I’m Jeremiah Crandall, RN BSN MBA and owner of ADR Pro Prep LLC.   We are a new kind of Service Company for Hospice and Home Health agencies.  ADR Pro Prep is like having your own ADR department, but without all the costs involved in hiring and training staff.  We prepare responses to additional documentation requests (ADRs) that are generated by Medicare fiscal intermediaries, and Medicare itself.  We also handle all appeals to ADR denials, review charts, establish appropriateness in hospice patients over the phone, and we have developed a hospice charting system to capture decline in hospice patients called the Decline Program.  We also provide on site training in two areas.  We train ADR writers and we train nurses in the art of charting to the LCDs and decline.  Lastly, we do have an ADR help desk to aid those who are doing their own ADRs.

ADR responses are our #1 focus.  Allow me to share an example.  ADR Pro Prep LLC had a client that was deep in a focused medical review driven by Palmetto GBA. We responded to 103 ADRs over a 3 month period. They would send us a copy of the patient’s chart, and the ADR notification.  We then prepared a professional response to the ADR, and shipped it back.  Our average turn-over time was 8 days.  This client was located in Georgia.  It is to be noted that we have since developed a secure on-line system to transfer charts anywhere in the country in minutes.  It is as if we are right down the hall from your office. 

Out of the 103 responses that we prepared, we have had only 1 denial!  That speaks volumes.  In a Tip letter dated June 2, 2009, Palmetto GBA claimed that they have an average denial rate of 32.1% for all ADRs submitted in April of 2009.  The below average denial rate that we were able to produce ended the focused medical review of our client in just three months.

They have agreed to speak to any hospice agency and give a reference.  If you would like to check us out, call me at 1-877-867-1202 and I will be happy to supply there contact info.

Please know that the denial rate is controlled more by the quality of the charting than anything else.  We have had hospices with a less than 1% denial rate and others with a rates as high as 40%.  We do guarantee our work to be timely, professional, and accurate.  We also guarantee that you cannot prepare a better response for less money.  We will not add a penny to your cost of responding to your ADRs, as a matter of fact, we will save you money and could possibly save your companies’ life.

ADR Pro Prep LLC can make these claims because of the following advantages.

First, ADR Pro Prep’s main reason for existence is to create ADR responses.  We have the experience and the knowhow.  The LCDs are second nature to us. This focus on ADRs has created economies of scale that allow us to do this work cheaper than you can, and yet, our responses to your ADRs will be of a higher quality than your staff can produce.  Hospice and home health agencies do not handle ADRs on a daily bases.  This lack of experience shows in their responses.  We use our experience to your advantage to create the highest quality response at the lowest cost possible.

Second, ADR Pro Prep LLC will cast a new set of eyes on your charts which are not biased by firsthand knowledge of your patients. We do not “know” your patients, just as Medicare doesn’t know your patients.  We will see your charts just as Medicare sees them.   This gives you a powerful advantage.  All of the mistakes and weaknesses that you will miss because the information is too familiar becomes completely visible to us.  If anything is amiss in your charting, our experienced staff will find it.  This grants you the advantage of repairing mistakes before they cost you a denial or move your company into a focused review.

These two elements grant ADR Pro Prep LLC advantages that we want to share with you.

We both know the monetary damage that the ADRs are causing your company, but this pales in comparison to the losses incurred in labor costs, productivity, and company moral.  How many hours were spent on your last ADR?  What could your staff have done with that time?  How many referrals were not developed?  How many patient visits were missed?  How much stress was placed on your staff?  How many meetings were called that pulled staff from the field?  How much sleep have you lost?  Together, we can end the damage that ADRs are inflicting on you and your company.

Wouldn’t it be better to allow us to handle your mess and the stress of drafting your ADR responses?  Give us a call and let’s explore the possibilities of working together and getting you back in the business of patient care, not a slave to ADRs.  Call me at 435 865-6467, or e-mail me at This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

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