If your hospice just received a Qlarant Notice of Suspension or you're staring down a flood of PPEO ADRs, you don't have time to figure this out from scratch. We've responded to these letters from the operator's seat for over a decade. Book a $300 consult or get a chart review quote — we'll triage it with you fast.
Pick the one that matches your letter. Each one starts with a phone call.
The Notice of Suspension landed. You have 15 business days to file a rebuttal that justifies medical necessity claim-by-claim. CMS isn't bluffing — ignore it and the suspension stays in place.
Provisional Period of Enhanced Oversight means every claim gets an ADR. The MAC is looking for reasons to deny or revoke. Documentation has to be airtight on round one — appeals cost months of cash flow.
Your MAC flagged a pattern. You get up to 3 rounds of ADRs and education to fix it — then CMS can escalate to prepay review or extrapolation. The early rounds are the cheap chance to get charting right.
ADR Assist is a service of Roundbox LLC, also operator of Hospice Engine — the EMR + billing platform that's served hospices nationwide since 2012. We've built the documentation that survives audits. Now we help others do the same.
We've run hospices, billed hospices, and built software hospices use. We know what surveyors actually flag and what gets paid.
Reviews are done by clinically-trained reviewers who spot the eligibility and terminality documentation gaps surveyors flag. Your Medical Director still owns the clinical content and signs the narrative.
Phone consults same week, chart reviews on a 15-day window match. And if claims are denied, we stay with the case through all five Medicare appeal levels — with a strong overturn record.
Most rebuttals fail because the agency tried to figure it out alone for two weeks before asking for help. Book a 1-hour consult today.