tci Medicare Compliance & Reimbursement - 2014 Issue 7

RAC Reminder: Watch Out for New ADRs

Don’t be lulled into complacency by the break in Addition Documentation Requests (ADRs) from recovery auditors. February 28 marked the current recovery contractors’ deadline for sending out new ADR communications, but they can continue to conduct automated reviews through June 1, and they are sure to follow through on reviews that commenced before the ADR halt. Mark your calendar: Providers have 45 days to respond to an ADR and recovery auditors have up to 60 days to make a determination on the claim. June 1 is the last day a recovery auditor can send improper payment files to...

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