In April, 2015 we will have 45 days instead of 30 to respond to ADRs for pre-payment review

MLN Matters®Number: MM8583 Revised	Related Change Request (CR) #: CR 8583
Related CR Release Date: November 14, 2014	Effective Date: April 1, 2015
Related CR Transmittal #: R554PI	Implementation Date: April 6, 2015

 This article is based on Change Request (CR) 8583, which instructs MACs and Zone Program Integrity Contractors (ZPICs) to produce pre-payment review Additional Documentation Requests (ADRs) that state that providers and suppliers have 45 days to respond to an ADR issued by a MAC or a ZPIC. Failure to respond within 45 days of a pre-payment review ADR will result in denial of the claim(s) related to the ADR. Make sure your billing staffs are aware of these changes. 

The official instruction, CR 8583, issued to your MAC regarding this change, is available at http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R554PI.pdf on the Centers for Medicare & Medicaid Services (CMS) website. 

The MLN Article is can be found Here.