Tag: MAC

Navigating ADRs

Do you struggle with how to navigate Additional Development Requests (ADRs) and ensure accurate reimbursement? These tips will help put you on the right track. Understand the Purpose of ADRs: ADRs occur when payers request additional documentation to justify payment for specific services. Focus on the most common type: Pre-Payment Medicare Approved Contractor’s (MAC) “medical…

Additional Document Requests

Additional Document Requests (ADRs) strike fear into the hearts of most home health and hospice providers.  One of the leading reasons for claim denial results from providers not responding to ADRs.  That, in itself, will lead to more scrutiny.  Providers need to ensure they have a clear cut ADR process including prompt identification of the…