Respond to ADRs within 45 Days
- By Michelle Dick
- In Billing
- February 2, 2015
- Comments Off on Respond to ADRs within 45 Days

If you submit claims to Medicare, know that you have 45 days to respond to an Additional Documentation Request (ADR) that you receive from a Medicare administrative contractor (MACs) or Zone Program integrity contractor (ZPIC). According to MLN Matters® MM8583, “Failure to respond within 45 days of a prepayment review ADR will result in denial of the claim(s) related to the ADR. Make sure your billing staffs are aware of these changes.”
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You actually have 30 days.