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In response to an additional development request (ADR) by a Medicare Administrative Contractor (MAC)

In response to an additional development request (ADR) by a Medicare Administrative Contractor (MAC). Question
Answered step-by-step
Asked by oameme1

In response to an additional development request (ADR) by a Medicare Administrative Contractor (MAC), what is the most prudent course of action for the facility staff?

a] Have the medical records clerk prepare the response and ensure that the director of nursing review the ADR prior to the designated timeframe.

 

b] Assign the medical records clerk to respond to the ADR and ensure that the requested documents are sent to the MAC within the designated timeframe.

 

c] Have the director of nursing and biller review the ADR prior to the designated timeframe.

 

d] Provide an interdisciplinary response to the request, with final review by a clinician with expertise in Medicare Part A coverage.

 

 

SCIENCE
HEALTH SCIENCE
NURSING
NSG 456

In response to an additional development request (ADR) by a Medicare Administrative Contractor (MAC)

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