Additional Documentation Request (ADR)

LKN Strategies can assist your agency through the ADR process and the redetermination and reconsideration levels of appeals to ensure a timely, effective response at each of these crucial Pre-ALJ stages. Our ADR and Medicare appeals service assists by ensuring that all supporting clinical documentation submitted is correct, complete, and concise with initial submission to the MAC or oversight contractor.  This service includes a written clinical summary to support homebound and medically necessary services at redetermination and an argumentative rebuttal brief for unfavorable determinations that are appeals to the 1st and 2nd level of the CMS appeals process. 

We provide feedback and recommendations of technical denial issues and trended compliance deficiencies, based on our findings, to improve agency compliance and ensure Favorable outcomes. Our ADR and Medicare appeals service is completed by Registered Nurse Certified Legal Nurse Consultants, with over 25 years of Medicare home health appeal experience and an intimate knowledge of Medicare regulations and policies.  This service is provided, based on the individual need of each agency and the stage of appeal they are in at first contact.