Additional Document Requests (ADRs)
An ADR is a request for additional supporting documents to ensure compliance with payment coverage, coding, and billing policies. Responding to an ADR certainly means extra time and effort from your staff as incomplete documentation or delays can prove costly. HCL provides assistance to help you with your submission and also to understand the regulatory requirements and good practices for documentation to help prevent further scrutiny.
Services can include:
- Initial and appeal ADR submissions
- Audit and development of the summary for submission with a focus on compliance with payor requirements
- Development of summary letter and clinical record review report using information available in the medical record
- Recommendations for additional resolution steps
- Assistance with other audits including Unified Program Contractors (UPICs) and Recovery Audit Contractors (RACs)
