Hospice ADR Response Checklist (Free)
A step-by-step checklist to help hospice agencies respond to Medicare Additional Documentation Requests (ADR) and reduce claim denial risk.
Please do not share patient-identifying information.
What is a Medicare ADR?
Hospice agencies may receive Additional Documentation Requests (ADR) from Medicare Administrative Contractors to verify that claims meet coverage requirements. These audits require providers to submit documentation supporting eligibility, physician certification, and clinical notes within strict deadlines. Missing documentation or late responses can lead to claim denials and revenue loss.
Common documentation requested
- Certification of terminal illness
- Physician narrative
- Plan of care
- Clinical visit notes
- Face-to-face encounter documentation
See more hospice ADR guidance on our blog.
Your ADR Response Checklist
Review ADR request letter and identify the claim under review.
Confirm ADR response deadline and submission method.
Gather requested documentation for the claim period.
Validate physician certification dates and signatures.
Confirm clinical documentation supports hospice eligibility.
Verify face-to-face encounter documentation (if applicable).
Ensure patient identifiers are consistent across records.
Perform internal QA review before submission.
Submit documentation before deadline.
Track ADR status and confirmation of receipt.
Simplify Your ADR Workflow
MedAuditShield helps hospice teams organize ADR documentation, track audit deadlines, and reduce the risk of claim denials through structured workflow management.
- ADR timeline tracking
- Documentation request organization
- Audit workflow visibility
- Risk scoring and denial pattern insights
Explore our pricing plans to get started.