20 Years of Experience
One on One Assistance
For more information about our successful ADR audits and appeals call
We are experts in helping Home Health Care Agencies and Hospice Agencies successfully deal with pre-payment medical reviews through the Additional Document Request or Additional Development Request (“ADR”) process.
Home health reimbursement will undergo the most significant transformation since its inception. The recent CMS announcement of Medicare PPS regulatory changes requires revised OASIS scoring, new case-mix adjustments, and a wide range of new regulations. These new regulations can have a significant impact on your financial health!
Medicare Administrative Contractors (MACs) are issuing increasing numbers of ADRs. Your Responses must be complete and accurate. If not your claims will be denied. Not only can this be very costly, but some agencies have found their license in jeopardy as well. We have over 20 years of experience in identifying the essential documentation needed for ADR appeals. To avoid any future ADRs, we pride ourselves on providing our clients with clinical feedback and recommendations for increased compliance and improved medical records reporting processes.
We provide you with one on one assistance focusing on all the data that your agency will be required to have to complete a successful ADR audit. We assist you with the preparation of the medical record documents for the time frame requested. The goal of this process is to assure your Home Health or Hospice agency is accurately reimbursed for services provided and to prevent future unwarranted medical record reviews.
We understand the challenges you face every day. We have a team of 20 Home Health /Hospice Consultants that Includes seven registered nursing ADR experts to help you measure the impact of regulatory changes, develop a plan to offset negative effects, and implement measures that can improve your financial and operational performance.
3910 Golf Park Loop
Bradenton, FL 34203
129 Lake Meade Blvd, Suite 19
Henderson. NV 89015
For more information about our successful ADR audits and appeals.