Latest / Reimbursement Readiness
Ep.30 ADR vs Medicare Denial: Knowing the Difference Can Impact Your Revenue
In Episode 30 of Reimbursement Readiness: Business Tips for Wound Practice, Kathleen Schaum welcomes Amiee Coriano to clarify an important distinction that can directly affect reimbursement: the difference between an Additional Documentation Request (ADR) and a Medicare denial.
Amiee explains that an ADR is a request for more information, while a denial is a payment decision that requires corrective action. She walks through why ADRs are issued, what documentation Medicare contractors may be looking for, and how revenue cycle teams should respond before a request escalates into a denial. The…
The skinny
The skinny isn't ready yet — notes appear once the transcript is processed.