Respond to ADRs within 45 Days

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.”

Michelle Dick
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Michelle A. Dick, BS, provides writing and editorial expertise to clients. She is a freelance proofreader for Partners & Napier’s Vine Creative Studios and the owner of My Garden Gal, a garden maintenance and landscaping business. Prior to becoming a free agent, Dick was an executive editor for AAPC.

No Responses to “Respond to ADRs within 45 Days”

  1. Michelle G. says:

    You actually have 30 days.