WHAT are we seeing in ADRs right now?
The long-term post-acute care (LTPAC) industry as a whole is seeing an increase of ADRs as of late. These ADRs are not only coming from Medicare, but insurance companies as well. Both entities are being increasingly aggressive in their attempts for recoupment. If a facility is not responding to ADR requests and/or not sending in appropriate documents to support the claims, they are being denied. If the auditors see a trend of this happening in a facility, they are in return sending even more. This can very quickly become overwhelming at the facility level. The best way to avoid this vicious circle is to respond to the ADR in a timely and complete manner the first time around. This keeps your LTPAC facility off the proverbial ADR radar.