Drowning in ADRs? We'll Get You Caught Up.
Seneca Shield reviews your charts and generates audit-ready documentation so you can respond to ADRs faster and with confidence.
The ADR Problem Is Getting Worse
Additional Documentation Requests are time-sensitive, labor-intensive, and high-stakes.
Tight Deadlines
MACs set strict response windows. Missing a deadline means automatic denial — and lost revenue that's nearly impossible to recover.
Overwhelmed Teams
Manual ADR response requires pulling charts, reviewing documentation, and compiling evidence — all while your team manages ongoing patient care.
Common Documentation Gaps
ADR denials frequently stem from missing face-to-face encounters, insufficient clinical detail supporting medical necessity, and incomplete care plans.
When ADR volumes spike, even experienced compliance teams struggle to keep up. The result: missed deadlines, denied claims, and revenue loss that compounds over time.
How Seneca Shield Handles ADRs
Upload ADR and Chart
Upload your ADR notice and the associated chart documentation. We handle the rest.
AI Reviews Every Flagged Chart
Seneca Shield analyzes 100% of ADR-flagged charts against MAC requirements, identifying every documentation gap and risk area.
Findings Report Delivered
Receive a detailed compliance findings report with specific documentation gaps identified and prioritized by risk level.
Cover Letter
Receive a draft cover letter supporting the claim, ready for your team to review and submit with the ADR response.
ADR Response Support in 48 Hours, Not Weeks
While manual ADR review can take weeks for a large batch, Seneca Shield processes flagged charts and delivers findings in as little as 48 hours — giving your team the time they need to respond before the deadline.
Understanding the ADR Landscape
Medicare Administrative Contractors issue ADRs as part of their medical review process. The most common triggers include unusual billing patterns identified through PEPPER reports, claims flagged by automated edits, and targeted probe audits of specific service types.
The OIG Work Plan consistently identifies hospice and home health as high-risk areas for improper payments. Common ADR denial reasons include insufficient documentation of medical necessity, missing or incomplete face-to-face encounters, and failure to support the certified level of care with clinical evidence.
Seneca Shield is designed to identify exactly the documentation gaps that MACs look for, so your response addresses every issue systematically rather than relying on manual chart-by-chart review under deadline pressure.
Send Us Your ADR
We'll review the flagged charts at no charge. If we don't find meaningful compliance findings, you don't pay.
Don't Let ADRs Derail Your Agency
Schedule a call with our compliance team. We'll discuss your ADR situation and show you how Seneca Shield can help.