8:30-9:30 a.m

84-G. Operationalize ADR Management to Protect Your Resources

Nursing homes and post-acute care providers face heightened scrutiny when Medicare and other payers issue Additional Documentation Requests (ADR) or conduct targeted medical reviews and post-payment audits. Delays in responding to these requests can lead to improper payment findings against the provider. This session will help leaders shift from reactive, one-claim-at-a-time ADR responses to a structured, collaborative approach. Presenters will outline common review triggers, explain how documentation gaps and fragmented communication pose financial and compliance risks, and review each step of an ADR, from request through appeal. Learn how to operationalize ADR and denial management to support quality and financial stability.

• Kristy Brown, Director of SNF Strategy, Assembly Health — Chicago, IL, United States
• Wendy Strain, Director of Consulting, Polaris Group — Tampa, FL, USA
• Peggy Connorton, AVP, Healthcare Regulation, Compliance, Quality, Covenant Living Communities and Services — Skokie, IL, US