Home Health & Hospice Week
How To Check For An ADR
Tip: Check FISS Page 07 for the due date. If you have been relying on paper letters for your Additional Development Request notifications — or haven’t been checking for them at all — use these instructions from HHH Medicare Administrative Contractor CGS to identify the requests: 1. To check for MR ADRs, use Option 12 (Claim Inquiry), key your NPI number and the status/location ‘S B6001’ and press Enter. Claims selected for MR ADR will appear with reason code 39700. 2. Access the FISS Pages 07 and 08 to determine what is being requested and the date it must be received by the MAC. Pages 07 and 08 only apply to claims in the status/location ‘S B6001’. FISS Page 07 displays the due date, which is the 45th day. Page 08 provides details of the information being requested. 3. When submitting your ADR response, attach a copy of FISS Page 07 as the top page of your documentation to ensure it is matched to the appropriate claim. Note: The article with the instructions, including screen shot examples, is at www.cgsmedicare.com/hhh/pubs/news/2017/0817/cope4170.html.
Home Health & Hospice Week
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