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[Go to kids bereavement-related links.]
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HOSPICE EDUCATION NETWORK NOTES
ADRs: What can you do?
CHALLENGE: Is your hospice experiencing a high number of Additional Development Requests (ADRs) or claim denials? Are you concerned about a probe edit or Targeted/Focused Medical Review? Are you worried about the potential loss of revenue due to poor documentation of patient eligibility?
SOLUTION: The Hospice Education Network (HEN) offers an e-learning course that focuses on the basics of the proper ADR process.
ADRs: Additional Development Requests (665)
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.
ABOUT THE COURSE FACULTY
Joy Barry, RN, M.Ed., CLNC, is a Principal of Weatherbee Resources, Inc. (WRI), the Hospice Education Network (HEN), and Hospice Quality Resources, LLC (HQR). Her clinical and administrative expertise, coupled with a thorough understanding of regulatory compliance and standards of care, contribute to the provision of comprehensive consulting services unmatched by others in the industry.
To learn more about the Hospice Education Network, call 866-969-7124 or email: info@hospiceonline.com to join our regularly scheduled weekly demonstrations on Tuesdays and Thursdays, 1:00-1:30 EST; or you may schedule a review of HEN's features at your convenience. Visit our website at www.hospiceonline.com to see new courses that are added each month.
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