Have You Received an ADR or RAC Audit from Medicare?
Are You Concerned About Not Being Reimbursed... or Worse - Your License Being in Jeopardy?
Our legal nurses have over 20 years of experience in identifying the essential documentation needed for ADR appeals.
Learn more about our successful ADR audits and appeals process
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 are experts in helping Home Health Care Agencies and Hospice Agencies successfully deal with medical reviews through the Additional Document Request or Additional Development Request (“ADR”) process.
We specialize in the following 5 levels of the appeals process and can work in collaboration with our Medicare Attorney’s.
- MACs
- RACs
- ZPICs
- CERTs
- Probe & Educate
Home health reimbursement has undergone the most significant transformation since its inception.
The recent CMS announcement of Medicare CERTs and the Probe & Educate mandatory auditing processes has had a significant financial impact on many Home Health and Hospice agencies.
Contact Us
Please fill out the form below and one of our consultants will be in contact with you.
Our highly qualified team work together to assist clients improve their operational performance, manage and find solutions to existing problems, develop best practices, and prepare for future change and challenges in the Home Health and Hospice industry.
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 Home Health /Hospice Consultants that are 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.
For more information about our ADR services, please call us at
888-850-6932
