MAC Medical Review Best Practices: Updating Your Contact Information

Providers should have processes in place to ensure that proper staff is receiving and responding to the Medical Review ADRs (Additional Documentation Requests) in a timely fashion to avoid denials due to non-response. An ADR is generated when documentation is necessary to support a Medicare claim. This request is for medical record documentation to support payment of an item(s) or service(s) reported on the claim to ensure compliance with Medicare's coverage, coding, payment and billing policies. As a general rule the ADR is sent to a provider's address on file with Medicare. Did you know providers can now designate a separate address where they would like ADRs to be sent? To ensure you are receiving your ADR at the correct address, be sure to update your “Medical Review Correspondence Address”. This video will show you how to update your MRCA (Medical Record Correspondence Address).
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This video is intended as a summary for informational purposes only and is not a replacement for reviewing written laws, regulations and other official interpretive materials.
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