Is your hospice experiencing a high number of Additional Development Requests (ADRs) or claim denials? Are you involved in a probe edit or Targeted/Focused Medical Review? Are you concerned about the potential loss of revenue due to poor documentation of patient eligibility?

Weatherbee can assist your organization by reviewing medical records, writing independent letters summarizing patient eligibility, and providing support and coaching throughout the appeal process. Weatherbee provides expert witness testimony as well as customized staff education specifically designed to address documentation-related deficits, thus minimizing the risks of non-compliance and non-payment.

ADR Support is essential for hospices that are:

• Undergoing a service- or provider-specific probe edit
• Approaching their first year anniversary of operations, as "New Provider" probe edits are common in the first 1-2 years
• Experiencing a high number of ADRs or claim denials on appeal
• Unable to dedicate the staff time necessary to review and summarize medical records prior to submitting ADRs or appeals
• Concerned about the type and quality of its interdisciplinary team's documentation supporting patient eligibility