An MR ADR is a Medical Review Additional Documentation Request for claim(s) being processed. Additional documentation is needed that supports the medical necessity of service(s) reported on the claim to ensure compliance with Medicare's coverage, coding, payment and billing policies. The requested documentation must be received within 45 calendar days from the date of the request.
For Palmetto GBA's ADR Response Calculator, click here. This will help you submit your documents in a timely manner.
Other Related Websites:
Other links can be found on the Palmetto GBA website; as well as the CGS (A Celerian Group Company) for states other than NC.