So now that you’ve brushed up on best practice how-tos and tips to maximize the information in your documentation, you might be thinking that your organization will be immune to ADR requests. Fact is, it’s not a matter of if it happens, more like when. All organizations receive ADR requests at some point or another. Part I and II of our series provide a good foundation to help prevent major headaches for when it does.
Responding to ADR
Even if you are aggressively proactive in your documentation and you take an aggressive strategy of documenting every procedure at the point of care and specific details of the patient health plan, you are almost guaranteed to receive an ADR request — they are the norm today. There are some instances when home health administrators must take action. In so doing, you must assign someone to monitor your direct data entry (DDE) every day. Do not ignore any requests received. Then use a checklist to be sure all required documentation is added and collected.
Include a copy of ADR letter; use a cover sheet and an index page in the response – don’t give the requestor the opportunity to find other potential issues. Don’t use Post-it notes or highlighters in the response. Include a clean copy of POC and secure attestation and addendums from physicians when needed. Include signature logs when needed and assure that everything is signed and dated.
Then put everything in chronological order and send everything at once. Remember, every record must be QA tested before being sent because, as the saying goes, “If you didn’t chart it you didn’t do it.”
Finally, in regard to ADRs, take a note of all correspondences and use these as an educational opportunity to develop a plan of correction.
Click here to learn more about audits and responding to ADRs in an on-demand webinar featuring Jennifer Warfield from PPS Plus where she discusses important documentation practices that your home health agency should implement.
Entire blog post originally posted on DeVero, a Netsmart Solution’s blog on July 31, 2017.