Description:
This module provides basic information on the Additional Development Request ("ADR") process and helps the viewer understand the role of the Regional Home Health and Hospice Intermediary ("RHHI") in terms of medical review, claim denials, and the appeal process. This module also touches on the Local Coverage Determination ("LCD") guidelines published by the RHHIs, and provides helpful suggestions for responding to ADRs in an appropriate and timely fashion.

Objectives:

• Participant will Define the phrase Additional Development Request ("ADR").
• Participant will Prepare a medical record for initial ADR submission.
• Participant will Identify appropriate documentation to support patient eligibility.
• Participant will Discuss proactive strategies to improve visit note and other documentation.

*** Hospice Education Network is an approved provider of continuing nursing education by the Massachusetts Association of Registered Nurses, Inc., an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

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