about how to execute an Advance Directive, please contact the Pastoral Care Department at 501-686-5410.

When will the Medicare Secondary Payor Questionnaire (MSP) be completed?

A Hospital Admissions Representative will complete the Medicare Secondary Payor Questionnaire (MSP) when the patient arrives for their surgery, test or procedure.

Federal Law requires that providers of medical services to Medicare beneficiaries determine whether or not there is other insurance coverage for the beneficiary that should be billed before a bill is submitted to Medicare. Providers, such as hospitals, must be able to document that they have screened for other insurance coverage by asking the beneficiary questions which will identify if other insurance is available. The Medicare Questionnaire contains all of the necessary questions that need to be asked of the beneficiary to determine if there is other insurance that is primary to Medicare.

Accurately completing the Medicare Secondary Payor Questionnaire ensures expedient payments to providers, as well as, compliance with Medicare rules and regulations.

What is pre-certification and how does it happen?

The basic definition of pre-certification is obtaining approval from the insurer for patient services prior to treatment. Pre-certification is a critical element for payment of services. For surgical cases, the physician’s office is responsible for obtaining pre-certification. The doctor has access to the patient’s medical history and indication for the procedure. It is advisable for the patient to do a follow-up, with their doctor, to ensure that this process has occurred. Failure to have a surgery, test or procedure pre-certified could result in reduced or denied benefits by the insurance carrier.

Should the patient eat or drink prior to surgery, tests or procedures?

Consult with the physician/surgeon regarding medical questions. If the orders are not followed, this could result in surgery, tests or procedures being delayed or cancelled.

How is a wheelchair obtained when the patient arrives?

Wheelchairs are located at the information desk and/or registration check-in.

Will the patient have instructions to take home?

The patient will be discharged according to the physician/surgeon’s orders. Instructions will be provided as to the patient’s care, medication and post-op follow-up after hospital visit and/or surgery.

What are the directions to UAMS Medical Center?

For a map of the location for the hospital in relation to the rest of the state, please click here.

For a map of UAMS and the Little Rock area, please click here.

 
Thank you for choosing UAMS for your healthcare needs.

"Where Knowledge Creates Better Medicine"










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University of Arkansas for Medical Sciences
4301 W. Markham St., Little Rock, AR 72205

To Make an Appointment Call the Appointments Center at: 1-501-686-8000
For Patient Information/Rooms, Call 1-501-686-6416
For General Information and for Numbers Not Listed, Call 1-501-686-7000
For International Patient Appointments, Call 1-501-686-8071

For Information on Mailing or E-mailing UAMS Patients, Please Click Here

Address: 
UAMS Medical Center, 4301 W. Markham, Little Rock, AR 72205



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