Watch for Palmetto and other probe edits … We can help!

Probe edits are underway from Palmetto with other MACs joining in soon. It is important to follow instructions from your MAC and respond with complete copies of charts.

Selman-Holman & Associates, LLC has been assisting clients with this process for many years and we have been heavily involved in responding to the new round of ADRs and probe edits. Your agency is at greater risk if you 1) have a long length of stay (LOS); 2)  have Medicare beneficiaries under the age of 65; and 3) have frequencies of 1w9.

Call us for assistance if you receive a probe notification letter or ADRs. We have an expert team of home health care documentation and coverage experts standing by!

Message from Palmetto:

From: Jurisdiction 11 Home Health and Hospice

Alert: Medical Additional Documentation Requests (ADRs)

Palmetto GBA recently changed the process for mailing medical Additional Documentation Requests (ADRs).  Previously, medical ADRs were mailed in yellow envelopes. ADRs are now mailed in white Palmetto GBA envelopes. It is possible that a provider may receive an ADR request prior to receiving their probe notification letter.

If you receive an ADR, it is important that you respond promptly.

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