One HHH MAC wants to make the Additional Development Request (ADR) response process simpler for everyone. "If you send a CD or DVD for medical record or appeal documentation, please send these to us in a TIFF format," says Palmetto GBA. But, "Please don't TIFF each page. One TIFF file per record is acceptable." You don't have to require a password for your medical record file, Palmetto says. "However, if you do use a password, please ensure that we are able to link the CD with the password," the MAC says on its website. Another tip: If you send your ADR re-sponse on paper, don't staple it, Palmetto instructs. "The staples impede the scanning process. We will not change the order of your submitted documents."