Additional Documentation Request (ADR)
Formal request from Medicare or another payer asking a provider to submit medical records.
Definition
An Additional Documentation Request (ADR) is a formal request from Medicare or another payer asking a provider to submit medical records supporting a previously submitted claim.
Why it matters
Timely and complete responses to ADRs are essential to avoid claim denials or payment recoupments.
Home Health Documentation Playbook
The complete guide to OASIS-E, Medicare compliance, PDGM, and AI-assisted documentation. Learn how top agencies reduce documentation time without sacrificing compliance.
Listen While You Read
Conversations on lupa & pdgm
Episodes from Inside Home Health that put Additional Documentation Request (ADR) in operational context.
Ep 24Ep 24 · Sep 16, 2026
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Dr. Lendra James, DNP, MS, RN, NE-BCWatch 
Ep 23Ep 23 · Aug 17, 2026
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Ep 21Ep 21 · Jul 20, 2026
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Related Blogs
Top 10 Reasons Medicare ADRs Get Denied and How to Prevent Them
A Medicare ADR can turn a routine claim into a major administrative project, and the problem usually isn't the care, it's the documentation. This guide breaks down the 10 most common Medicare ADR denial patterns for home health and hospice, with a practical prevention strategy for each.
How to Respond to a Medicare ADR in 30 Days: A Step-by-Step Guide for Home Health & Hospice
A Medicare ADR turns an ordinary claim into a time-sensitive compliance project. Not every ADR is due in 30 days, so the goal isn't to "respond in 30 days" but to have a process that moves quickly, consistently, and defensibly. Here's a practical day-by-day workflow for home health and hospice, plus where AI can help.
Beginner's Guide to Medicare ADRs for Home Health and Hospice Agencies
A letter from Medicare asking for additional records raises fast questions: what do they need, why this claim, how long do we have? That letter is often an Additional Documentation Request (ADR). Here's what an ADR is, why home health and hospice agencies get them, what's requested, the deadlines, and how to respond.